Percentage of patients aged 18 years and older with a diagnosis of community-acquired bacterial pneumonia (CAP) with an appropriate empiric antibiotic prescribed
- Measure TypeElectronic Clinical Quality Measure (eCQM)Level Of AnalysisNumerator
Patients with appropriate empiric antibiotic prescribed
DenominatorAll patients aged 18 years and older with a diagnosis of community-acquired bacterial pneumonia (CAP)
ExclusionsThe PCPI exception methodology uses three categories of reasons for which a patient may be removed from the denominator of an individual measure. These measure exception categories are not uniformly relevant across all measures; for each measure, there must be a clear rationale to permit an exception for a medical, patient, or system reason. For measure ´Community-Acquired Bacterial Pneumonia (CAP): Empiric Antibiotic´, exceptions may include medical reason(s), patient reason(s) or system reason(s) for not prescribing appropriate empiric antibiotic. Although this methodology does not require the external reporting of more detailed exception data, the PCPI recommends that physicians document the specific reasons for exception in patients’ medical records for purposes of optimal patient management and audit-readiness. The PCPI also advocates the systematic review and analysis of each physician’s exceptions data to identify practice patterns and opportunities for quality improvement. Additional details by data source are as follows:
For Claims/Administrative Specifications:
Documentation of medical reason(s) for not prescribing appropriate empiric antibiotic
Documentation of patient reason(s) for not prescribing appropriate empiric antibiotic
Documentation of system reason(s) for not prescribing appropriate empiric antibioticTesting Data Sources
- Measure StructureClinical Condition Topic AreaTarget PopulationNational Quality Strategy PrioritiesEffective Communication and Care Coordination
- Risk Adjustment
- Most Recent Endorsement ActivityMeasure Retired and Endorsement Removed Pulmonary and Critical Care Project 2015-2016Initial EndorsementEndorsement StatusLast UpdatedRemoval Date
- Steward Organization EmailSteward Organization Copyright
Physician Performance Measures (Measures) and related data specifications, developed by the American Medical Association (AMA) in collaboration with the Physician Consortium for Performance Improvement (the Consortium) and the National Committee for Quality Assurance (NCQA) pursuant to government sponsorship under subcontract 6205-05-054 with Mathematica Policy Research, Inc. under contract 500-00-0033 with Centers for Medicare & Medicaid Services.
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