Appropriate Testing for Pharyngitis
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
The percentage of episodes for patients 3 years and older with a diagnosis of pharyngitis that resulted in an antibiotic order on or three days after the episode date and a group A streptococcus (strep) test in the seven-day period from three days prior to the episode date through three days after the episode date
Numerator
A group A streptococcus test in the seven-day period from three days prior to the episode date through three days after the episode date.
Denominator
Outpatient, telephone, online assessment (i.e., e-visit or virtual check-in), observation, or emergency department (ED) visits with a diagnosis of pharyngitis or tonsillitis from January 1 to December 28 of the measurement period and an antibiotic order on or three days after the episode date among patients 3 years or older
Exclusions
Exclude pharyngitis episodes when the patient had hospice care for any part of the measurement period; when the patient had a comorbid condition during the 12 months prior to or on the episode date; where the patient is taking antibiotics in the 30 days prior to the episode date; where the patient had a competing diagnosis on or three days after the episode date
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
By age group (3 months-17 years, 18-64 years, 65 years and older)
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
MIPS Clinical Quality Measures (CQMS)
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Traditional MIPS