PN3a--Blood Cultures Performed Within 24 Hours Prior to or 24 Hours After Hospital Arrival for Patients Who Were Transferred or Admitted to the ICU Within 24 Hours of Hospital Arrival
Percent of pneumonia patients, age 18 years or older, transferred or admitted to the ICU within 24 hours of hospital arrival who had blood cultures performed within 24 hours prior to or 24 hours after arrival at the hospital.
Number of pneumonia patients transferred or admitted to the ICU within 24 hours of hospital arrival who had blood cultures performed within 24 hours prior to or 24 hours after arrival at the hospital
Denominator
1.15 Denominator
Patients, age 18 years or older, discharged with: ICD-9-CM principal diagnosis code of pneumonia OR ICD-9-CM principal diagnosis code of septicemia or respiratory failure (acute or chronic) AND an ICD-9-CM Other diagnosis code of pneumonia Table 3.1 Pneumonia (PN) ICD-9 Code Shortened Description 481 PNEUMOCOCCAL PNEUMONIA 482.0 K. PNEUMONIAE PNEUMONIA 482.1 PSEUDOMONAL PNEUMONIA 482.2 H.INFLUENZAE PNEUMONIA 482.30 STREPTOCOCCAL PNEUMN NOS 482.31 PNEUMONIA STRPTOCOCCUS A 482.32 PNEUMONIA STRPTOCOCCUS B 482.39 PNEUMONIA OTH STREP 482.40 STAPHYLOCOCCAL PNEU NOS 482.41 METH SUS PNEUM D/T STAPH 482.42 METH RES PNEU D/T STAPH 482.49 STAPH PNEUMONIA NEC 482.82 PNEUMONIA E COLI 482.83 PNEUMO OTH GRM-NEG BACT 482.84 LEGIONNAIRES´ DISEASE 482.89 PNEUMONIA OTH SPCF BACT 482.9 BACTERIAL PNEUMONIA NOS 483.0 PNEU MYCPLSM PNEUMONIAE 483.1 PNEUMONIA D/T CHLAMYDIA 483.8 PNEUMON OTH SPEC ORGNSM 485 BRONCHOPNEUMONIA ORG NOS 486 PNEUMONIA, ORGANISM NOS
Table 3.2 Septicemia ICD-9 Code Shortened Description 038.0 STREPTOCOCCAL SEPTICEMIA 038.10 STAPHYLCOCC SEPTICEM NOS 038.11 METH SUSC STAPH AUR SEPT 038.12 MRSA SEPTICEMIA 038.19 STAPHYLCOCC SEPTICEM NEC 038.2 PNEUMOCOCCAL SEPTICEMIA 038.3 ANAEROBIC SEPTICEMIA 038.40 GRAM-NEG SEPTICEMIA NOS 038.41 H. INFLUENAE SEPTICEMIA 038.42 E COLI SEPTICEMIA 038.43 PSEUDOMONAS SEPTICEMIA 038.44 SERRATIA SEPTICEMIA 038.49 GRAM-NEG SEPTICEMIA NEC 038.8 SEPTICEMIA NEC 038.9 SEPTICEMIA NOS 995.91 SEPSIS 995.92 SEVERE SEPSIS
Table 3.1 Pneumonia (PN) ICD-10 Code Shortened Description J 13 Pneumonia due to Streptococcus pneumoniae J 18.1 Lobar pneumonia, unspecified organism J 15.0 Pneumonia due to Klebsiella pneumoniae J 15.1 Pneumonia due to Pseudomonas J 14 Pneumonia due to Hemophilus influenzae J 15.4 Pneumonia due to other streptococci J 15.3 Pneumonia due to streptococcus, group B J 15.20 Pneumonia due to staphylococcus, unspecified J 15.21 Pneumonia due to staphylococcus aureus Z 16 Infection and drug resistant microorganisms J 15.29 Pneumonia due to other staphylococcus J 15.5 Pneumonia due to Escherichia coli J 15.6 Pneumonia due to other aerobic Gram-negative bacteria A 48.1 Legionnaires’ disease J 15.8 Pneumonia due to other specified bacteria J 15.9 Unspecified bacterial pneumonia J 15.7 Pneumonia due to Mycoplasma pneumoniae J 16.0 Chlamydial pneumonia J 16.8 Pneumonia due to other specified infectious organisms J 18.0 Bronchopneumonia, unspecified organism J 18.8 Other pneumonia, unspecified organism J 18.9 Pneumonia, unspecified organism J 17 Pneumonia in diseases classified elsewhere J 18.2 Hypostatic pneumonia, unspecified organism J 85.1 Abscess of lung with pneumonia
Table 3.2 Septicemia ICD-10 Code Shortened Description A 40.0 Sepsis due to streptococcus, group A A 40.1 Sepsis due to streptococcus, group B A 40.3 Sepsis due to Streptococcus pneumoniae A 40.8 Other streptococcal sepsis A 40.9 Streptococcal sepsis, unspecified A 41.9 Sepsis unspecified A 41.2 Sepsis due to other unspecified specified staphylococcus A 41.0 Sepsis due to Staphylococcus aureus A 41.0 AND U80.1 Sepsis due to Staphylococcus aureus AND Methicillin-resistant staph aureus infection A 41.1 Sepsis due to other specified staphylococcus A 41.89 Other specified sepsis A 41.4 Sepsis due to anaerobes A 41.50 Gram-negative sepsis, unspecified A 41.3 Sepsis due to Hemophilus influenzae A 41.51 Sepsis due to Escherichia coli ( E coli) A 41.52 Sepsis due to pseudomonas A 41.53 Sepsis due to Serratia A 41.59 Other Gram-negative sepsis A 41.81 Sepsis due to Enterococcus A 42.7 Actinomycotic sepsis A 41.9 Sepsis, unspecified R65.20 Severe sepsis without septic shock R65.21 Severe sepsis with septic shock
Patients less than 18 years of age, Patients with a length of stay greater than 120 days, Patients with Cystic Fibrosis, Patients who had not chest x-ray or CT scan that indicated abnormal findings within 24 hours prior to hospital arrival or anytime during this hospitalization, Patients with Comfort Measures Only, Patients enrolled in clinical trial, Patients received as a transfer from emergency/observation department of another hospital, Patients received as a transfer from an inpatient or outpatient department of another hospital, Patients received as a transfer from an ambulatory surgery center, Patients who had no diagnosis of pneumonia either as an ED final diagnosis/impression or direct admission diagnosis/impression and Patients who have a duration of stay less than or equal to one day
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Measure Retired and Endorsement Removed Pulmonary Endorsement Maintenance Project
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