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COPD: inhaled bronchodilator therapy

CBE ID
0102
1.4 Project
Pulmonary and Critical Care
Endorsement Status
Endorsed with Reserve Status
Previous Endorsement Cycle
Full Year 2015
Is Under Review
No
1.3 Measure Description

Percentage of patients aged 18 years or older, with a diagnosis of COPD (FEV1/FVC < 70%) who have an FEV1 < 60% predicted and have symptoms who were prescribed an inhaled bronchodilator

    • 1.14 Numerator

      Patients who were prescribed an inhaled bronchodilator

    • 1.15 Denominator

      All patients aged 18 years and older with a diagnosis of COPD, who have FEV1/FVC < 70%, FEV1 <60% predicted and have symptoms (eg, dyspnea, cough/sputum, wheezing)

    • Exclusions

      ATS continues to use the PCPI exception methodology that uses three categories of exception reasons for which a patient may be removed from the denominator of an individual measure: medical, patient and system reasons.

      Exceptions are used to remove patients from the denominator of a performance measure when a patient does not receive a therapy or service AND that therapy or service would not be appropriate due to specific reasons; otherwise, the patient would meet the denominator criteria. Exceptions are not absolute, and the application of exceptions is based on clinical judgment, individual patient characteristics, or patient preferences. 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. Examples are provided in the measure exception language of instances that may constitute an exception and are intended to serve as a guide to clinicians. For this measure, exceptions include medical reason(s), patient reason(s) or system reason(s) for not prescribing inhaled bronchodilators. Although this methodology does not require the external reporting of more detailed exception data, the ATS recommends that physicians document the specific reasons for exception in patients’ medical records for purposes of optimal patient management and audit-readiness.

    • Most Recent Endorsement Activity
      Endorsed with Reserve Status Pulmonary and Critical Care Project 2015-2016
      Initial Endorsement
      Last Updated
    • Steward
      American Thoracic Society
      Steward Organization POC Email
      [email protected]
      Steward Organization Copyright

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