Measure Source

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

Tables

1.93a Percent of Medicare pneumonia patients who have blood cultures collected before antibiotics are administered, United States, 2002 and 2003.

1.93b Percent of Medicare pneumonia patients who have blood cultures collected before antibiotics are administered, by State, 2002 and 2003.

1.93c Percent of pneumonia patients who have blood cultures collected before antibiotics are administered, by State, 2004.

Data Source

CMS, Medicare Quality Improvement Organization Program.

CMS, Hospital Compare.

Denominator

Medicare hospital discharges with a blood culture performed, 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 had blood cultures performed prior to antibiotic administration.

Comments

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