CMS 154 - Appropriate Treatment for Upper Respiratory Infection (URI)
CMS 154 / Quality ID #065
Percentage of episodes for patients 3 months of age and older with a diagnosis of upper respiratory infection (URI) that did not result in an antibiotic order.
Denominator: | Outpatient visits, telephone visits, online assessments (i.e. e-visit or virtual check-in), observation stays or emergency department visits with a diagnosis of URI from January 1 to December 28 of the measurement period for patients 3 months of age and older.
|
Denominator Exclusions: | Exclude URI episodes when the patients had hospice care for any part of the measurement period.
Exclude URI episodes where the patient is taking antibiotics in the 30 days prior to the episode date.
Exclude URI episodes where the patient had competing diagnosis on or three days after the episode date.
|
Numerator: | URI episodes without a prescription for antibiotic medication on or three 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. |
Measure type: | Process |
High Priority Measure: | Yes |
Telehealth Eligible: | Yes |