Measure Name:
Appropriate Treatment for Adults with Upper Respiratory Infection
QCDR Measure ID:
PPRNET24
QCDR Measure Type:
Existing Approved QCDR Measure With No Changes
NQF ID Number (if applicable):
N/A
High Priority Type:
Appropriate Use
Measure Type:
Process
NQS Domain:
Efficiency and Cost Reduction
Inverse Measure?
No
Proportional Measure?
Yes
Continuous Variable Measure?
No
Ratio Measure?
No
Number of performance rates to be calculated and submitted in the XML?
1
Risk-Adjusted?
No
If risk-adjusted, indicate which score is risk-adjusted:
N/A
Measure Description:
The percentage of adult patients seen within the past month and diagnosed with a common cold, pharyngitis or acute bronchitis who were not prescribed an antibiotic
What one meaningful measure area applies to this measure?
Appropriate use of Healthcare
Rational:
Antibiotic treatment of nonspecific URI, non-strep pharyngitis and acute bronchitis does not markedly enhance illness resolution or prevent complications.
Denominator:
Patients 18 years of age and older and with a diagnosis in the previous month of a common cold, non-strep pharyngitis, or acute bronchitis
Denominator Exclusions:
Patients with concomitant diagnoses of otitis media, pneumonia, sinusitis, streptococcus or COPD exacerbation
Numerator:
Patients without a prescription for an antibiotic medication within 3 days of the diagnosis
Numerator Exclusions:
None
Denominator Exceptions:
None