DOI: 10.1017/ash.2026.10752 ISSN: 2732-494X
Provider report cards as a scalable tool for outpatient antibiotic stewardship: insights from a medicaid claims-based approach
Mariana M. Lanata, Jacob T. Kilgore, Brandi Holthaus, Jonathan M. Willis, Tess Anderson, Caroline B. Samples, Jennifer Sparks, Joseph E. Evans, Michael J. SmithAbstract
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.