Navigate Up
Sign In
We improve the public’s health by strengthening the quality and performance of public health practice
Public Health Antibiotic Stewardship Driver Diagram



The Public Health Foundation (PHF) has developed a Public Health Antibiotic Stewardship Driver Diagram and subsequent Antibiotic Stewardship Program to help promote optimal use of antibiotics. This effort grew out of a partnership between the Centers for Disease Control and Prevention (CDC) and the Institute for Healthcare Improvement (IHI) that aimed to improve use of antibiotics and develop a conceptual model of key drivers for reducing inappropriate antibiotic utilization in hospitals. Efforts to promote optimal antibiotic use should employ both the public health and healthcare systems. Health departments that have used the driver diagram and quality improvement techniques to promote optimal antibiotic use through both the public health and healthcare systems include:

This initiative compliments PHF's collaboration with the IHI to help hospitals reduce Healthcare-associated Infections (HAIs) due to antibiotic resistance. People who develop infections that are resistant to antibiotics have increased risk of hospitalization and being transferred to an intensive care unit. This can result in higher hospital costs, a longer hospital stay, and higher risk of death.


PHF has created a tool to help develop population health driver diagrams and is currently seeking sponsors to help test and further refine these driver diagrams for potential use in communities. For more information about this initiative, please contact Micaela Kirshy at or (202)218-4410.

Get Started Using This Versatile Approach in Your Community
PHF offers customized technical assistance to communities developing and implementing a population health driver diagram. To learn more about this service, contact Margie Beaudry at (202)218-4415 or You can also submit your information online.



Add A Comment

Subscribe to PHF