Table 1.

A summary of quality measures, descriptions, and the antimicrobial stewardship target for performance measures

Measure Name	Abbreviation	Measure Description	Stewardship Target
Appropriate testing for pharyngitis	CWP (HEDIS®)	The percentage of episodes for members ≥3 years of age where the member was diagnosed as having pharyngitis, dispensed an antibiotic, and received a group A streptococcus (strep) test for the episode	Appropriate use of health care Efficiency and cost reduction Diagnostic stewardship Antibiotic selection and guideline concordance
Appropriate treatment for upper respiratory infection	URI (HEDIS®)	The percentage of episodes for members ≥3 months of age with a diagnosis of upper respiratory infection that did not result in an antibiotic dispensing event	Antibiotics are not indicated for diagnosis
Avoidance of antibiotic treatment for acute bronchitis/bronchiolitis	AAB (HEDIS®)	The percentage of episodes for members ≥3 months with a diagnosis of acute bronchitis/bronchiolitis that did not result in an antibiotic dispensing event	Antibiotics are not indicated for diagnosis
Antibiotic utilization for respiratory conditions*	AXR* (HEDIS®)	The percentage of episodes for members ≥3 months with a diagnosis of a respiratory condition that resulted in an antibiotic dispensing event	Prescription rates and duration of therapy for all acute respiratory illness diagnoses
Antibiotic prescribed for acute viral sinusitis	Quality ID #331 (CMS)	The percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms	Antibiotics are not indicated for diagnosis
Appropriate choice of antibiotic: amoxicillin with or without clavulanate for acute bacterial sinusitis	Quality ID #332 (CMS)	The percentage of patients aged 18 years and older with a diagnosis	Appropriate use of health care Efficiency and cost reduction Antibiotic selection and guideline concordance

^*This measure is designed to capture the frequency of antibiotic utilization for respiratory conditions and is meant to be used for internal evaluation only.