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2005 National Healthcare Quality Report

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Recommended hospital care received by Medicare patients with pneumonia

Measure Source

Centers for Medicare and Medicaid Services (CMS), Health Care Quality Improvement Program Quality Indicator.

Tables

1.92 Percent of recommended hospital care received by Medicare patients with pneumoniaa, United States, 2002 and 2003.

Data Source

CMS, Medicare Quality Improvement Organization Program.

Denominator

Opportunities to provide recommended care (collect blood cultures before antibiotics are administered, administer the initial antibiotic dose within 4 hours of hospital arrival and consistent with current recommendations, and give influenza and pneumococcal screening or vaccination) to Medicare patients hospitalized with a

  1. Principal diagnosis of pneumonia (ICD-9-CM codes: 480-483.8, 485-486, 487.0) or
  2. Secondary diagnosis of pneumonia and a principal diagnosis of either septicemia (ICD-9-CM code of 038.0-038.9) or respiratory failure (acute or chronic, ICD-9-CM code 518.81).

Numerator

Subset of opportunities to provide recommended care for pneumonia in which recommended care was provided.

Comments

Further information about this and other pneumonia measures is available at http://www.cms.hhs.gov/center/quality.asp.

Percent of patients with pneumonia who have blood cultures collected before antibiotics are administered. Percent of high-risk persons (e.g., COPD) age 18-64 who ever received a pneumococcal vaccination.

 

 

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