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  • Measure Summary
  • NQMC:003150
  • Sep 2010
  • NQF-Endorsed Measure

Acute otitis externa (AOE): percentage of patients aged 2 years and older with a diagnosis of AOE who were prescribed topical preparations.

American Academy of Otolaryngology – Head and Neck Surgery Foundation, Physician Consortium for Performance Improvement®. Acute otitis externa (AOE)/otitis media with effusion (OME) physician performance measurement set. Chicago (IL): American Medical Association (AMA); 2010 Sep. 22 p. [4 references]

This is the current release of the measure.

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 patients aged 2 years and older with a diagnosis of acute otitis externa (AOE) who were prescribed topical preparations.

Rationale

Topical preparations should be used to treat acute otitis externa (AOE) as they are active against the most common bacterial pathogens in AOE, Pseudomonas aeruginosa and Staphylococcus aureus. Topical preparations have demonstrated efficacy in the treatment of AOE with resolution in about 65-90% of patients.*

*The following clinical recommendation statements are quoted verbatim from the referenced clinical guidelines and represent the evidence base for the measure:

Clinicians should use topical preparations for initial therapy of diffuse, uncomplicated AOE. (Recommendation based on randomized controlled trials with minor limitations and a preponderance of benefit over harm.) (American Academy of Otolaryngology - Head and Neck Surgery Foundation [AAO-HNSF])

Evidence for Rationale

American Academy of Otolaryngology – Head and Neck Surgery Foundation, Physician Consortium for Performance Improvement®. Acute otitis externa (AOE)/otitis media with effusion (OME) physician performance measurement set. Chicago (IL): American Medical Association (AMA); 2010 Sep. 22 p. [4 references]

Rosenfeld RM, Brown L, Cannon CR, Dolor RJ, Ganiats TG, Hannley M, Kokemueller P, Marcy SM, Roland PS, Shiffman RN, Stinnett SS, Witsell DL, American Academy of Otolaryngology--Head and Neck Surgery Foundation. Clinical practice guideline: acute otitis externa. Otolaryngol Head Neck Surg. 2006 Apr;134(4 Suppl):S4-23. [137 references] PubMed External Web Site Policy

Primary Health Components

Acute otitis externa (AOE); topical preparations

Denominator Description

All patients aged 2 years and older with a diagnosis of acute otitis externa (AOE) (see the related "Denominator Inclusions/Exclusions" field)

Numerator Description

Patients who were prescribed topical preparations (see the related "Numerator Inclusions/Exclusions" field)

Type of Evidence Supporting the Criterion of Quality for the Measure

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

Additional Information Supporting Need for the Measure

Unspecified

Extent of Measure Testing

Unspecified

State of Use

Current routine use

Current Use

Internal quality improvement

Pay-for-reporting

Professional certification

Public reporting

Measurement Setting

Ambulatory/Office-based Care

Professionals Involved in Delivery of Health Services

Physicians

Least Aggregated Level of Services Delivery Addressed

Individual Clinicians or Public Health Professionals

Statement of Acceptable Minimum Sample Size

Unspecified

Target Population Age

Age greater than or equal to 2 years

Target Population Gender

Either male or female

National Quality Strategy Aim

Better Care

National Quality Strategy Priority

Prevention and Treatment of Leading Causes of Mortality

IOM Care Need

Getting Better

IOM Domain

Effectiveness

Case Finding Period

Unspecified

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
All patients aged 2 years and older with a diagnosis of acute otitis externa (AOE)

Exclusions

  • Documentation of medical reason(s) for not prescribing topical preparations (e.g., coexisting acute otitis media, tympanic membrane perforation)
  • Documentation of patient reason(s) for not prescribing topical preparations

Exclusions/Exceptions

Medical factors addressed

Patient factors addressed

Numerator Inclusions/Exclusions

Inclusions
Patients who were prescribed* topical preparations

*Prescribed: May include prescription given to the patient for topical preparations at one or more visits during the episode of AOE OR patient already receiving topical preparations as documented in the current medication list.

Exclusions
None

Numerator Search Strategy

Fixed time period or point in time

Data Source

Administrative clinical data

Electronic health/medical record

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

Measure #1 - acute otitis externa: topical therapy.

Measure Collection Name

Acute Otitis Externa (AOE)/Otitis Media with Effusion (OME) Physician Performance Measurement Set

Submitter

American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS) Foundation - Medical Specialty Society

Developer

American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS) Foundation - Medical Specialty Society

Physician Consortium for Performance Improvement® - Clinical Specialty Collaboration

Funding Source(s)

Unspecified

Composition of the Group that Developed the Measure

Allan S. Lieberthal, MD, FAAP (Co-Chair); Richard M. Rosenfeld, MD, MPH (Co-Chair); Brian L. Bachelder, MD; Karen Jo Doyle, MD, PhD; Cynthia P. Helstad, PhD, RN; Rahul Khare, MD, FACEP; Steve I. Pelton, MD; Peter S. Roland, MD; Xavier Sevilla, MD; David L. Witsell, MD, MHS

Stacie Jones, MPH, American Academy of Otolaryngology - Head and Neck Surgery Foundation

Junelle Speller, American Academy of Pediatrics; Keri Thiessen, MEd, American Academy of Pediatrics

Angela Franklin, Esq, American College of Emergency Physicians

Karen Kmetik, PhD, American Medical Association; Samantha Tierney, MPH, American Medical Association

Susan Nedza, MD, MBA, FACEP, Centers for Medicare & Medicaid Services; Sylvia Publ, MBA, RHIA, Centers for Medicare & Medicaid Services

Rebecca Kresowik, Consortium Consultant; Timothy F. Kresowik, MD, Consortium Consultant

Financial Disclosures/Other Potential Conflicts of Interest

Conflicts, if any, are disclosed in accordance with the Physician Consortium for Performance Improvement® conflict of interest policy.

Endorser

National Quality Forum

NQF Number

0653

Date of Endorsement

2011 Aug 4

Measure Initiative(s)

Physician Quality Reporting System

Adaptation

This measure was not adapted from another source.

Date of Most Current Version in NQMC

2010 Sep

Measure Maintenance

Unspecified

Date of Next Anticipated Revision

Unspecified

Measure Status

This is the current release of the measure.

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

Source(s)

American Academy of Otolaryngology – Head and Neck Surgery Foundation, Physician Consortium for Performance Improvement®. Acute otitis externa (AOE)/otitis media with effusion (OME) physician performance measurement set. Chicago (IL): American Medical Association (AMA); 2010 Sep. 22 p. [4 references]

Measure Availability

Source not available electronically.

For more information, contact the American Academy of Otolaryngology—Head and Neck Surgery Foundation (AAO-HNSF) at 1650 Diagonal Road, Alexandria, VA 22314-2857; Phone: 703-836-4444; Web site: www.entnet.org External Web Site Policy.

NQMC Status

This NQMC summary was completed by ECRI Institute on January 16, 2008. The information was verified by the measure developer on February 18, 2008.

This NQMC summary was retrofitted into the new template on May 4, 2011.

This NQMC summary was edited by ECRI Institute on April 27, 2012.

The information was reaffirmed by the measure developer on January 12, 2016.

Copyright Statement

This NQMC summary is based on the original measure, which is subject to the measure developer's copyright restrictions.

The American Academy of Otolaryngology—Head and Neck Surgery Foundation's (AAO-HNSF) limitations as contained on the AAO-HNSF Web site External Web Site Policy, which contains the following information:

"By accessing this Web site, you agreeing to be bound by these Web site Terms and Conditions of Use, all applicable laws and regulations, and agree that you are responsible for compliance with any applicable local laws. If you do not agree with any of these terms, you are prohibited from using or accessing this site. The materials contained on this Web site are protected by applicable copyright and trade mark laws."

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