CMS Measure ID:

CMS154v7

Version:

7.2.000

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 visit with a diagnosis of 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 whose hospice care overlaps the measurement period.

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