This material was prepared by Telligen, the Quality Innovation Network National Coordinating Center, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. 11SOW-QINNCC-02523-01/04/19

Do high antibiotic and opioid prescribing patterns overlap in different regions? What can we learn from these patterns to inform antibiotic and opioid safety?

QUESTIONS TO RUN ON: Are there opportunities to synergize stewardship efforts and interventions to target both medications classes?

How can you use this information to engage prescribers in quality improvement?

Assessing Antibiotic and Opioid Prescription Patterns for Targeted Improvement

Note: Horizontal and vertical reference line represent the 22rd and 67th percentiles.

Antibiotic and Opioid Geographic Prescribing Patterns

Relationship between Antibiotic and Opioid Prescribing Patterns

DISCUSSION QUESTIONS • What are your initial reactions to these maps and data?

• What surprises you most about this data?

• Looking at the regional variances between the prescribing patterns, how might you approach stewardship for antibiotics and opioids similarly/differently?

• What accounts for the correlation between opioid prescribing patterns? What is different between states with high opioids and high antibiotics vs. low opioids and low antibiotics?

• What interventions would be most appropriate in states based on the prescribing patterns shown?

• What additional questions does this data raise for you?

Antibiotic and Opioid Prescribing Trends Over Time