Percentage of episodes for patients 3 months of age and older with a diagnosis of upper respiratory infection (URI) that did not result in an antibiotic order.

URI episodes without a prescription for antibiotic medication on or three days after the outpatient visit, telephone visit, online assessment, observation stay or emergency department visit for an upper respiratory infection.

Outpatient visits, telephone visits, online assessments (i.e., e-visit or virtual check-in), observation stays or emergency department visits with a diagnosis of URI from January 1 to December 28 of the measurement period for patients 3 months of age and older.

Exclude URI episodes when the patient had hospice care for any part of the measurement period. Exclude URI episodes when the patient had a comorbid condition during the 12 months prior to or on the episode date. Exclude URI episodes where the patient is taking antibiotics in the 30 days prior to the episode date. Exclude URI episodes where the patient had competing diagnosis on or three days after the episode date.

None

By age group (3 months-17 years, 18-64 years, 65 years and older)

MIPS Clinical Quality Measures (CQMS)

Traditional MIPS

qpp.cms.gov/mips/traditional-mips

qpp.cms.gov/resources/document/2bee7f52-6148-48ac-9bd1-e17e67fc1384 ecqi.healthit.gov/ep-ec?qt-tabs_ep=ec-ecqms