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National Healthcare Disparities Report, 2005

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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.


Data source does not support detailed tables.

Data Source

CMS, Medicare Quality Improvement Organization Program.


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).


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


Further information about this and other pneumonia measures is available at



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