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.”
cdc.gov/patientsafety/feastures/be-antibiotics-aware.html
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 |