• Institute for Clinical Systems Improvement (ICSI). Diagnosis and management of asthma. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2008 Jan. 69 p. [83 references]

Does not apply to this measure

This measure is used to assess the percentage of patients with asthma with education about asthma documented in the medical record.

The priority aim addressed by this measure is to promote the partnership of patients with asthma and/or their parents with health care professionals through education and the use of written action plans.

Asthma; patient (or parent) education

Total number of patients with asthma* who were continuously enrolled for six months and whose medical records are reviewed

*Patients with a diagnosis code of 493.00, 493.01, 493.10, 493.11, 493.90, or 493.91.

Number of patients in the denominator with documentation* in the record of education about asthma

*Documented is defined as any evidence in the medical record that a clinician provided patient (or parent) education related to:

• Basic facts about asthma
• Role of medications
• Inhaler technique
• Environmental control measures
• Written action plan
• When and how to take actions
• Need for follow-up visits

• 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 or equal to 5 years

Either male or female

Unspecified

Unspecified

Unspecified

Unspecified

Unspecified

Unspecified

Living with Illness

Effectiveness
Patient-centeredness

Users of care only

Patients age five and older with asthma continuously enrolled for six months

Data may be collected electronically using the claims/encounter database or the enrollment database. Medical groups should identify patients with asthma seen at the clinic. Each medical group can then generate a list of all eligible patients with asthma seen during the target month/quarter. The eligible patients are those age five and older who have been diagnosed with asthma. A random sample of 20 charts can be chosen from this list. The patients' medical records will be reviewed for any evidence that a clinician provided patient education.

A minimum of 20 charts per month can be reviewed.

Patients associated with provider

Inclusions
Total number of patients with asthma* who were continuously enrolled for six months and whose medical records are reviewed

*Patients with a diagnosis code of 493.00, 493.01, 493.10, 493.11, 493.90, or 493.91.

Exclusions
Unspecified

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

Clinical Condition
Encounter

Time window is a fixed period of time

Inclusions
Number of patients in the denominator with documentation* in the record of education about asthma

*Documented is defined as any evidence in the medical record that a clinician provided patient (or parent) education related to:

• Basic facts about asthma
• Role of medications
• Inhaler technique
• Environmental control measures
• Written action plan
• When and how to take actions
• Need for follow-up visits

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.

Episode of care

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 asthma with education about asthma documented in the medical record.

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: Richard Sveum, MD (Work Group Leader) (Park Nicollet Health Services) (Allergy); Mary Keating, MD (CentraCare) (Allergy); David Lowe, MD, PhD (Olmsted Medical Center) (Allergy); Barbara Reed, MD (Mercy Hospital and Health Care Center) (Emergency Room); Michael Rethwill, MD (HealthPartners Medical Group) (Family Medicine); Janet Malkiewicz, RN AE-C (HealthPartners Medical Group) (Health Education); Michael Bronson, MD (St. Mary's/Duluth Clinic Health System) (Pediatrics); Gail Brottman, MD (Hennipin County Medical Center) (Pediatrics); Ken Johns, MD (Allina Medical Clinic) (Pediatrics); Brian Bach, RPh AE-C (Mayo Clinic -- Franciscan Skemp) (Pharmacist/Asthma Educator); Kaiser Lim, MD (Mayo Clinic) (Pulmonology); Nicollete Myers, MD (Park Nicollet Health Services) (Pulmonology); Marlis O'Brien, RRT, CPFT, AE-C (Mayo Health System -- Franciscan Skemp) (Respiratory Therapist/Asthma Educator); Teresa Hunteman, RRT, CPHQ (Institute for Clinical Systems Improvement) (Measurement Advisor); Linda Setterlund (Institute for Clinical Systems Improvement) (Facilitator)

Measure was not adapted from another source.

2005 Mar

2008 Jan

This is the current release of the measure.

This measure updates a previous version: Institute for Clinical Systems Improvement (ICSI). Diagnosis and outpatient management of asthma. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2005 Mar. 49 p.

• Institute for Clinical Systems Improvement (ICSI). Diagnosis and management of asthma. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2008 Jan. 69 p. [83 references]

This NQMC summary was completed by ECRI on June 3, 2005. This NQMC summary was updated by ECRI Institute on June 24, 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.

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