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Appropriate Testing for Children with Pharyngitis

Updated: 06/15/2020
Views: 496

Percentage of children 3 to 18 years of age who were diagnosed with pharyngitis, ordered an antibiotic and received a group A streptococcus (strep) test for the episode.

Denominator: Children 3 to18 years of age at the start of the measurement period who had an outpatient visit with a diagnosis of pharyngitis during the measurement period and an antibiotic ordered on or three days after the visit.
  • Patient’s age is calculated based on the patient’s Date of Birth, which is entered when you created the patient’s account.
  • The diagnosis of "Pharyngiti"s or "Tonsillitis" is entered in the patient’s Problem List.
  • Make sure to add a Start Date to the problem.
  • An antibiotic was prescribed in Medications with a Start Date on or three days after the visit.
Denominator Exclusions:
  • Children who are taking antibiotics in the 30 days prior to the diagnosis of pharyngitis
  • Exclude patients whose hospice care overlaps the measurement period.
Numerator: Children with a group A streptococcus test in the 7-day period from 3 days prior through 3 days after the diagnosis of pharyngitis.
  • "Group A streptococcus test" order is created under Labs/Studies.
  • The clinician will have to sign the results when received. If results are not received via eLabs, the results will have to be manually added on the order created in Labs/Studies.
Office Visit Documentation:

Once all steps have been completed, the measure will be added to the Quality Report.

Guidance: This is an episode of care measure that examines all eligible episodes for the patient during the measurement period. If the patient has more than one episode, all episodes are included in the measure.
Quality ID: 066
CMS Measure ID: CMS146
Measure type: Process
High Priority Measure: No