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).
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1.5 Measure Type1.7 Electronic Clinical Quality Measure (eCQM)1.8 Level Of Analysis1.9 Care Setting1.20 Testing Data Sources
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1.14 Numerator
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
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1.15 Denominator
The denominator includes all adult, general care, immunocompetent, medical patients hospitalized and treated for CAP who do not have a concomitant infection.
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Exclusions
Patients 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)
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Most Recent Endorsement ActivityEndorsed Patient Safety Spring Cycle 2022Initial EndorsementLast Updated
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StewardSteward Organization EmailSteward Organization Copyright
N/A
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Risk Adjustment
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6.1.2 Current or Planned Use(s)
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