CMS 146 - Appropriate Testing for Children with Pharyngitis

Overview

CMS146v8 (2020)

CMS146v9 (2021)

CMS146v10 (2022)

Identifiers

*MIE only supports data collection and reporting using eCQM specifications

Definitions

Additional Information

Clinical Instructions

New UI Visit Encounter (valid RC202109+)

Original Visit Encounter

Track all children ages 3-18 who had an outpatient or ED visit with a diagnosis of pharyngitis and an antibiotic ordered on or three (3) days after the visit. Compliance requires a group A streptococcus (strep) test be administered within the 7-day period from 3 days prior through 3 days after the initial diagnosis. Use either the Test and Procedures section of the encounter, or add the Lab Results - Set 2 to the encounter template; otherwise, enter the appropriate observation to the chart using the Observations chart tab.

• While documenting the Visit encounter, document the results of a Strep test one of two ways:
  1. Option 1: Tests and Procedures Section
     1. Open the Tests and Procedures section.
     2. Using the autocomplete, begin typing Strep A Qual Throat Swab.
     3. Click the Add to Exam button.
     4. After adding the new section, open the Strep A Qual Throat Swab section and add the result.
     5. Click the Next button, or close the section.
  2. Option 2: Add Lab Results - Set 2 to Encounter
     1. Click the Tools icon in the upper-right corner of the encounter.
     2. Click the Lab Results - Set 2 header to add the section to the encounter template. Close the Tools window.
     3. Click the Lab Results - Set 2 header to open the section and add the Rapid Strep result.
     4. Click the Next button, or close the section.
  3. Continue documenting the encounter, as needed.
  4. When completed, Close and Archive the encounter
• Option 3: Add Observation using Observations Chart Tab
  1. Navigate to the patient chart.
  2. Open the Observations tab of the Medical Records chart tab.
  3. Click the Add Observation link in the upper-right corner.
  4. Enter the Date the Rapid Strep was observed, its Result, and any relevant Comments.
  5. Click the Submit button.

Evidence

Initial Patient Population

Denominator Exclusions

Numerator

Source(s)

eCQI CMS146