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  • Measure Summary
  • NQMC:010694
  • Jan 2016

Diagnosis and management of chronic obstructive pulmonary disease (COPD): percentage of COPD patients who require hospital admission/readmission for COPD-related exacerbations in one month.

Institute for Clinical Systems Improvement (ICSI). Quality improvement support: diagnosis and management of chronic obstructive pulmonary disease (COPD). Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2016 Jan. 14 p.

View the original measure documentation External Web Site Policy

This is the current release of the measure.

This measure updates a previous version: Institute for Clinical Systems Improvement (ICSI). Diagnosis and management of chronic obstructive pulmonary disease (COPD). Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2013 Mar. 68 p.

Primary Measure Domain

Related Health Care Delivery Measures: Use of Services

Secondary Measure Domain

Clinical Quality Measure: Access

Description

This measure is used to assess the percentage of chronic obstructive pulmonary disease (COPD) patients age 18 years and older who require hospital admission/readmission for COPD-related exacerbations in one month.

Rationale

The priority aim addressed by this measure is to decrease the percentage of chronic obstructive pulmonary disease (COPD) patients who have exacerbation requiring emergency department evaluation or hospital admission.

The Institute for Clinical Systems Improvement (ICSI) has endorsed with qualifications the Veteran's Affairs/Department of Defense (VA/DoD) Clinical Practice Guideline for the Management of Chronic Obstructive Pulmonary Disease. Refer to the Qualifications Table: Diagnosis and Management of Chronic Obstructive Pulmonary Disease (COPD) External Web Site Policy for recommendation statements.

Evidence for Rationale

Institute for Clinical Systems Improvement (ICSI). Quality improvement support: diagnosis and management of chronic obstructive pulmonary disease (COPD). Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2016 Jan. 14 p.

Primary Health Components

Chronic obstructive pulmonary disease (COPD); exacerbations; hospitalization

Denominator Description

Number of patients with chronic obstructive pulmonary disease (COPD) diagnosis (see the related "Denominator Inclusions/Exclusions" field)

Numerator Description

Number of patients with chronic obstructive pulmonary disease (COPD) who were hospitalized for COPD-related exacerbations in one month

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
  • A systematic review of the clinical research literature (e.g., Cochrane Review)
  • One or more research studies published in a National Library of Medicine (NLM) indexed, peer-reviewed journal

Additional Information Supporting Need for the Measure

Unspecified

Extent of Measure Testing

Unspecified

State of Use

Current routine use

Current Use

Monitoring and planning

Measurement Setting

Ambulatory/Office-based Care

Hospital Inpatient

Professionals Involved in Delivery of Health Services

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 greater than or equal to 18 years

Target Population Gender

Either male or female

IOM Care Need

Not within an IOM Care Need

IOM Domain

Not within an IOM Domain

Case Finding Period

The time frame pertaining to data collection is weekly, monthly, quarterly or 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 patients with chronic obstructive pulmonary disease (COPD) diagnosis

Population Definition: Patients 18 years and older.

Exclusions
Unspecified

Exclusions/Exceptions

Does not apply to this measure

Numerator Inclusions/Exclusions

Inclusions
Number of patients with chronic obstructive pulmonary disease (COPD) who were hospitalized for COPD-related exacerbations in one month

Exclusions
Unspecified

Numerator Search Strategy

Institutionalization

Data Source

Electronic health/medical record

Type of Health State

Proxy for Health State

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 lower score

Allowance for Patient or Population Factors

Unspecified

Standard of Comparison

Internal time comparison

Original Title

Percentage of COPD patients who require hospital admission/readmission for COPD-related exacerbations in one month.

Measure Collection Name

Diagnosis and Management of Chronic Obstructive Pulmonary Disease (COPD)

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 three sponsoring health plans in Minnesota.

Composition of the Group that Developed the Measure

Work Group Members: Blair Anderson, MD (Work Group Leader); Heather Brown, APRN, CNP; Elliot Bruhl, MD, FAAFP; Kimberly Bryant, APRN, CNP; Kristen Conner, MSN, CNP; Dawn Kaderabek, APRN, CNP; George Kerestes, MD; Michelle Kuehn, RRT; Kaiser Lim, MD; Kristelle Mrosak, BAH, RRT; Shama Raikar, MD; Tiffany Rickbeil, MD; Heidi Schultz, PharmD, BCACP; Kathryn Westman, RN, MS, APRN

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

Blair Anderson, MD (Work Group Leader)
Pulmonology, HealthPartners Medical Group and Regions Hospital
Guideline-Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None

Heather Brown, APRN, CNP (Work Group Member)
Family Nurse Practitioner, Essentia Health
Guideline-Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None

Elliot Bruhl, MD, FAAFP (Work Group Member)
Senior Associate Consultant, Family Medicine, Mayo Clinic
Guideline-Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None

Kimberly Bryant, APRN, CNP (Work Group Member)
Nurse Practitioner Instructor in Surgery, Dept. of Medicine, Family Medicine, Mayo Clinic
Guideline-Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None

Kristen Conner, BSN, MSN (Work Group Member)
Nurse Practitioner, North Memorial Health Care
Guideline-Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None

Dawn Kaderabek (Work Group Member)
Family Medicine/Retail Care, Mayo Clinic
Guideline-Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: Received payment from Haymarket Media for a magazine article on OTC medications and the interactions with prescription medications

George Kerestes, MD (Work Group Member)
Physician, Family Medicine, Allina Medical Clinic
Guideline-Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None

Michelle Kuehn, RRT (Work Group Member)
Clinical Supervisor, Respiratory Care, HealthEast Care System
Guideline-Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None

Kaiser Lim, MD (Work Group Member)
Consultant, Pulmonology, Mayo Clinic
Guideline-Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None

Kristelle Mrosak, BAH, RRT (Work Group Member)
Respiratory Care, Pulmonary Rehab Coordinator, Park Nicollet Health Services
Guideline-Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None

Shama Raikar, MD (Work Group Member)
Internal Medicine, HealthPartners Medical Group and Regions Hospital
Guideline-Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None

Tiffany Rickbeil, MD (Work Group Member)
Internal Medicine, CentraCare Health System
Guideline-Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None

Heidi Schultz, PharmD, BCACP (Work Group Member)
MTM Pharmacist, Fairview Health Services
Guideline-Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None

Kathryn Westman, RN, MS, APRN (Work Group Member)
Clinical Nurse Specialist, Adult Medicine, Allina Health
Guideline-Related Activities: ICSI Heart Failure in Adults Guideline Work Group
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

2016 Jan

Measure Maintenance

Unspecified

Date of Next Anticipated Revision

Unspecified

Measure Status

This is the current release of the measure.

This measure updates a previous version: Institute for Clinical Systems Improvement (ICSI). Diagnosis and management of chronic obstructive pulmonary disease (COPD). Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2013 Mar. 68 p.

Source(s)

Institute for Clinical Systems Improvement (ICSI). Quality improvement support: diagnosis and management of chronic obstructive pulmonary disease (COPD). Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2016 Jan. 14 p.

Measure Availability

Source available from the Institute for Clinical Systems Improvement (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 July 18, 2012.

This NQMC summary was updated by ECRI Institute on August 27, 2013, and again on May 6, 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.

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