Appropriate Treatment for Children with Upper Respiratory Infection (URI)
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
Inverse Measure: A lower calculated performance rate for this measure indicates better clinical care or control.
Denominator: Children 3 months through 18 years of age who had an outpatient or emergency department (ED) visit with a diagnosis of upper respiratory infection (URI) during the measurement period.
- 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 Upper Respiratory Infection (URI) 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.
Denominator Exceptions:
- If a Competing Condition for Respiratory Conditions (i.e. pneumonia) is documented in the Problem List, with a Start Date, these patients will be excluded from the denominator
- If an Antibiotic Medication was prescribed in the previous 30 days and is documented in Medications, these patients will be excluded from the denominator
- Patient will need to have Pharyngitis in Problems with a Start Date within the previous 30 days
Numerator: Patients who were not prescribed or dispensed a prescription for antibiotic medication on or within 3 days after the initial diagnosis of 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:
- 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.