Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis (AAB)
Based on current NCQA HEDIS recommendations, your TO-DO LIST for members ages 3 months and older should include:
- A dispensed prescription for an antibiotic medication on or three days after the Episode Date.
Why should you complete your TO-DO LIST?
It is an evidence-based, best practice and these actions are used to measure your quality performance.
HEDIS Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis (AAB) Definition:
(NCQA HEDIS guidelines, Measurement Year (MY) 2022)
- The percentage of episodes for members ages 3 months and older with a diagnosis of acute bronchitis/ bronchiolitis that did not result in an antibiotic dispensing event.
- Line of Business: Commercial, Medicaid, Medicare
Requirement:
- Dispensed prescription for an antibiotic medication (AAB Antibiotic Medications List) on or three days after the Episode Date.
* The measure is reported as an inverted rate [1–(numerator/eligible population)]. A higher rate indicates appropriate acute bronchitis/bronchiolitis treatment (i.e., the proportion for episodes that did not result in an antibiotic dispensing event).
AAB Antibiotic Medications
Description: | Prescription | ||
Aminoglycosides |
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Aminopenicillins |
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Beta-lactamase inhibitors |
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First-generation cephalosporins |
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Fourth-generation cephalosporins |
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Ketolides |
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Lincomycin derivatives |
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Macrolides |
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Miscellaneous antibiotics |
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Natural penicillins |
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Penicillinase resistant penicillins |
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Quinolones |
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Rifamycin derivatives |
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Second-generation cephalosporin |
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Sulfonamides |
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Tetracyclines |
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Third-generation cephalosporins |
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Urinary anti-infectives |
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To learn more about your practice’s current HEDIS performance for this or other measures, or for assistance in compliance with the HEDIS guidelines, please contact Horizon Healthy Journey: 1-844-754-2451.
Reference: NCQA HEDIS Measurement Year (MY) 2022 Technical Specs CPT® is a registered trademark of the American Medical Association.