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2003 National Healthcare Quality Report

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Percent of patients with pneumonia who receive the initial antibiotic dose within 8 hours of hospital arrival.

Measure Source

CMS Health Care Quality Improvement Program (HCQIP) Quality Indicator.

Tables

1.77a Percent of patients with pneumonia who receive the initial antibiotic dose within 8 hours of hospital arrival, United States, 2000 – 2001.

1.77b Percent of patients with pneumonia who receive the initial antibiotic dose within 8 hours of hospital arrival, by state, 2000 – 2001.

Data Source

Centers for Medicare and Medicaid Services, Medicare Quality Improvement Organization Program. Data are from a systematic random sample of up to 750 inpatient records per state.

Denominator

Medicare discharges meeting either of the following criteria:

Principal diagnosis of pneumonia (ICD-9-CM codes of 480-483.8, 485-486, or 487.0).

Secondary diagnosis of pneumonia with a principal diagnosis of either septicemia (ICD-9-CM 038.XX) or respiratory failure (acute or chronic, ICD-9-CM code 518.81, 518.84).

Numerator

Pneumonia patients who received their first dose of antibiotics within 8 hours after arrival at the hospital.

Comments

Excludes patients transferred from another acute care or critical access hospital, patients who had no working diagnosis of pneumonia at the time of admission, patients who received comfort measures only, patients who did not receive antibiotics during the hospitalization or within 36 hours of admission to the hospital, patients who had insufficient arrival or antibiotic timing data (i.e., missing date and/or time) in their medical record.

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