Skip to main content

The AHRQ National Quality Measures Clearinghouse (NQMC, qualitymeasures.ahrq.gov) Web site will not be available after July 16, 2018 because federal funding
through AHRQ will no longer be available to support the NQMC as of that date. For additional information, read our full announcement.
  • Measure Summary
  • NQMC:009146
  • Sep 2013

Preventive services for children and adolescents: percentage of sexually active women age 25 years and younger who have had screening for chlamydia.

Wilkinson J, Bass C, Diem S, Gravley A, Harvey L, Maciosek M, McKeon K, Milteer L, Owens J, Rothe P, Snellman L, Solberg L, Vincent P. Preventive services for children and adolescents. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2013 Sep. 96 p. [229 references]

View the original measure documentation External Web Site Policy

This is the current release of the measure.

This measure updates a previous version: Wilkinson J, Bass C, Diem S, Gravley A, Harvey L, Hayes R, Johnson K, Maciosek M, McKeon K, Milteer L, Morgan J, Rothe P, Snellman L, Solberg L, Storlie C, Vincent P. Preventive services children and adolescents. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2012 Sep. 98 p.

The measure developer reaffirmed the currency of this measure in January 2016.

Primary Measure Domain

Clinical Quality Measures: Process

Secondary Measure Domain

Does not apply to this measure

Description

This measure is used to assess the percentage of sexually active women age 25 years and younger who have had screening for chlamydia.

Rationale

The priority aim addressed by this measure is to increase the rate of pediatric patients up-to-date with Level I preventive services.

Level I preventive services are worthy of attention at every opportunity. Busy clinicians cannot deliver this many services in any single encounter. However, with systems in place to track whether or not patients are up-to-date with the high-priority preventive services for their age group, clinicians can recommend the high-priority services as opportunities present.

Chlamydia is the most common bacterial sexually transmitted infection in the United States. An estimated three million new cases occur annually, with the majority being asymptomatic when initially infected. If left untreated, chlamydia infections can lead to serious complications, including pelvic inflammatory disease, infertility and increased risk of human immunodeficiency virus (HIV) infection. It has been shown that having a process to identify, test and treat women at risk for cervical chlamydia infections is associated with a decreased incidence of pelvic inflammatory disease.

The sensitivity of available screening tests for chlamydia infection is 80% and higher. The U.S. Preventive Service Task Force does not recommend a specific screening test as studies have generally been performed in ideal circumstances in small populations with high prevalence rates. However, they concluded that nucleic acid amplification tests had higher sensitivities and specificities than older antigen detection tests and better sensitivities than culture. Following detection, treatment with antibiotics approaches 100% efficacy. Two randomized studies have observed a decrease in pelvic inflammatory disease following chlamydia screening.

Evidence for Rationale

Cook RL, Hutchison SL, Ostergaard L, Braithwaite RS, Ness RB. Systematic review: noninvasive testing for Chlamydia trachomatis and Neisseria gonorrhoeae. Ann Intern Med. 2005 Jun 7;142(11):914-25. [77 references] PubMed External Web Site Policy

Meyers DS, Halvorson H, Luckhaupt S, U.S. Preventive Services Task Force. Screening for chlamydial infection: an evidence update for the U.S. Preventive Services Task Force. Ann Intern Med. 2007 Jul 17;147(2):135-42. [25 references] PubMed External Web Site Policy

Ostergaard L, Andersen B, Moller JK, Olesen F. Home sampling versus conventional swab sampling for screening of Chlamydia trachomatis in women: a cluster-randomized 1-year follow-up study. Clin Infect Dis. 2000 Oct;31(4):951-7. PubMed External Web Site Policy

Scholes D, Stergachis A, Heidrich FE, Andrilla H, Holmes KK, Stamm WE. Prevention of pelvic inflammatory disease by screening for cervical chlamydial infection. N Engl J Med. 1996 May 23;334(21):1362-6. PubMed External Web Site Policy

Wilkinson J, Bass C, Diem S, Gravley A, Harvey L, Maciosek M, McKeon K, Milteer L, Owens J, Rothe P, Snellman L, Solberg L, Vincent P. Preventive services for children and adolescents. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2013 Sep. 96 p. [229 references]

Primary Health Components

Chlamydia screening

Denominator Description

Number of female patients age 25 years and younger and sexually active

Numerator Description

Number of female patients who have screening for chlamydia

State of Use

Current routine use

Current Use

Internal quality improvement

Measurement Setting

Ambulatory/Office-based Care

Professionals Involved in Delivery of Health Services

Advanced Practice Nurses

Midwife

Nurses

Physician Assistants

Physicians

Least Aggregated Level of Services Delivery Addressed

Clinical Practice or Public Health Sites

Statement of Acceptable Minimum Sample Size

Unspecified

Target Population Age

Age less than or equal to 25 years

Target Population Gender

Female (only)

National Quality Strategy Aim

Better Care

National Quality Strategy Priority

Health and Well-being of Communities
Prevention and Treatment of Leading Causes of Mortality

IOM Care Need

Staying Healthy

IOM Domain

Effectiveness

Case Finding Period

The time frame pertaining to data collection is annually.

Denominator Sampling Frame

Patients associated with provider

Denominator (Index) Event or Characteristic

Clinical Condition

Patient/Individual (Consumer) Characteristic

Denominator Time Window

Does not apply to this measure

Denominator Inclusions/Exclusions

Inclusions
Number of female patients age 25 years and younger and sexually active

Exclusions
Unspecified

Exclusions/Exceptions

Unspecified

Numerator Inclusions/Exclusions

Inclusions
Number of female patients who have screening for chlamydia

Exclusions
Unspecified

Numerator Search Strategy

Fixed time period or point in time

Data Source

Paper medical record

Type of Health State

Does not apply to this measure

Instruments Used and/or Associated with the Measure

Unspecified

Measure Specifies Disaggregation

Does not apply to this measure

Scoring

Rate/Proportion

Interpretation of Score

Desired value is a higher score

Allowance for Patient or Population Factors

Unspecified

Standard of Comparison

Internal time comparison

Original Title

Percentage of sexually active women ages 25 years and younger who have had screening for Chlamydia.

Measure Collection Name

Preventive Services for Children and Adolescents

Submitter

Institute for Clinical Systems Improvement - Nonprofit Organization

Developer

Institute for Clinical Systems Improvement - Nonprofit Organization

Funding Source(s)

The Institute for Clinical Systems Improvement's (ICSI's) work is funded by the annual dues of the member medical groups and five sponsoring health plans in Minnesota and Wisconsin.

Composition of the Group that Developed the Measure

Work Group Members: John M. Wilkinson, MD (Work Group Leader) (Mayo Clinic) (Family Medicine); Charles Bass, MD (HealthPartners Medical Group and Regions Hospital) (Family Medicine); Michael Maciosek, PhD (HealthPartners Medical Group and Regions Hospital) (Research); Peter Rothe, MD, FACP (HealthPartners Medical Group and Regions Hospital) (Internal Medicine/Geriatrics); Leonard Snellman, MD (HealthPartners Medical Group and Regions Hospital) (Pediatrics); Leif Solberg, MD (HealthPartners Medical Group and Regions Hospital) (Family Medicine); Leslie C. Milteer, PA-C (Multicare Associates) (Advanced Practitioner); Patricia Vincent, MD (Northwest Family Clinicians) (Family Medicine); Kimberly J. McKeon, MD (Olmsted Medical Center) (OB/GYN); Lisa Harvey, RD, MPH (Park Nicollet Health Services) (Health Education); Andrea Gravley, RN, MAN, CPNP (South Lake Pediatrics) (Pediatrics); Susan Diem, MD, MPH (University of Minnesota Physicians) (Internal Medicine); Jacob Owens, MPH (Institute for Clinical Systems Improvement) (Project Manager)

Financial Disclosures/Other Potential Conflicts of Interest

The Institute for Clinical Systems Improvement (ICSI) has long had a policy of transparency in declaring potential conflicting and competing interests of all individuals who participate in the development, revision and approval of ICSI guidelines and protocols.

In 2010, the ICSI Conflict of Interest Review Committee was established by the Board of Directors to review all disclosures and make recommendations to the board when steps should be taken to mitigate potential conflicts of interest, including recommendations regarding removal of work group members. This committee has adopted the Institute of Medicine Conflict of Interest standards as outlined in the report Clinical Practice Guidelines We Can Trust (2011).

Where there are work group members with identified potential conflicts, these are disclosed and discussed at the initial work group meeting. These members are expected to recuse themselves from related discussions or authorship of related recommendations, as directed by the Conflict of Interest committee or requested by the work group.

The complete ICSI policy regarding Conflicts of Interest is available at the ICSI Web site External Web Site Policy.

Disclosure of Potential Conflicts of Interest

Charles Bass, MD (Work Group Member)
Family Clinician, HealthPartners Medical Group and Regions Hospital
National, Regional, Local Committee Affiliations: None
Guideline-Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None

Susan Diem, MD, MPH (Work Group Member)
Assistant Professor of Medicine and Adjunct Assistant Professor of Epidemiology, Internist, University of Minnesota Clinicians
National, Regional, Local Committee Affiliations: None
Guideline-Related Activities: None
Research Grants: Received grant money to her institution from the National Institute on Aging for testosterone replacement in older men
Financial/Non-Financial Conflicts of Interest: None

Andrea Gravley, RN, MAN, CPNP (Work Group Member)
Pediatric Nurse Practitioner, Pediatrics, South Lake Pediatrics
National, Regional, Local Committee Affiliations: Maple Grove Hospital Lactation work group
Guideline-Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None

Lisa Harvey, RD, MPH (Work Group Member)
Director, Health Education, Park Nicollet Health Services
National, Regional, Local Committee Affiliations: None
Guideline-Related Activities: None
Research Grants: Receives grant money to institution from the Mayo Clinic related to decision support.
Financial/Non-Financial Conflicts of Interest: None

Michael Maciosek, PhD (Work Group Member)
Research Investigator, HealthPartners Research Foundation, HealthPartners Health Plan
National, Regional, Local Committee Affiliations: None
Guideline-Related Activities: None
Research Grants: Receives grant money to his institution from Robert Wood Johnson Foundation, Centers for Disease Control and National Institute for Health for preventive services, disease management and cancer treatment
Financial/Non-Financial Conflicts of Interest: None

Kimberly McKeon, MD (Work Group Member)
Obstetrician and Gynecologist, Olmsted Medical Center
National, Regional, Local Committee Affiliations: None
Guideline-Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None

Leslie Milteer, PA-C (Work Group Member)
Clinician Assistant, Multicare Associates
National, Regional, Local Committee Affiliations: Minnesota Academy of PAs Board Member, American Academy of PAs Delegates Member
Guideline-Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None

Peter Rothe, MD, FACP (Work Group Member)
Internist, Geriatrics and Hospice, Health Partners Medical Group and Regions Hospital
National, Regional, Local Committee Affiliations: None
Guideline-Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None

Leonard Snellman, MD (Work Group Member)
Pediatrician, White Bear Lake Medical Center, HealthPartners Medical Group and Regions Hospital
National, Regional, Local Committee Affiliations: None
Guideline-Related Activities: ICSI Respiratory Illness in Children and Adults
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None

Leif Solberg, MD (Work Group Member)
Director Care Improvement Research, Family Medicine, HealthPartners Research Foundation
National, Regional, Local Committee Affiliations: Board member for HealthPartners Research Foundation
Guideline-Related Activities: None
Research Grants: Receives grant monies paid to institution from Patient-Centered Outcomes Research Institute (PCORI) for high-tech imaging, Centers for Medicare and Medicaid Services (CMS) for COMPASS (Care of Mental and Physical and Substance Use Syndromes), Agency for Healthcare Research and Quality (AHRQ) for medical homes
Financial/Non-Financial Conflicts of Interest: None

Patricia Vincent, MD (Work Group Member)
Clinician, Family Practice, Northwest Family Clinicians
National, Regional, Local Committee Affiliations: None
Guideline-Related Activities: Board member for Preferred One Clinicians Association Insurance Company with money paid to her. Board member for Minnesota Academy of Family Clinicians Foundation, unpaid
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None

John Wilkinson, MD (Work Group Leader)
Consultant, Department of Family Medicine, Assistant Professor of Family Medicine, Mayo Clinic and Mayo Foundation
National, Regional, Local Committee Affiliations: None
Guideline-Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None

Adaptation

This measure was not adapted from another source.

Date of Most Current Version in NQMC

2013 Sep

Measure Maintenance

Scientific documents are revised every 12 to 24 months as indicated by changes in clinical practice and literature.

Date of Next Anticipated Revision

The next scheduled revision will occur within 24 months.

Measure Status

This is the current release of the measure.

This measure updates a previous version: Wilkinson J, Bass C, Diem S, Gravley A, Harvey L, Hayes R, Johnson K, Maciosek M, McKeon K, Milteer L, Morgan J, Rothe P, Snellman L, Solberg L, Storlie C, Vincent P. Preventive services children and adolescents. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2012 Sep. 98 p.

The measure developer reaffirmed the currency of this measure in January 2016.

Source(s)

Wilkinson J, Bass C, Diem S, Gravley A, Harvey L, Maciosek M, McKeon K, Milteer L, Owens J, Rothe P, Snellman L, Solberg L, Vincent P. Preventive services for children and adolescents. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2013 Sep. 96 p. [229 references]

Measure Availability

Source available for purchase from the Institute for Clinical Systems Improvement (ICSI) Web site External Web Site Policy. Also available to ICSI members for free at the ICSI Web site External Web Site Policy and to Minnesota health care organizations free by request at the ICSI Web site External Web Site Policy.

For more information, contact ICSI at 8009 34th Avenue South, Suite 1200, Bloomington, MN 55425; Phone: 952-814-7060; Fax: 952-858-9675; Web site: www.icsi.org External Web Site Policy; E-mail: icsi.info@icsi.org.

NQMC Status

This NQMC summary was completed by ECRI Institute on January 29, 2013.

This NQMC summary was updated by ECRI Institute on February 24, 2014.

The information was reaffirmed by the measure developer on January 13, 2016.

Copyright Statement

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.

If the abstracted ICSI Measures are downloaded by an organization, copies may be distributed to the organization's employees but may not be distributed outside of the organization without the prior written consent of the Institute for Clinical Systems Improvement, Inc.

All other copyright rights in the abstracted ICSI Measures are reserved by the Institute for Clinical Systems Improvement, Inc. The Institute for Clinical Systems Improvement, Inc. assumes no liability for any adaptations or revisions or modifications made to the abstracts of the ICSI Measures.

NQMC Disclaimer

The National Quality Measures Clearinghouse™ (NQMC) does not develop, produce, approve, or endorse the measures represented on this site.

All measures summarized by NQMC and hosted on our site are produced under the auspices of medical specialty societies, relevant professional associations, public and private organizations, other government agencies, health care organizations or plans, individuals, and similar entities.

Measures represented on the NQMC Web site are submitted by measure developers, and are screened solely to determine that they meet the NQMC Inclusion Criteria.

NQMC, AHRQ, and its contractor ECRI Institute make no warranties concerning the content or its reliability and/or validity of the quality measures and related materials represented on this site. Moreover, the views and opinions of developers or authors of measures represented on this site do not necessarily state or reflect those of NQMC, AHRQ, or its contractor, ECRI Institute, and inclusion or hosting of measures in NQMC may not be used for advertising or commercial endorsement purposes.

Readers with questions regarding measure content are directed to contact the measure developer.

About NQMC Measure Summaries

NQMC provides structured summaries containing information about measures and their development.

Measure Summary FAQs

Related Content

NGC GUIDELINE SUMMARIES

  • NGC:010044
  • 1995 Jun (revised 2013 Sep)

Preventive services for children and adolescents.


Measure Summaries

New This Week

View more and sign up for our Newsletter

Get Adobe Reader