• Institute for Clinical Systems Improvement (ICSI). Diagnosis and treatment of otitis media in children. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2008 Jan. 25 p. [49 references]

Does not apply to this measure

This measure assesses the percentage of patients with a diagnosis of acute otitis media who were prescribed amoxicillin.

The priority aim addressed by this measure is to improve appropriate antibiotic usage for otitis media infections.

Acute otitis media; antibiotics; amoxicillin

All patients with a diagnosis of acute otitis media and who have not been treated for otitis media 60 days prior to current visit (see the related "Denominator Inclusions/Exclusions" field in the Complete Summary)

Number of records where patients with acute otitis media have amoxicillin prescribed and have not been treated for otitis media 60 days prior to current visit

• A clinical practice guideline or other peer-reviewed synthesis of the clinical evidence

Unspecified

Current routine use

Internal quality improvement

Physician Group Practices/Clinics

Physicians

Group Clinical Practices

Age greater than 3 months to age 18 years

Either male or female

Unspecified

Unspecified

Unspecified

Unspecified

Unspecified

Unspecified

Getting Better

Effectiveness

Users of care only

All patients diagnosed with acute otitis media

Data will be collected through medical record review. A minimum of 10 charts will be randomly sampled from all cases seen in the target month. Records will be pulled and reviewed for antibiotic prescription use.

Suggested data collection time frame is monthly.

Patients associated with provider

Inclusions
All patients with a diagnosis of acute otitis media* and who have not been treated for otitis media 60 days prior to current visit

*Diagnosis of acute otitis media is defined by the suggested International Classification of Diseases, Ninth Revision (ICD-9) codes: 381.0, 381.00, 381.01, 381.4, 382.00, 382.01, 382.4, 382.9.

Exclusions
Unspecified

All cases in the denominator are equally eligible to appear in the numerator

Clinical Condition

Time window precedes index event

Inclusions
Number of records where patients with acute otitis media have amoxicillin prescribed and have not been treated for otitis media 60 days prior to current visit

Exclusions
Unspecified

The measure results are somewhat or substantially under the control of the health care professionals, organizations and/or policymakers to whom the measure applies.

Encounter or point in time

Administrative data
Medical record

Individual Case

Unspecified

Rate

Better quality is associated with a higher score

Unspecified

Internal time comparison

Unspecified

Percentage of patients with a diagnosis of acute otitis media who were prescribed amoxicillin.

Institute for Clinical Systems Improvement

The following Minnesota health plans provide direct financial support: Blue Cross and Blue Shield of Minnesota, HealthPartners, Medica, Metropolitan Health Plan, PreferredOne, and UCare Minnesota. In-kind support is provided by the Institute for Clinical Systems Improvement's (ICSI) members.

Work Group Members: Leonard Snellman, MD (Work Group Leader) (HealthPartners Medical Group) (Pediatrics); David Graft, MD (Park Nicollet Health Services) (Allergy); William Avery, DO (Sanford Health) (Ear, Nose, and Throat); Barbara Malone, MD (Midwest ENT) (Ear, Nose, and Throat); Jeffrey Jenkins, MD (Sanford Health) (Family Practice); Heather Krueger, MD (Quello Clinic, Ltd) (Family Practice); Carolyn Sparks, MD (University of MN Physicians) (Family Practice); Peter Marshall, PharmD (HealthPartners) (Pharmacy); Teresa Hunteman, RRT, CPHQ (Institute For Clinical Systems Improvement) (Measurement/Implementation Advisor); Melissa Marshall, MBA (Institute For Clinical Systems Improvement) (Facilitator)

Measure was not adapted from another source.

2004 May

2008 Jan

This is the current release of the measure.

This measure updates a previous version: Institute for Clinical Systems Improvement (ICSI). Diagnosis and treatment of otitis media in children. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2004 May. 27 p.

• Institute for Clinical Systems Improvement (ICSI). Diagnosis and treatment of otitis media in children. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2008 Jan. 25 p. [49 references]

This NQMC summary was completed by ECRI on August 31, 2004. The NQMC summary was updated by ECRI Institute on April 16, 2008.

This NQMC summary (abstracted Institute for Clinical Systems Improvement [ICSI] Measure) is based on the original measure, which is subject to the measure developer's copyright restrictions.

The abstracted ICSI Measures contained in this Web site may be downloaded by any individual or organization. If the abstracted ICSI Measures are downloaded by an individual, the individual may not distribute copies to third parties.

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