This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://info.ahrq.gov. Let us know the nature of the problem, the Web address of what you want, and your contact information.
Please go to www.ahrq.gov for current information.
Percent of patients with pneumonia who receive the initial antibiotic consistent with current recommendations.
CMS Health Care Quality Improvement Program (HCQIP) Quality Indicator.
1.78a Percent of patients with pneumonia who receive the initial antibiotic consistent with current recommendations, United States, 2000 – 2001.
1.78b Percent of patients with pneumonia who receive the initial antibiotic consistent with current recommendations, by state, 2000 – 2001.
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.
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).
Pneumonia patients who received an initial antibiotic regimen consistent with current guidelines during the first 24 hours of their hospitalization.
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 after arrival at the hospital, patients who were immunocompromised (based on comorbidities), patients who potentially had nosocomial pneumonia (index admission within 14 days of a previous admission), patients who had insufficient arrival or antibiotic timing data in their medical record.
See Medicare Priorities (HCFA Publication 10156) (also available as Pneumonia National Project Overview at www.nationalpneumonia.org) for a discussion of accepted antibiotic regimens for pneumonia.
Return to Previous Measure
Return to Measures Specifications Appendix
Proceed to Next Measure
Return to Contents