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Clinical Quality Measures

CMS154 - Appropriate Treatment for Children with Upper Respiratory Infection (URI)

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.

Denominator: 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.

Numerator: Children without a prescription for antibiotic medication on or 3 days after the outpatient or ED visit for an upper respiratory infection.

Measure Calculation in ChARM EHR: AUTOMATIC

This measure is automatically calculated in ChARM EHR based on the antibiotic medication prescribed in the chart note.

To satisfy this measure, for patient with Age >= 3 months and < 18 years and diagnosed with "Upper Respiratory Infection" (Example ICD 10 codes: J00, J06.0, J06.9 ), antibiotic medications for Pharyngitis should NOT be ordered within three days of the diagnoses.

Denominator Exclusion: Patients will be automatically excluded from denominator, if they satisfy anyone of the conditions below.

In addition, you can also manually exclude a patient from denominator, based on other conditions listed below under 'Encounter > MU' section.
Upper Respiratory Infection