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The CDC antimicrobial use measure is not ready for public reporting or value-based programs.

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The standardized antimicrobial administration ratio (SAAR) is a new metric for hospitals. Further development is needed before SAAR can be used for public reporting or financial reimbursement.

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Area of Science:

  • Infectious Disease Epidemiology
  • Health Services Research
  • Antimicrobial Stewardship

Background:

  • The standardized antimicrobial administration ratio (SAAR) will be mandated for hospital antimicrobial use reporting in 2024.
  • Current SAAR lacks crucial data for accurate and fair assessment of antimicrobial stewardship.
  • Hospitals face new reporting requirements with the upcoming SAAR mandate.

Discussion:

  • The SAAR metric has significant limitations that hinder its readiness for public reporting.
  • Using SAAR for financial reimbursement or public reporting without improvements could misrepresent hospital performance.
  • Key areas for SAAR enhancement include patient-level risk adjustment and antimicrobial resistance data.

Key Insights:

  • SAAR requires patient-level risk adjustment to account for varying patient complexities.
  • Incorporating antimicrobial resistance data is essential for a comprehensive SAAR.
  • Improved hospital location options and revised antimicrobial agent groupings are necessary.

Outlook:

  • Further refinement of the SAAR is critical before its implementation for public reporting and reimbursement.
  • Enhancements will ensure SAAR appropriately reflects and incentivizes effective antimicrobial stewardship.
  • Future iterations of SAAR should prioritize accuracy, fairness, and actionable insights for healthcare providers.