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  2. CQM-5704

CRP: Create unique value set for antibiotics for Upper Respiratory Infection

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    • Resolution: Resolved
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      Brief description of measure
      CMS154: Appropriate Treatment for Upper Respiratory Infection (URI):
      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.

      Description of issue
      ​​CMS146 (Appropriate Testing for Pharyngitis) and CMS154 (Appropriate Treatment for Upper Respiratory Infection) currently use the same value set for antibiotic medications. The measure developer would like to ​maintain separate antibiotic medication value sets for CMS146 and CMS154 as the measures are constructed differently and are intended to have a different set of appropriate antibiotic medications.

      Goal of review
      Obtain clinical feedback
      Show
      Brief description of measure CMS154: Appropriate Treatment for Upper Respiratory Infection (URI): 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. Description of issue ​​CMS146 (Appropriate Testing for Pharyngitis) and CMS154 (Appropriate Treatment for Upper Respiratory Infection) currently use the same value set for antibiotic medications. The measure developer would like to ​maintain separate antibiotic medication value sets for CMS146 and CMS154 as the measures are constructed differently and are intended to have a different set of appropriate antibiotic medications. Goal of review Obtain clinical feedback
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      Proposed solution
      ​Replace value set "Antibiotic Medications for Pharyngitis" (OID: 2.16.840.1.113883.3.464.1003.196.12.1001)
      with value set “Antibiotic Medications for Upper Respiratory Infection” (OID: 2.16.840.1.113883.3.464.1003.1190)

      //Logic - before

      define "Numerator":
        "Encounter with Upper Respiratory Infection" EncounterWithURI
          without ["Medication, Order": "Antibiotic Medications for Pharyngitis"] OrderedAntibiotic
            such that [...]

      define "Encounter with Upper Respiratory Infection and Antibiotics Active 30 Days Prior Or The First Day of the Encounter":
        "Encounter with Upper Respiratory Infection" EncounterWithURI
          with ["Medication, Active": "Antibiotic Medications for Pharyngitis"] ActiveAntibiotic
            such that [...]

      //Logic - after

      define "Numerator":
        "Encounter with Upper Respiratory Infection" EncounterWithURI
          without ["Medication, Order": "Antibiotic Medications for Upper Respiratory Infection"] OrderedAntibiotic
            such that [...]

      define "Encounter with Upper Respiratory Infection and Antibiotics Active 30 Days Prior Or The First Day of the Encounter":
        "Encounter with Upper Respiratory Infection" EncounterWithURI
          with ["Medication, Active": "Antibiotic Medications for Upper Respiratory Infection"] ActiveAntibiotic
            such that [...]

      Rationale for change
      This change will align with the measure intent to create specific value sets of antibiotics based on the condition and apply to respective measures.
      Show
      Proposed solution ​Replace value set "Antibiotic Medications for Pharyngitis" (OID: 2.16.840.1.113883.3.464.1003.196.12.1001) with value set “Antibiotic Medications for Upper Respiratory Infection” (OID: 2.16.840.1.113883.3.464.1003.1190) //Logic - before define "Numerator":   "Encounter with Upper Respiratory Infection" EncounterWithURI     without ["Medication, Order": "Antibiotic Medications for Pharyngitis"] OrderedAntibiotic       such that [...] define "Encounter with Upper Respiratory Infection and Antibiotics Active 30 Days Prior Or The First Day of the Encounter":   "Encounter with Upper Respiratory Infection" EncounterWithURI     with ["Medication, Active": "Antibiotic Medications for Pharyngitis"] ActiveAntibiotic       such that [...] //Logic - after define "Numerator":   "Encounter with Upper Respiratory Infection" EncounterWithURI     without ["Medication, Order": "Antibiotic Medications for Upper Respiratory Infection"] OrderedAntibiotic       such that [...] define "Encounter with Upper Respiratory Infection and Antibiotics Active 30 Days Prior Or The First Day of the Encounter":   "Encounter with Upper Respiratory Infection" EncounterWithURI     with ["Medication, Active": "Antibiotic Medications for Upper Respiratory Infection"] ActiveAntibiotic       such that [...] Rationale for change This change will align with the measure intent to create specific value sets of antibiotics based on the condition and apply to respective measures.

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          edave Mathematica EC eCQM Team
          edave Mathematica EC eCQM Team
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            Updated:
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