General eCQM Information
| CMS Measure ID | CMS154v8 |
|---|---|
| NQF Number | Not Applicable |
| Measure Description |
Percentage of children 3 months-18 years of age who were diagnosed with upper respiratory infection (URI) and were not dispensed an antibiotic prescription on or three days after the episode |
| Initial Population | Children age 3 months to 18 years who had an outpatient visit with a diagnosis of URI during the measurement period |
| Denominator Statement |
Equals Initial Population |
| Denominator Exclusions |
Exclude children who are taking antibiotics in the 30 days prior to the encounter during which the diagnosis was established. Exclude children who had an encounter with a competing diagnosis within three days after the initial diagnosis of URI. Exclude patients whose hospice care overlaps the measurement period. |
| Numerator Statement |
Children without a prescription for antibiotic medication on or 3 days after the outpatient or ED visit for an upper respiratory infection |
| Numerator Exclusions |
Not Applicable |
| Denominator Exceptions |
None |
| Measure Steward | National Committee for Quality Assurance |
| Domain | Efficiency and Cost Reduction |
| Measure Scoring | Proportion measure |
| Measure Type | Process measure |
| Improvement Notation |
Higher scores indicates better quality |
| Guidance |
This is an episode of care measure that examines all eligible episodes for the patient during the measurement period. If the patient has more than one episode, include all episodes in the measure. |
| Quality ID | 65 |
| Meaningful Measure | Appropriate Use of Healthcare |
| Telehealth Eligible | Yes |
| Next Version |
Data Element Repository
Header
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Updated eCQM version number.
Measure Section: eCQM Version number
Source of Change: Measure Lead
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Updated NQF number to 'Not Applicable.'
Measure Section: NQF Number
Source of Change: Standards Update
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Updated endorsed by field to 'None.'
Measure Section: Endorsed By
Source of Change: Standards Update
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Updated copyright.
Measure Section: Copyright
Source of Change: Annual Update
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Updated references to align with American Psychological Association (APA) style.
Measure Section: Reference
Source of Change: Measure Lead
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Updated denominator exclusions statement to 'Exclude children who are taking antibiotics in the 30 days prior to the encounter during which the diagnosis was established' to be succinct.
Measure Section: Denominator Exclusions
Source of Change: ONC Project Tracking System (JIRA): CQM-3497
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Updated parenthetical citations to align with American Psychological Association (APA) style.
Measure Section: Multiple Sections
Source of Change: Measure Lead
Logic
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Updated the names of Clinical Quality Language (CQL) definitions, functions, and/or aliases for clarification and to align with CQL Style Guide.
Measure Section: Definitions and Functions
Source of Change: Standards Update
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Updated Clinical Quality Language (CQL) expression to conform with the HL7 Standard: Clinical Quality Language Specification, Release 1 STU 3 (CQL 1.3).
Measure Section: Multiple Sections
Source of Change: Standards Update
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Updated definitions and functions in the Measure Authoring Tool (MAT) Global Common Functions Library to align with standards changes, Clinical Quality Language (CQL) Style Guide, and to include two new functions related to calculating hospital stays.
Measure Section: Multiple Sections
Source of Change: Standards Update
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Updated version number of the Measure Authoring Tool (MAT) Global Common Functions Library (MATGlobalCommonFunctions-4.0.000).
Measure Section: Multiple Sections
Source of Change: Standards Update
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Updated version number of the Hospice Library (Hospice-2.0.000).
Measure Section: Multiple Sections
Source of Change: Measure Lead
Value Set
The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets.
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Value set Upper Respiratory Infection (2.16.840.1.113883.3.464.1003.102.12.1022): Added 1 SNOMED CT code (43692000) and deleted 3 SNOMED CT codes (195708003, 281794004, 55355000).
Measure Section: Terminology
Source of Change: Annual Update
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Value set Antibiotic Medications for Pharyngitis (2.16.840.1.113883.3.464.1003.196.12.1001): Deleted 3 RxNorm codes (1801142, 310156, 877486).
Measure Section: Terminology
Source of Change: Annual Update
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Value set Competing Conditions for Respiratory Conditions (2.16.840.1.113883.3.464.1003.102.12.1017): Added 206 SNOMED CT codes and deleted 15 SNOMED CT codes.
Measure Section: Terminology
Source of Change: Annual Update
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Direct reference code for Birth date (LOINC Code (21112-8)) now displayed in Human Readable.
Measure Section: Terminology
Source of Change: Annual Update
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Removed code system versions from direct reference codes. Please refer to Appendix A of the Electronic Clinical Quality Measure Logic and Implementation Guidance document for a list of code system versions used in the eCQM specifications for 2020 reporting/performance.
Measure Section: Terminology
Source of Change: Standards Update
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Standardized purpose statement language in value sets across eCQMs. Value set purpose statements are visible in the Value Set Authority Center (VSAC) as well as the downloadable eCQM value set files.
Measure Section: Terminology
Source of Change: Measure Lead