2024 Performance PeriodCMS154v12Not Applicable065Percentage of episodes for patients 3 months of age and older with a diagnosis of upper respiratory infection (URI) that did not result in an antibiotic order

]]>

None

]]>

Outpatient visits, telephone visits, online assessments (i.e., e-visit or virtual check-in), observation stays or emergency department visits with a diagnosis of URI from January 1 to December 28 of the measurement period for patients 3 months of age and older

]]>

URI episodes without a prescription for antibiotic medication on or three days after the outpatient visit, telephone visit, online assessment, observation stay or emergency department visit for an upper respiratory infection

]]>

Not Applicable

]]>

Equals Initial Population

]]>

Exclude URI episodes when the patient had hospice care for any part of the measurement period.

Exclude URI episodes when the patient had a comorbid condition during the 12 months prior to or on the episode date.

Exclude URI episodes where the patient is taking antibiotics in the 30 days prior to the episode date.

Exclude URI episodes where the patient had competing diagnosis on or three days after the episode date.

]]>

None

]]>National Committee for Quality Assurance]]>Proportion]]>Process]]>

Higher score indicates better quality

]]>Yes

Most URI, also known as the common cold, are caused by viruses that require no antibiotic treatment. Too often, antibiotics are prescribed inappropriately, which can lead to antibiotic resistance (when antibiotics can no longer cure bacterial infections). In the United States, at least 2.8 million antibiotic-resistant illnesses and 35,000 deaths occur each year (Centers for Disease Control and Prevention [CDC], 2020).

]]>

- 3 months-17 years

- 18-64 years

- 65 years and older

]]>

None

]]>

American Family Physician (Fashner, Ericson, and Werner, 2012)

- Antibiotics should not be used for the treatment of cold symptoms in children or adults. (A)

- Nonsteroidal anti-inflammatory drugs reduce pain secondary to upper respiratory tract infection in adults. (A)

- Decongestants, antihistamine/decongestant combinations, and intranasal ipratropium (Atrovent) may improve cold symptoms in adults. (B)

Institute for Clinical Systems Improvement (Short, et al., 2017)

The ICSI work group does not recommend antibiotics for treatment of common cold symptoms in children and adults.

]]>2025 Performance PeriodCMS154v13Not Applicable065Percentage of episodes for patients 3 months of age and older with a diagnosis of upper respiratory infection (URI) that did not result in an antibiotic order

]]>None

]]>Outpatient visits, telephone visits, virtual encounter (i.e., e-visit or virtual check-in), or emergency department visits with a diagnosis of URI from January 1 to December 28 of the measurement period for patients 3 months of age and older

]]>URI episodes without a prescription for antibiotic medication on or three days after the outpatient visit, telephone visit, virtual encounter, or emergency department visit for an upper respiratory infection

]]>Not Applicable

]]>Equals Initial Population

]]>Exclude URI episodes when the patient had hospice care for any part of the measurement period.

Exclude URI episodes when the patient had a comorbid condition during the 12 months prior to or on the episode date.

Exclude URI episodes where the patient is taking antibiotics in the 30 days prior to the episode date.

Exclude URI episodes where the patient had competing diagnosis on or three days after the episode date.

]]>None

]]>National Committee for Quality Assurance]]>Proportion]]>Process]]>Higher score indicates better quality

]]>YesMost URI, also known as the common cold, are caused by viruses that require no antibiotic treatment. Too often, antibiotics are prescribed inappropriately, which can lead to antibiotic resistance (when antibiotics can no longer cure bacterial infections). In the United States, at least 2.8 million antibiotic-resistant illnesses and 35,000 deaths occur each year (Centers for Disease Control and Prevention [CDC], 2020).

]]>- 3 months-17 years

- 18-64 years

- 65 years and older

]]>None

]]>American Family Physician (Fashner, Ericson, & Werner, 2012)

- Antibiotics should not be used for the treatment of cold symptoms in children or adults. (A)

- Nonsteroidal anti-inflammatory drugs reduce pain secondary to upper respiratory tract infection in adults. (A)

- Decongestants, antihistamine/decongestant combinations, and intranasal ipratropium (Atrovent) may improve cold symptoms in adults. (B)

Institute for Clinical Systems Improvement (ICSI) (Short et al., 2017)

The ICSI work group does not recommend antibiotics for treatment of common cold symptoms in children and adults.

]]>2026 Performance PeriodCMS154v14Not Applicable065Percentage of episodes for patients 3 months of age and older with a diagnosis of upper respiratory infection (URI) that did not result in an antibiotic order

]]>None

]]>Outpatient visits, telephone visits, virtual encounter (i.e., e-visit or virtual check-in), or emergency department visits with a diagnosis of URI from January 1 to December 28 of the measurement period for patients 3 months of age and older

]]>URI episodes without a prescription for antibiotic medication on or three days after the outpatient visit, telephone visit, virtual encounter, or emergency department visit for an upper respiratory infection

]]>None

]]>Equals Initial Population

]]>Exclude URI episodes when the patient had hospice care for any part of the measurement period.

Exclude URI episodes when the patient had a comorbid condition during the 12 months prior to or on the episode date.

Exclude URI episodes where the patient is taking antibiotics in the 30 days prior to the episode date.

Exclude URI episodes where the patient had competing diagnosis on or three days after the episode date.

]]>None

]]>National Committee for Quality Assurance]]>Proportion]]>Process]]>Higher score indicates better quality

]]>YesMost URI, also known as the common cold, are caused by viruses that require no antibiotic treatment. Too often, antibiotics are prescribed inappropriately, which can lead to antibiotic resistance (when antibiotics can no longer cure bacterial infections). In the United States, at least 2.8 million antibiotic-resistant illnesses and 35,000 deaths occur each year (Centers for Disease Control and Prevention [CDC], 2020).

]]>- 3 months-17 years

- 18-64 years

- 65 years and older

]]>None

]]>American Family Physician (Fashner, Ericson, & Werner, 2012)

- Antibiotics should not be used for the treatment of cold symptoms in children or adults. (A)

- Nonsteroidal anti-inflammatory drugs reduce pain secondary to upper respiratory tract infection in adults. (A)

- Decongestants, antihistamine/decongestant combinations, and intranasal ipratropium (Atrovent) may improve cold symptoms in adults. (B)

Institute for Clinical Systems Improvement (ICSI) (Short et al., 2017)

The ICSI work group does not recommend antibiotics for treatment of common cold symptoms in children and adults.

]]>