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  • Measure Summary
  • NQMC:003154
  • Sep 2010

Otitis media with effusion (OME): percentage of patients aged 2 months through 12 years with a diagnosis of OME who received tympanostomy tube insertion who had a hearing test performed within 6 months prior to tympanostomy tube insertion.

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 months through 12 years with a diagnosis of otitis media with effusion (OME) who received tympanostomy tube insertion who had a hearing test performed within 6 months prior to tympanostomy tube insertion.

Rationale

Otitis media with effusion (OME) is often accompanied by hearing loss which can impair early language acquisition, especially in severe cases which often necessitate tympanostomy tube insertion. Therefore, it is imperative that any patient for whom tympanostomy tube insertion is indicated have their hearing tested.*

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

Hearing testing is recommended when OME persists for 3 months or longer, or at any time that language delay, learning problems, or a significant hearing loss is suspected in a child with OME. (American Academy of Family Physicians/American Academy of Ophthalmology-Head and Neck Surgery Foundation/American Academy of Pediatrics [AAFP/AAO-HNSF/AAP])

Evidence for Rationale

American Academy of Family Physicians, American Academy of Otolaryngology-Head and Neck Surgery, American Academy of Pediatrics Subcommittee on Otitis Media with Effusion. Otitis media with effusion. Pediatrics. 2004 May;113(5):1412-29. [172 references] PubMed External Web Site Policy

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]

Primary Health Components

Otitis media with effusion (OME); hearing test; tympanostomy tube insertion

Denominator Description

All patients aged 2 months through 12 years with a diagnosis of otitis media with effusion (OME) who received tympanostomy tube insertion (see the related "Denominator Inclusions/Exclusions" field)

Numerator Description

Patients who had a hearing test performed within 6 months prior to tympanostomy tube insertion

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

Professional certification

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 2 months through 12 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

Encounter

Patient/Individual (Consumer) Characteristic

Therapeutic Intervention

Denominator Time Window

Does not apply to this measure

Denominator Inclusions/Exclusions

Inclusions
All patients aged 2 months through 12 years with a diagnosis of otitis media with effusion (OME) who received tympanostomy tube insertion

Exclusions

  • Documentation of medical reason(s) for not performing a hearing test within 6 months prior to tympanostomy tube insertion
  • Documentation of system reason(s) for not performing a hearing test within 6 months prior to tympanostomy tube insertion

Exclusions/Exceptions

Medical factors addressed

System factors addressed

Numerator Inclusions/Exclusions

Inclusions
Patients who had a hearing test performed within 6 months prior to tympanostomy tube insertion

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 #5 - otitis media with effusion: hearing testing.

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.

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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