The inappropriate diagnosis of CAP in hospitalized medical patients (or “Inappropriate Diagnosis of CAP”) measure is a process measure that evaluates the annual proportion of hospitalized adult medical patients treated for CAP who do not meet diagnostic criteria for pneumonia (thus are inappropriately diagnosed and treated).
- Measure TypeElectronic Clinical Quality Measure (eCQM)Level Of AnalysisCare SettingNumerator
The outcome of this measure is the dichotomous answer of whether a patients was “over-diagnosed” with pneumonia or not. The numerator will consist of all patients “over-diagnosed” with pneumonia in the reporting quarter.
Over-diagnosis is defined as patients treated for pneumonia who either do not have at least 2 signs/symptoms of pneumonia or who have radiographs inconsistent with pneumonia.
Our measure is calculated quarterly (from 3 months of data) based on ~40 cases per hospital per quarter. Additional details are provided in S.5 Numerator Details
DenominatorThe denominator includes all adult, general care, immunocompetent, medical patients hospitalized and treated for CAP who do not have a concomitant infection.
ExclusionsPatients are excluded from the denominator if they are/have:
- Left against medical advice or refused medical care
- Admitted on hospice
- Pregnant or breastfeeding
- Cystic fibrosis
- Pneumonia-related complication (e.g., empyema)
Testing Data Sources
- Measure StructureClinical Condition Topic AreaNon Condition Specific
- Risk Adjustment
- Current or planned use(s)Current Use(s)
- Most Recent Endorsement ActivityEndorsed Patient Safety Spring Cycle 2022Initial EndorsementNext Planned Maintenance ReviewPatient Safety Spring 2026Endorsement StatusLast Updated
- StewardSteward Organization EmailSteward Organization Copyright
N/A