Vice President Clinical Strategy and Policy
Big data to improve antibiotic prescribing
Dan Knecht, MD, MBA
Vice President Clinical Strategy and Policy
Aetna, a CVS Health Company
Founded in 1853 in Hartford, CT, Aetna is one of the nation's leading diversified health care benefits companies, serving our members with information and resources to help them make better decisions about their healthcare.
Facts about Aetna
+
? 22.1 million medical members
? 12.7 million dental members
? Network of 1.2 million health care professionals
Facts about CVS Health
? 9,800 retail locations ? 1,100 walk-in medical clinics ? 94 million pharmacy benefits
manager plan members
We believe that our corporate responsibility starts with helping people live healthier lives. And that means using our resources to make the communities and the world we live in better places.
Estimates as of November 2018
?2019 Aetna Inc.
2
Aetna's tools for execution
Innovative tactics to preserve a precious medical resource
Analytics
Promotion
Collaboration
Medical & pharmacy claims data
Leverage data analytics to identify at-risk members and outlying providers
Stewardship & evidence-based guidelines
Provide education and intervene at impactable moments
Cross-sector partnerships
Foster alliances to advance strategies, expand reach and add credibility
?2019 Aetna Inc.
3
Identifying and notifying antibiotic `superprescribers'
HEDIS metric
Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis
CDC & State collaboration
MD, FL, CA, NJ, TX, IL, PA, WA
?2019 Aetna Inc.
2018 letters
1,445 superprescribers 432 repeat-superprescribers
175 champions 20 repeat-champions
Results
16% decrease among 2016 notified providers still eligible 2018
34
Antibiotic stewardship letter samples
?2019 Aetna Inc.
5
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