Episode 20: Navigating Ambulatory Stewardship Metrics: HEDIS® and Beyond

In this episode, hosts Gonzalo Bearman an Priya Nori sit down with Dr. Anita Shallal and Dr. Michael Veve to explore performance metrics that guide effective antimicrobial stewardship in outpatient settings. Drawing on their recent review article, the discussion focuses on key measures from the Healthcare Effectiveness Data and Information Set (HEDIS®), which assess the quality of antibiotic prescribing—particularly for common upper respiratory tract infections. Drs. Shallal and Veve walk through the four core HEDIS® measures relevant to stewardship, explain how these metrics are used by organizations like the Centers for Medicare and Medicaid Services (CMS), and share insights on how performance data can drive programmatic goals. The episode also covers the unique challenges hospitals face in implementing stewardship programs beyond the inpatient setting, and the essential components—personnel, tools, and patient engagement—needed for success. Tune in for a practical and timely conversation about how healthcare systems can integrate performance measures into clinical workflows, leverage them to improve antibiotic use, and ultimately combat antimicrobial resistance in the community.