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

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.