Hospital CAP core measures are comprised of: “CAP-1, Oxygenation (O2) assessment; CAP-2, Pneumococcal screening/vaccination; CAP-3, Blood cultures performed in the emergency department (ED) prior to first antibiotic (ABX) received (Bay Medical Center, 2016); CAP-4a, Adult smoking cessation advice/counseling; CAP-4b, Pediatric smoking cessation advice/counseling; CAP-5, Antibiotic timing; CAP-6, Initial antibiotic selection consistent with current recommendation – Intensive Care Unit (ICU) patients; and CAP-7, Initial antibiotic selection consistent with current recommendations – non-Intensive Care Unit (ICU) patients (Commission, The Joint).” CAP-1, O2 assessment allows for an assessment using a pulse oximetry or arterial blood gas (ABG) as a diagnostic tool. Radiological signs are considered the most specific indicator of bacterial pneumonia (MP, 2015;6). CAP-2, Pneumococcal screening/vaccination is done because according to Centers for Disease Control and Prevention (CDC), the use of the influenza vaccine and use of the pneumococcal vaccine are major preventive measures of CAP (John G Bartlett1, (2000) 31 (2)). CAP-3, Blood cultures performed in the emergency department (ED) prior to first antibiotic (ABX) received is performed because obtaining cultures after ABX were given decreased yield by 50% (Bay Medical Center, 2016).…