Antibiotic Stewardship Measurement Framework
This document describes selected measures that could be used to measure the change concepts summarized in the Antibiotic Stewardship Drivers and Change Package. These measures are recommended, based on initial pilot testing across 8 pilot testing hospitals (9/11- 7/12) and are not meant to reflect a complete set of measures. Because each concept can be measured in a variety of ways, those listed below are provided as a starting point to stimulate investigation. Each organization using these measures needs to provide further detail on specific operational definitions (numerator/denominator) and data collection strategy. The availability of an EHR and supporting software may be required for routine use of the process measures, although incorporating assessment into the process of care (rounding) has been demonstrated to be an effective approach. The utility of each measure for an organization will need to be assessed against the availability of data and the ease and frequency with which it can be collected.
|Healthcare-associated C. difficile infections||
|Pharmacy cost for antibiotics||
|Antibiotic-related adverse drug events (ADEs)||Currently not feasible method|
|Antibiotic resistant healthcare associated pathogens||Percent of antibiotic resistant healthcare-associated pathogens (prevalence)(note: targeting pathogens based on local circumstances, i.e., MRSA, VRE, etc.)|
|Timely antibiotic management||
Recommended measures, based on pilot testing:
|Appropriate administration and de-escalation|
|Data Monitoring, Transparency and Stewardship Infrastructure||Suggested measure for consideration:
Percent of clinicians responding positively to a survey on their receipt or knowledge of selected antibiotic information (e.g. antibiotic utilization, antibiotic resistance, C-difficile rate, cost associated with antibiotics, adherence to organization prescribing practices).
|Availability of Expertise at the point of care||Suggested measures for consideration: