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Avoidance of Antibiotic Treatment for Acute Bronchitis/ Bronchiolitis (AAB)

HEDIS Measure

Avoidance of Antibiotic Treatment for Acute Bronchitis/ Bronchiolitis (AAB)

Line of business: Commercial Medicaid Medicare

Data Collection Method: Administrative (Claims)

Measure Description

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.

*Inverted measure

Numerator Compliance

Dispensed prescription for an antibiotic medication (AAB Antibiotic Medications List) on or three 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 acute bronchitis/bronchiolitis.

Best Practices

  • Reference the Centers for Disease and Control Prevention “Be Antibiotics Aware: Smart Use, Best Care.”

Antibiotic Medications

Description Prescriptions
Aminoglycosides Amikacin, Gentamicin, Streptomycin, Tobramycin
Aminopenicillins Amoxicillin, Ampicillin
Beta-lactamase inhibitors Amoxicillin-clavulanate, Ampicillin-sulbactam, Piperacillin-tazobactam
First-generation cephalosporins Cefadroxil, Cefazolin, Cephalexin
Fourth-generation cephalosporins Cefepime
Lincomycin derivatives Clindamycin, Lincomycin
Macrolides Azithromycin, Clarithromycin, Erythromycin
Miscellaneous antibiotics Aztreonam, Chloramphenicol, Dalfopristin-quinupristin, Daptomycin, Linezolid, Metronidazole, Vancomycin
Natural penicillins Penicillin G benzathine-procaine, Penicillin G potassium, Penicillin G procaine, Penicillin G sodium, Penicillin V potassium, Penicillin G benzathine
Penicillinase resistant penicillins Dicloxacillin, Nafcillin, Oxacillin
Quinolones Ciprofloxacin, Gemifloxacin, Levofloxacin, Moxifloxacin, Ofloxacin
Rifamycin derivatives Rifampin
Second-generation cephalosporin Cefaclor, Cefotetan, Cefoxitin, Cefprozil, Cefuroxime
Sulfonamides Sulfadiazine, Sulfamethoxazole-trimethoprim
Tetracyclines Doxycycline, Minocycline, Tetracycline
Third-generation cephalosporins Cefdinir, Cefixime, Cefotaxime, Cefpodoxime, Ceftazidime, Ceftriaxone
Urinary anti-infectives Fosfomycin, Nitrofurantoin, Nitrofurantoin macrocrystals-monohydrate, Trimethoprim