CMS Measure ID:CMS154v6
NQF Number:0069
Measure Description:Percentage of children 3 months-18 years of age who were diagnosed with upper respiratory infection (URI) and were not dispensed an antibiotic prescription on or three days after the episode
Initial Patient Population:Children age 3 months to 18 years who had an outpatient or emergency department (ED) visit with a diagnosis of upper respiratory infection (URI) during the measurement period
Denominator Statement:Equals Initial Population
Denominator Exclusions:Exclude children who are taking antibiotics in the 30 days prior to the date of the encounter during which the diagnosis was established. Exclude children who had an encounter with a competing diagnosis within three days after the initial diagnosis of URI.
Exclude patients who were in hospice care during the measurement year.
Numerator Statement:Children without a prescription for antibiotic medication on or 3 days after the outpatient or ED visit for an upper respiratory infection
Numerator Exclusions:Not Applicable
Denominator Exceptions:None