AntibioticsProlongedTreatment - Health Quality Ontario (HQO)

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INDICATOR NAME

Name

Antibiotics Prolonged Treatment: Percentage of antibiotic treatments that were longer than seven days

Alternate Name

Antibiotics Prolonged Treatment: Percentage of antibiotic treatments that were longer than seven days

INDICATOR DESCRIPTION

Description

This indicator measures the percentage of antibiotic treatments prescribed that were longer than seven days.

HQO Reporting tool/product

Personalized/Custom Reports (includes Practice Reports)

Dimension

Effective

Type

Process

DEFINITION AND SOURCE INFORMATION

Unit of Measurement

Percentage

Calculation Methods

Number of treatment episodes longer than seven days Total number of treatment episodes	X 100

Numerator (short description i.e. not inclusions/exclusions)

Numerator: The total number of antibiotic treatments that were longer than seven days in duration during the reporting period (i.e. within 90 days of the index date).

Denominator (short description i.e. not inclusions/exclusions)

Denominator: The total number of antibiotic treatments

Adjustment (risk, age/sex standardization)- generalized

None

Data Source

Ontario Drug Benefit (ODB), Ontario Health Insurance Plan (OHIP) Claims History Database

Data provided to HQO by

Institute for Clinical Evaluative Sciences (ICES)

OTHER RELEVANT INFORMATION

Caveats and Limitations

Due to data limitations, this indicator includes medications dispensed that are prescribed on an as-needed basis (PRN). A treatment episode is defined as the total length of treatment for sequential antibiotics dispensed for the same resident, of the same drug class, and the same physician. There are no more than three days between the last date of the first prescription, and the first day of the second prescription. This indicator is calculated based on prescriptions written by the MRP only. This indicator is strictly for quality improvement efforts, and is not reportable or for accountability.