CMS146v5 – Appropriate Testing for Children with Pharyngitis

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 pharyngitisChildren

DENOMINATOR EXCLUSION

Children who are taking antibiotics in the 30 days prior to the diagnosis of pharyngitis.
Exclude patients who were in hospice care during the measurement year.

For 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 are included in the denominator. The following must be documented:

• Ambulatory/ED Visit (Patient > Provider Note)
• Antibiotic Medications for Pharyngitis (Patient > Clinical > Medications)
• Acute Pharyngitis (Patient > Clinical > Diagnosis)

For 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 are included in the numerator for this measure. To record this test, navigate to Patient > Clinical > Orders and Results > Labs.

Denominator Exclusion:
Children who are taking antibiotics in the 30 days prior to the diagnosis of pharyngitis are included in denominator exclusion. Exclude patients who were in hospice care during the measurement year.