#407: Appropriate Treatment of MSSA Bacteremia

Quality ID

407

High Priority Measure

Yes

Specifications

Registry

Measure Type

Process

Specialty

Hospitalists Infectious Disease

Measure description

Percentage of patients with sepsis due to MSSA bacteremia who received beta-lactam antibiotic (e.g. Nafcillin, Oxacillin or Cefazolin) as definitive therapy

 

Instructions

This measure is to be submitted each episode a patient is hospitalized with sepsis due to MSSA bacteremia during the performance period. This measure may be submitted by eligible clinicians who perform the quality actions described in the measure based on the services provided and the measure-specific denominator coding.

Measure Submission:

The listed denominator criteria is used to identify the intended patient population. The numerator options included in this specification are used to submit the quality actions allowed by the measure. The quality-data codes listed do not need to be submitted for registry submissions; however, these codes may be submitted for those registries that utilize claims data.

 

Denominator

All hospitalized patients with sepsis due to MSSA bacteremia

DENOMINATOR NOTE: A patient 18 years or older who has an initial inpatient encounter with symptoms of bacteremia that is documented of being methicillin-susceptible staphylococcus aureus.

Denominator Criteria (Eligible Cases):

All patients 18 years or older

AND

Diagnosis for Sepsis due to MSSA (ICD-10-CM): A41.01

AND

Patient encounter during performance period (CPT): 99218, 99219, 99220, 99221, 99222, 99223, 99231, 99232, 99233, 99234, 99235, 99236, 99291

 

Numerator

Number of denominator eligible patients treated with a beta-lactam antibiotic (e.g. Nafcillin, Oxacillin or Cefazolin) as definitive therapy

Definition:

Beta-Lactam – For the purposes of this measure, a beta-lactam antibiotic is defined as Nafcillin, Oxacillin or Cefazolin

Numerator Options:

Performance Met: Patient treated with a beta-lactam antibiotic as definitive therapy (G9558)

OR

Denominator Exception: Documentation of medical reason(s) for not prescribing a beta-lactam antibiotic (e.g., allergy, intolerance to betalactam antibiotics) (G9559)

OR

Performance Not Met: Patient not treated with a beta-lactam antibiotic as definitive therapy, reason not given (G9560)

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