Iowa Healthcare Collaborative


According to the Infectious Diseases Society of America, the majority of acute upper respiratory infections (URIs) are viral in etiology.  While antibiotics are often prescribed for the treatment of URIs, antibiotic therapy is, most often, ineffective, inappropriate and potentially harmful. Treatment of URIs should be directed at maximizing relief of the most prominent symptom(s).

It is important that health care providers talk with their patients and family members about the consequences of misusing antibiotics for viral infections.  The misuse of antibiotics is expensive and contributes to antimicrobial resistance and unneeded adverse affects.  The Choosing Wisely campaign is an initiative of the American Board of Internal Medicine Foundation aimed at improving the quality of health care by reducing waste in the health care system and avoiding risks associated with unnecessary treatment.  The campaign provides resources for healthcare providers to use to engage their patients and their family members in a dialogue about the appropriate use of antibiotics.  


Compass PTN seeks to increase the percentage of appropriate treatment for children with URI who were seen by Compass enrolled clinicians by 2%.  (Appropriate treatment is defined as no prescription for an antibiotic on or three days after an outpatient or ED visit for an URI).

However, proven infection by Group A Streptococcal disease (Strep throat) and pertussis (whooping cough) should be treated with antibiotic therapy.

Best Practice Guide

Consumer Reports - the Choosing Wisely Implementation Guide for Consumer Campaigns (Link)
The official Choosing Wisely Implementation Guide designed to assist practices in launching a consumer-facing Choosing Wisely campaign.  Interactive with live links to resources.  

Action Manual: Integrating Choosing Wisely Recommendations into Practice (PDF)
This document, developed by the Washington State Choosing Wisely Task Force, discusses how to integrate the Choosing Wisely recommendations into practice utilizing Kotter’s 8-Step Process for Leading Change.  Each of the 8 steps is outlined and has multiple links to other resources including resources for patient education, staff education, articles, and more.

An interactive module.

Using Choosing Wisely Tools to Empower Patients: An Implementation Toolkit for Healthcare Providers (PDF)
A helpful and easy-to-use toolkit put together by Maine Quality Counts.  

Patient Education Resources

Antibiotics for Respiratory Illness in Children: When Children Need Them and When They Don't (Link)
A helpful and easy-to-use toolkit put together by Maine Quality Counts.  

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