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2003 National Healthcare Quality Report

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Percent of patients with pneumonia who receive influenza screening or vaccination.

Measure Source

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

Tables

1.79a Percent of patients with pneumonia who receive influenza screening or vaccination, United States, 2000 – 2001.

1.79b Percent of patients with pneumonia who receive influenza screening or vaccination, 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

Medicare patients with pneumonia, who were screened for influenza vaccine status and were vaccinated prior to discharge, if indicated.

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, patients who expired in the hospital, patients who left the hospital against medical advice, patients who were discharged to hospice care.

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