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 during the measurement period among patients 3 months of age and older.|
|Denominator Exclusions:||Exclude URI episodes when the patient had a comorbid condition during the 12 months prior to or on the episode date.
Exclude URI episodes when the patient had an active prescription of antibiotics in the 30 days prior to the episode date, but is still active the same day of the encounter.
Exclude URI episodes when the patient had competing diagnosis on or three days after the episode date.
Exclude patients who are in hospice care for any part of 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|