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2003 National Healthcare Quality Report

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Percent of patients with pneumonia who have blood cultures collected before antibiotics are administered.

Measure Source

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

Tables

1.76a Percent of patients with pneumonia who have blood cultures collected before antibiotics are administered, United States, 2000 – 2001.

1.76b Percent of patients with pneumonia who have blood cultures collected before antibiotics are administered, 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 code of 038.xx) or respiratory failure (acute or chronic, ICD-9-CM code 518.81, 518.84).

Numerator

Subset of the denominator population who had blood cultures performed prior to antibiotic administration.

Comments

Excludes patients who were 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, and patients who had insufficient data to determine both blood culture and arrival timing data in their medical record.

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