A case is defined by diagnosis of community-acquired pneumonia at hospital discharge with “physician documentation of the diagnosis of pneumonia written before or at admission pneumonia need not be the primary or only diagnosis, but mentioned as a working diagnosis at the time of admission” 3 x 3 complete specifications manual. Jcaho/cms core measures for community-acquired pneumonia fee c, weber e, sharpe ba, nguy m, quon t, bookwalter t comment on ann emerg med 2005 nov46(5):409-11.
The actual core measures are listed here and include blood cultures for all patients who have severe pneumonia requiring admission to the icu this is a change from a prior cms measure, which was to get blood cultures for all patients admitted to the hospital. When pneumonia develops in a person who has little or no contact with healthcare facilities, the condition is called community-acquired pneumonia, or cap when pneumonia develops in a person receiving care in a facility, such as a long-term care facility, dialysis center, pain clinic, or out-patient chemotherapy center, the condition is called healthcare-associated pneumonia.
A review of performance measure data from the pneumonia national hospital quality measures over the past few years indicates that 68 to 70% of patients admitted to the hospital for pneumonia receive care and services in the ed prior to admission. The joint commission and the centers for medicare & medicaid services partnered in 2004 to create core measures for disease management for community-acquired pneumonia.
Core measure set to allow the opportunity to continue to work with cms • discussions with cms centered on measures shared between cms and the joint commission and led to the development of common data element definitions and allowable values, and common measure population inclusions and exclusions. The current north american antibiotic guidelines for community-acquired pneumonia in immunocompetent patients are from the centers for disease control and prevention (cdc), the infectious diseases society of america (idsa), the canadian infectious disease society / canadian thoracic society (cids/cts), and the american thoracic society (ats.
Jcaho/cms core measures for community-acquired pneumonia to the editor: we applaud the editorials in the november 2005 issue of annals questioning the joint committee on accreditation of healthcare organizations/center for medicare and medicaid services (jcaho/cms) core measures guidelines for blood cultures 1,2for community-acquired pneumonia. 6 core measures update acute mi, heart failure, and community acquired pneumonia compiled by terry rudd, rn, msn the advent of core measures in targeted areas is a jcaho implemented program to help. The cms core (performance) measures for community-acquired pneumonia (cap): relating to antimicrobial stewardship authors: thomas m file jr, md, msc, macp, fidsa, fccp faculty and disclosures this activity has expired.
Community acquired pneumonia core measure core measure community acquired pneumonia today hospitals as businesses, as well as health care institutions, face many obstacles while caring, treating, and rehabilitating patients during their hospital stay. 1 ann emerg med 2006 may47(5):505 author reply 506 jcaho/cms core measures for community-acquired pneumonia fee c, weber e, sharpe ba, nguy m, quon t, bookwalter t.
Identify pneumonia core measures related to vaccination identify areas for improvement based upon data analysis and user feedback identify how the use of multiple. The pneumonia core measures community-acquired pneumonia (cap) patients must have blood cultures within 24 hours of presentation at the emergency department or admission and the appropriate antibiotic prescribed.
Overview of the community acquired pneumonia core measure set 29 overview of the pregnancy and related conditions core measure set 36 references 40 2 background the joint commission began development of performance measures with the inception of the agenda for change in 1987 eventually these activities were subsumed into what. Community-acquired pneumonia core measures automated communication of vaccination needs based upon nursing documentation jennifer m durham, bsn, rn.