Intermountain Stewardship in Community Outpatient Settings-Resources & Engagement-Pediatrics

Intermountain Stewardship in Community Outpatient Settings-Resources & Engagement-Pediatrics

The goal of this implementation project is to detail the process of implementing the best practice of antibiotic stewardship in the pediatric population across the Intermountain Health medical system. The main questions it aims to answer are:

• How can a large healthcare system drive high adherence to antibiotic stewardship across a large and diverse number of sites?
• How do determinants of implementation and needed strategies vary by context?
• What is the utility of a higher-resource implementation effort (named "Boost) focusing on outlier sites?

Data will be collected on number of children reached, adherence changes over time, types of implementation strategies employed, and characteristics of sites, prescribers, and patients.

Inclusion Criteria:

• Age 6 months through 17 years
• ARTI diagnosis (acute otitis media (AOM), Group A Streptococcal (GAS) pharyngitis, acute sinusitis, and community-acquired pneumonia (CAP))

Exclusion Criteria:

• Age <6months or >18 years
• No ARTI diagnosis