Antibiotic Utilization for Respiratory Conditions (AXR)
HEDIS Measure
Antibiotic Utilization for Respiratory Conditions (AXR)
Line of business: Commercial Medicaid Medicare
Data Collection Method: Administrative (Claims)
Measure Description
The percentage of episodes for members 3 months of age and older with a diagnosis of a respiratory condition that resulted in an antibiotic dispensing event.
Numerator Compliance
Dispensed prescription for an antibiotic medication from the AXR Antibiotic Medications List on or 3 days after the Episode Date.
Intake Period - A 12- month window that begins on July 1 of the year prior to the measurement year and ends on June 30 of the measurement year. The Intake Period captures eligible episodes of treatment.
Episode date - The date of service for any outpatient, telephone, observation or ED visit, e-visit or virtual check-in during the intake period with a diagnosis of a respiratory condition.
Best Practices
- Reference the Centers for Disease Control and Prevention “Be Antibiotics Aware: Smart Use, Best Care”: cdc.gov/patientsafety/features/be-antibiotics-aware.html
Antibiotic Medications
Description | Prescriptions |
---|---|
Absorbable sulfonamides | Sulfadiazine, Sulfamethoxazole-trimethoprim |
Aminoglycoside | Amikacin, Gentamicin, Streptomycin, Tobramycin |
Amoxicillin/clavulanate | Amoxicillin-clavulanate |
Azithromycin and clarithromycin | Azithromycin, Clarithromycin |
Cephalosporin (first generation) | Cefadroxil, Cefazolin, Cephalexin |
Cephalosporin (second, third, fourth generation) | Cefaclor, Cefdinir, Cefepime, Cefixime,Cefotaxime, Cefotetan, Cefoxitin, Cefpodoxime, Cefprozil, Ceftriaxone Cefuroxime, Ceftazidime |
Clindamycin | Clindamycin |
Lincosamide (other than clindamycin) | Lincomycin |
Macrolide (other than azithromycin and clarithromycin) | Erythromycin |
Penicillin (other than amoxicillin/ clavulanate) | Ampicillin, Ampicillin-sulbactam, Amoxicillin, Dicloxacillin, Nafcillin, Oxacillin, Penicillin G benzathine, Penicillin G benzathine-procaine, Penicillin G potassium, Penicillin G procaine, Penicillin G sodium, Penicillin V potassium, Piperacillin-tazobactam |
Tetracyclines | Doxycycline, Minocycline,Tetracycline |
Quinolones | Ciprofloxacin, Gemifloxacin, Levofloxacin, Moxifloxacin, Ofloxacin |
Miscellaneous antibiotics | Aztreonam, Chloramphenicol, Dalfopristin-quinupristin, Daptomycin, Fosfomycin, Linezolid, Metronidazole, Nitrofurantoin, Nitrofurantoin macrocrystals- monohydrate, Rifampin, Telavancin, Trimethoprim, Vancomycin |