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  • Measure Summary
  • NQMC:008584
  • Jan 2013

Diagnosis and treatment of respiratory illness in children and adults: percentage of patients and/or parents of children with a viral upper-respiratory infection who receive home treatment education.

Snellman L, Adams W, Anderson G, Godfrey A, Gravley A, Johnson K, Marshall P, Myers C, Nesse R, Short S. Diagnosis and treatment of respiratory illness in children and adults. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2013 Jan. 86 p. [194 references]

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 treatment of respiratory illness in children and adults. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2011 Jan. 81 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 patients and/or parents of children with a viral upper-respiratory infection who receive home treatment education.

Rationale

The priority aim addressed by this measure is to increase the percentage of patients diagnosed with viral upper-respiratory infection who receive appropriate treatment.

Patients, parents and caregivers should be educated on prevention, comfort measures and treatment recommendations for the common cold. The goal is to provide solid, useful advice to patients without putting them at undue risk or expense. A number of investigators have found that health care consumer education resulted in appropriate self-care for the common cold specifically, or illness in general, with less unnecessary medical treatment and with lowered cost of care.

Evidence for Rationale

Roberts CR, Imrey PB, Turner JD, Hosokawa MC, Alster JM. Reducing physician visits for colds through consumer education. JAMA. 1983 Oct 21;250(15):1986-9. PubMed External Web Site Policy

Snellman L, Adams W, Anderson G, Godfrey A, Gravley A, Johnson K, Marshall P, Myers C, Nesse R, Short S. Diagnosis and treatment of respiratory illness in children and adults. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2013 Jan. 86 p. [194 references]

Terry PE, Pheley A. The effect of self-care brochures on use of medical services. J Occup Med. 1993 Apr;35(4):422-6. PubMed External Web Site Policy

Primary Health Components

Viral upper-respiratory infection; patient education; home treatment

Denominator Description

Patients with viral upper-respiratory infection diagnosis alone (see the related "Denominator Inclusions/Exclusions" field)

Numerator Description

Patients with viral upper-respiratory infection diagnosis alone who received home treatment education

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

Measurement Setting

Ambulatory/Office-based Care

Professionals Involved in Delivery of Health Services

Advanced Practice Nurses

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

Unspecified

Target Population Gender

Either male or female

National Quality Strategy Aim

Better Care

National Quality Strategy Priority

Person- and Family-centered Care
Prevention and Treatment of Leading Causes of Mortality

IOM Care Need

Getting Better

IOM Domain

Effectiveness

Patient-centeredness

Case Finding Period

The time frame pertaining to data collection is monthly.

Denominator Sampling Frame

Patients associated with provider

Denominator (Index) Event or Characteristic

Clinical Condition

Encounter

Denominator Time Window

Does not apply to this measure

Denominator Inclusions/Exclusions

Inclusions
Patients with viral upper-respiratory infection diagnosis alone

Population Definition: Children and adult patients with a visit to primary care (general internal medicine, pediatrics, family practice, urgent care) for viral upper-respiratory infection alone.

Exclusions
Unspecified

Exclusions/Exceptions

Unspecified

Numerator Inclusions/Exclusions

Inclusions
Patients with viral upper-respiratory infection diagnosis alone who received home treatment education

Exclusions
Unspecified

Numerator Search Strategy

Fixed time period or point in time

Data Source

Electronic health/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 patients and/or parents of children diagnosed with a viral upper-respiratory infection who receive home treatment education.

Measure Collection Name

Diagnosis and Treatment of Respiratory Illness in Children and Adults

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: Leonard Snellman, MD (Work Group Leader) (HealthPartners Medical Group) (Pediatrics); Sonja Short, MD (Fairview Health Services) (Internal Medicine and Pediatrics); Peter Marshall, PharmD (HealthPartners Medical Group and Regions Hospital) (Pharmacy); Greg Anderson, MD (Mayo Clinic) (Family Practice); Andrea Gravley, RN, MAN, CPNP (South Lake Pediatrics) (Pediatrics); Ramona Nesse, RN, C-NP (Stillwater Medical Group and Lakeview Hospital) (Family Practice); William Adams (Patient/Family Representative); Ann Godfrey (Patient/Family Representative); Kari Johnson, RN (Institute for Clinical Systems Improvement) (Clinical Systems Improvement Facilitator); Cassie Myers (Institute for Clinical Systems Improvement) (Clinical Systems Improvement Facilitator)

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

William Adams (Work Group Member)
ICSI Patient Advisory Council Member, ICSI
National, Regional, Local Committee Affiliations: None
Guideline Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None

Greg Anderson, MD (Work Group Member)
Physician, Family Medicine
National, Regional, Local Committee Affiliations: None
Guideline Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None

Ann Godfrey (Work Group Member)
ICSI Patient Advisory Council Member, ICSI
National, Regional, Local Committee Affiliations: None
Guideline Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None

Andrea Gravley, RN, MAN, CPNP (Work Group Member)
Nurse Practitioner, Pediatrics, South Lake Pediatrics
National, Regional, Local Committee Affiliations: None
Guideline Related Activities: ICSI Preventive Services Guideline
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None

Peter Marshall, PharmD (Work Group Member)
Pharmacist, HealthPartners HealthPlan, Pharmacy Services
National, Regional, Local Committee Affiliations: None
Guideline Related Activities: ICSI Diagnosis and Treatment of Venous Thromboembolism
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None

Ramona Nesse, RN, C-NP (Work Group Member)
Nurse Practitioner, Family Medicine, Stillwater Medical Group and Lakeview Hospital
National, Regional, Local Committee Affiliations: None
Guideline Related Activities: None
Research Grants: None
Financial/Non-Financial Conflicts of Interest: None

Sonja Short, MD (Work Group Member)
Physician, Internal Medicine and Pediatrics, Fairview Health Services-Eagan Clinic
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 Leader)
Physician, Pediatrics, HealthPartners Medical Group and Regions Hospital
National, Regional, Local Committee Affiliations: None
Guideline Related Activities: ICSI Preventive Services Guideline
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 Jan

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: Institute for Clinical Systems Improvement (ICSI). Diagnosis and treatment of respiratory illness in children and adults. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2011 Jan. 81 p.

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

Source(s)

Snellman L, Adams W, Anderson G, Godfrey A, Gravley A, Johnson K, Marshall P, Myers C, Nesse R, Short S. Diagnosis and treatment of respiratory illness in children and adults. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2013 Jan. 86 p. [194 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 August 5, 2004.

The summary was updated by ECRI Institute on April 4, 2007 and on June 18, 2008.

This NQMC summary was retrofitted into the new template on July 20, 2011.

This NQMC summary was updated by ECRI Institute on December 12, 2011 and again on August 23, 2013.

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.

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