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Initial antibiotic received within 6 hours of hospital arrival

CBE ID
0151
1.4 Project
Pulmonary Endorsement Maintenance
Endorsed
Endorsement Status
Endorsement Removed
1.1 New or Maintenance
Maintenance
E&M Cycle
Full Year 2012
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