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

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.