Measure Source

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

Tables

1.94a Percent of Medicare pneumonia patients who received the first dose of antibiotic within 4 hours of arrival at the hospital, United States, 2002 and 2003.

1.94b Percent of Medicare pneumonia patients who received the first dose of antibiotic within 4 hours of arrival at the hospital, by State, 2002 and 2003.

1.94c Percent of pneumonia patients who received the first dose of antibiotic within 4 hours of arrival at the hospital, by State, 2004

Data Source

CMS, Medicare Quality Improvement Organization Program.

CMS, Hospital Compare.

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 their first dose of antibiotics within 4 hours after arrival at the hospital.

Comments

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