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Community-Acquired Bacterial Pneumonia (CAP): Empiric Antibiotic

CBE ID
0096
1.4 Project
Pulmonary and Critical Care
Endorsement Status
Endorsement Removed
1.1 New or Maintenance
Maintenance
Previous Endorsement Cycle
Full Year 2015
Is Under Review
No
1.3 Measure Description

Percentage of patients aged 18 years and older with a diagnosis of community-acquired bacterial pneumonia (CAP) with an appropriate empiric antibiotic prescribed

    • 1.14 Numerator

      Patients with appropriate empiric antibiotic prescribed

    • 1.15 Denominator

      All patients aged 18 years and older with a diagnosis of community-acquired bacterial pneumonia (CAP)

    • Exclusions

      The 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 antibiotic

    • Most Recent Endorsement Activity
      Measure Retired and Endorsement Removed Pulmonary and Critical Care Project 2015-2016
      Initial Endorsement
      Last Updated
      Removal Date
    • Steward
      Physician Consortium for Performance Improvement
      Steward Organization POC Email
      [email protected]
      Steward 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.

      These performance Measures are not clinical guidelines and do not establish a standard of medical care, and have not been tested for all potential applications.

      The Measures, while copyrighted, can be reproduced and distributed, without modification, for noncommercial purposes, e.g., use by health care providers in connection with their practices. Commercial use is defined as the sale, license, or distribution of the Measures for commercial gain, or incorporation of the Measures into a product or service that is sold, licensed or distributed for commercial gain. Commercial uses of the Measures require a license agreement between the user and the AMA, (on behalf of the Consortium) or NCQA. Neither the AMA, NCQA, Consortium nor its members shall be responsible for any use of the Measures.

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