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Appropriate Testing for Children with Pharyngitis

Percentage of children 3 months 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 months through 18 years of age who had an outpatient or emergency department (ED) 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 Pharyngitis is entered in the patient’s Problem List.  See Add Problem to Patient’s Chart.
  • 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.  See Prescribe/ePrescribe a Medication.

Denominator Exceptions:  Patients who use hospice services any time during the measurement period or, children who are taking antibiotics in the 30 days prior to the diagnosis of pharyngitis.

Numerator:  Children with a group A streptococcus test in the 7-day period from 3 days prior through 3 days after the pharyngitis episode date.

Numerator Exceptions:     None

Office Visit Documentation:

  • Create a Note detailing the patient’s office visits.  See Create a Note.
  • Make sure to include an E&M code under “Procedure Codes” on the Superbill.  Only E&M appropriate for an office visit should be used.  No ED visit codes. See Create a Superbill.
  • Sign the Note.  See Sign Notes.  Once the note is signed, the measure will be added to the Quality Report.

Quality ID #066

Measure type:    Process

High Priority Measure:   Yes

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