Provider report cards as a scalable tool for outpatient antibiotic stewardship: insights from a medicaid claims-based approach

2026/01/01 by Mariana M. Lanata, Jacob Kilgore, Brandi Holthaus +6 · 1 voice
Immunology and Microbiology · Medicine · #Antibiotic Use and Resistance #Antibiotics Pharmacokinetics and Efficacy #Pharmaceutical studies and practices

paper · pdf · doi:10.1017/ash.2026.10752

openalex publication_date 2026/01/01 · openalex created_date 2026/06/23 · openalex updated_date 2026/07/22

Abstract

Antibiotic overprescribing remains common in pediatric outpatient care. We evaluated Medicaid claims-based provider report cards as a scalable stewardship tool. Quarterly audit and feedback improved guideline concordance, diagnostic appropriateness, and reduced cefdinir use; highlighting claims-based electronic feedback as a sustainable outpatient antimicrobial stewardship strategy suitable for statewide implementation.

Citations

• Assessing insurance claims as a measure for outpatient antimicrobial stewardship

Discussions

• Antibiotic overprescribing remains common in outpatient pediatrics. Using Medicaid claims, authors evaluated provider report cards as a scalable stewardship tool. Quarterly audit and feedback improved [bsky, 1 points, 1 comments]

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