CMS 154 / Quality ID #065
Percentage of children 3 months to 18 years of age who were diagnosed with upper respiratory infection (URI) and were NOT dispensed an antibiotic prescription on or three days after the episode.
|Denominator:||Children 3 months through 18 years of age who had an outpatient visit with a diagnosis of upper respiratory infection (URI) during the measurement period.
|Denominator Exclusions:||If patient has a competing condition for Respiratory Conditions (e.g., pneumonia, venereal disease, UTI, Otitis media, or Whooping Cough).
If an Antibiotic Medication was prescribed in the previous 30 days and is documented in Medications. These patients will be excluded from the denominator.
If patient was in Hospice during the measurement period:
|Numerator:||Children without a prescription for antibiotic medication on or 3 days after the outpatient or ED visit for an upper respiratory infection.
Patients for whom there is no antibiotic listed in Medications with a Start Date on or within 3 days of the Start Date of the Problem.
|Office Visit Documentation:||
Once all steps have been completed, the measure will be added to the Quality Measures Report.
|High Priority Measure:||Yes|