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Initial antibiotic received within 6 hours of hospital arrival

CBE ID
0151
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
1.3 Measure Description

Percentage of pneumonia patients 18 years of age and older who receive their first dose of antibiotics within 6 hours after arrival at the hospital

        • 1.14 Numerator

          Number of pneumonia patients who received their first antibiotic dose within 6 hours after arrival at hospital

        • 1.15 Denominator

          Pneumonia patients 18 years of age and older
          (ICD-9-CM principal diagnosis code of 481, 482.0, 482.1, 482.2, 482.30, 482.31, 482.32, 482.39, 482.40, 482.41, 482.49, 482.81, 482.82, 482.83, 482.84, 482.89, 482.9, 483.0, 483.1, 483.8, 485, 486, 487.0 [pneumonia]; or ICD-9-CM principal diagnosis code of 038.0, 038.10, 038.11, 038.19, 038.2, 038.3, 038.40, 038.41, 038.42, 038.43, 038.44, 038.49, 038.8, 038.9 [septicemia] or 518.81, 518.84
          [acute or chronic respiratory failure] and a secondary diagnosis code of pneumonia)

        • Exclusions

          •Received in transfer from another acute care or critical access hospital, including another emergency department
          •No working diagnosis of pneumonia at the time of admission
          •Receiving comfort measures only4 above
          •Do not receive antibiotics during the hospitalization or within 36 hours (2160 minutes) from the time of hospital arrival
          •18 years of age
          •Received antibiotics within 24 hours prior to hospital arrival
          •Involved in protocols or clinical trials
          •No chest x-ray or CT scan that indicated positive infiltrate within 24 hours prior to hospital arrival or anytime during this hospitalization

        • Most Recent Endorsement Activity
          Measure Retired and Endorsement Removed Pulmonary Endorsement Maintenance Project
          Initial Endorsement
          Last Updated
          Removal Date
        • Steward
          Centers for Medicare & Medicaid Services
          Steward Organization POC Email