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Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis

The percentage of adults 18-64 years of age with a diagnosis of acute bronchitis who were not dispensed an antibiotic prescription.

Date Reviewed: November 19, 2017

Measure Info

MIPS 116NQF 0058CMS 116NQF EndorsedCQMC Core Measure
Measure Type: 
Process
Measure Steward: 
National Committee for Quality Assurance
Clinical Topic Area: 
Bronchitis

Care Setting: 
Outpatient
Data Source: 
Claims
Electronic Health Records
Registry

ACP supports QPP 116: "Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis" because implementation could lead to measureable and meaningful improvements in clinical outcomes and prevent overuse of inappropriate antibiotic therapy in patients diagnosed with acute bronchitis. Also, measure developers cite appropriate evidence to form the basis of the measure and measure specifications include appropriate exclusion criteria for patients with Chronic Obstructive Pulmonary Disease and immunocompromised patients. While we support this measure, we note the potential for clinicians to manipulate the measure through inaccurate coding of disease classification (i.e., ICD-10).