Measure Source

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

Tables

1.95a Percent of Medicare immunocompetent pneumonia patients (either ICU or non-ICU) who received the recommended empirical antibiotic regimen during the first 24 hours that is consistent with current guidelines, United States, 2002 and 2003.

1.95b Percent of Medicare immunocompetent pneumonia patients (either ICU or non-ICU) who received the recommended empirical antibiotic regimen during the first 24 hours that is consistent with current guidelines, by State, 2002 and 2003.

Data Source

CMS, Medicare Quality Improvement Organization Program.

Denominator

Medicare hospital discharges meeting either of the following criteria:

1. Principal diagnosis of pneumonia (ICD-9-CM codes: 480-483.8, 485-486, 487.0)
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 the denominator population who received an initial antibiotic regimen consistent with current guidelines during the first 24 hours of their hospitalization.

Comments

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