CMS 146 / Quality ID #006
The percentage of episodes for patients 3 years and older with a diagnosis of pharyngitis that resulted in an antibiotic order and a group A streptococcus (strep) test in the seven-day period from three days prior to the episode date through three days after the episode date.
|Denominator:||Outpatient, telephone, online assessment (i.e. e-visit or virtual check-in), observation, or emergency department (ED) visits with a diagnosis of pharyngitis or tonsillitis and an antibiotic order on or within 3 days after the episode date among patients 3 years or older
|Denominator Exclusions:||Exclude episodes where the patient is taking antibiotics in the 30 days prior to the episode date or had an active prescription on the episode date
Exclude episodes where the patient had a comorbid condition during the 12 months prior to or on the episode date.
Exclude patients who are in hospice care for any part of the measurement period.
Exclude episodes where the patient had a competing diagnosis on or within 3 days after the episode date within three days after the episode date.
|Numerator:||A group A streptococcus test in the seven-day period from three days prior to the episode date through three days after the episode date.|
|Office Visit Documentation:||
Once all steps have been completed, the measure will be added to the Quality Measures Report.
|High Priority Measure:||Yes|