CMS 154 / Quality ID #065
Percentage of children 3 months of age or older with a diagnosis of upper respiratory infection (URI) that did NOT result in an antibiotic dispensing event.
|Denominator:||Outpatient visits, telephone visits, online assessments, observation stays or emergency department visits with a diagnosis of URI during the measurement period among patients 3 months of age and older.|
|Denominator Exclusions:||Exclude URI episodes when the patient had a competing comorbid condition during the 12 months prior to or on the episode date.
If an Antibiotic Medication was prescribed in the previous 30 days and is documented in Medications. These patients will be excluded from the denominator.
Exclude URI episodes when the patient had competing diagnosis on or three days after the episode date.
If patient was in Hospice during the measurement period:
|Numerator:||URI episodes without a prescription for antibiotic medication on or 3 days after the outpatient visit, telephone visit, online assessment, observation stay or emergency department visit for an upper respiratory infection.
|Office Visit Documentation:||
Once all steps have been completed, the measure will be added to the Quality Measures Report.
|High Priority Measure:||Yes|