| Measure: Percentage of children 3-18 years of age who were diagnosed with pharyngitis, ordered an antibiotic and received a group A streptococcus (strep) test for the episode | ||
| Measure Type | High Priority Measure | Scoring |
| Process | Yes | A higher percentage indicates better quality |
| Denominator | Children 3-18 years of age who had an outpatient or emergency department (ED) visit with a diagnosis of pharyngitis during the measurement period and an antibiotic ordered on or three days after the visit |
| Numerator | Children with a group A streptococcus test in the 7-day period from 3 days prior through 3 days after the diagnosis of pharyngitis |
| Denominator Exceptions | None |
| Denominator Exclusions | Children who:
|
Setup Note
This eCQM requires a lab interface to be met. Customers interested in a lab interface should contact Sevocity Support to begin the process of a new interface setup. Interface setup requirements and fees vary per request.
Denominator
Patients who meet the following criteria will be included in the denominator:
Age must be ≥ 3 years and < 18 years at the beginning of the Measurement Period
AND
Must have an active diagnosis of pharyngitis or tonsillitis during the Measurement Period
AND
Must have at least one encounter during the Measurement Period finalized by the EC/EP
AND
- Must have an antibiotic prescribed on the day of their encounter or in the 3 days after the encounter
Encounter Codes Eligible for Denominator
CPT: 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99217, 99218, 99219, 99220, 99241, 99242, 99243, 99244, 99245, 99281, 99282, 99283, 99284, 99285, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, 99381, 99382, 99383, 99384, 99385, 99386, 99387, 99391, 99392, 99393, 99394, 99395, 99396, 99397, 99401, 99402, 99403, 99404, 99411, 99412, 99429, 99455, 99456
Diagnosis
The patient must have an active diagnosis of pharyngitis or tonsillitis during the Measurement Period. Diagnoses are documented in the Assessment tab of an encounter. A comprehensive list of eligible diagnosis codes for pharyngitis and tonsillitis can be located here.
Medication
To prescribe a medication, go to Encounter > Medications > Manage/Prescribe Meds > Prescribe a Medication. A comprehensive list of eligible antibiotic medications for pharyngitis can be located here.
Denominator Exclusions
A patient will be counted as an exclusion if:
• They were prescribed an antibiotic in the 30 days before they were diagnosed with pharyngitis or tonsillitis
• Were in hospice care during the measurement year
Hospice Care Services
To document hospice care services as a procedure, go to Encounter > Orders/Procedure > Orders/Referrals and click Add to add one of the eligible codes listed below:
SNOMED CT: 385763009, 385765002
Order Status must be marked as Complete.
Note
SNOMED CT codes must be added as a Favorite in Preferences > Form Data > Orders to be accessible from the Orders/Referrals tab.
Numerator
A patient will be counted in the numerator if they received a group A strep test 3 days before their encounter, on the day of their encounter, or 3 days after their encounter.
A positive result for group A strep must be stored as an e-Lab result in the patient chart to count toward the numerator.
Store an e-Lab Result
- From the Clinic Inbox, select the lab result to be stored and click View
- Click Select to search for and select a patient
- Verify patient displayed matches the lab result and select the I have verified the following lab results belong to the above patient checkbox
- Click Sign/Route
- Select the Sign checkbox and click OK
Stored e-Lab results can be viewed in the Flowsheets/Labs > Scanned/E-Labs tab of the patient chart.
eCQI Reference
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