Cracking the code(s): Optimization of encounter-level diagnosis coding to inform outpatient antimicrobial stewardship data modeling

In 2016, the Centers for Disease Control and Prevention (CDC) released Core Elements of outpatient antimicrobial stewardship program (ASP) which include leadership commitment, action for policy and practice, data tracking and reporting, and education.1 Compared to the inpatient setting, outpatient A...

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Bibliographic Details
Published in:Infection control and hospital epidemiology 2024-04, Vol.45 (4), p.550-552
Main Authors: Stevens, Ryan W., Manz, James, Mathre, Margo, Bell, Natalie, Virk, Abinash, Vergidis, Paschalis, Jensen, Kelsey
Format: Article
Language:English
Subjects:
Anti-Bacterial Agents - therapeutic use
Antibiotics
Antimicrobial agents
Antimicrobial Stewardship
Asymptomatic
Catheters
Codes
Education
Electronic health records
Humans
Medical coding
Medical diagnosis
Medical instruments
Outpatients
Research Brief
Trends
Urinary tract infections
Urogenital system
User training
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Summary:In 2016, the Centers for Disease Control and Prevention (CDC) released Core Elements of outpatient antimicrobial stewardship program (ASP) which include leadership commitment, action for policy and practice, data tracking and reporting, and education.1 Compared to the inpatient setting, outpatient ASP involves a significantly higher number of encounters, dramatically shorter encounter durations, and little direct control over dispensing.2 Thus, accurate, specific, and actionable prescribing data are foundational to outpatient ASP activity because they inform provider education, development of clinical decision support (CDS) tools, and comparison reporting. Encounter volumes (%) by study period Diagnosis Group Total Encounters (N = 29,558), No. (%) Preimplementation Encounters (n = 14,858), No. (%) Postimplementation Encounters (n = 14,700), No. (%) P Value Cystitis 14,904 (50.4) 4,555 (30.7) 10,349 (70.4)
ISSN:0899-823X
1559-6834
DOI:10.1017/ice.2023.296