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## Complete Summary

#### TITLE

Diagnosis and management of asthma: percentage of adults with
uncontrolled asthma who are on inhaled corticosteroids medication.

#### SOURCE(S)

Institute for Clinical Systems Improvement (ICSI). Diagnosis and
management of asthma. Bloomington (MN): Institute for Clinical Systems
Improvement (ICSI); 2008 Jan. 69 p. \[83 references\]

### Measure Domain

#### PRIMARY MEASURE DOMAIN

Process

The validity of measures depends on how they are built. By examining the
key building blocks of a measure, you can assess its validity for your
purpose. For more information, visit the [Measure
Validity](http://www.qualitymeasures.ahrq.gov/resources/measure_domains.aspx)
page.

#### SECONDARY MEASURE DOMAIN

Does not apply to this measure

### Brief Abstract

#### DESCRIPTION

This measure is used to assess the percentage of adults with
uncontrolled asthma who are on inhaled corticosteroids medication.

#### RATIONALE

The priority aim addressed by this measure is to promote long-term
control of asthma through the use of inhaled corticosteroid drug
therapy.

#### PRIMARY CLINICAL COMPONENT

Uncontrolled asthma; inhaled corticosteroids medication

#### DENOMINATOR DESCRIPTION

Number of adults with uncontrolled asthma\* who were continuously
enrolled for six months

\*Adults with a diagnosis code of 493.00, 493.01, 493.10, 493.11,
493.90, or 493.91.

#### NUMERATOR DESCRIPTION

Number of adults in the denominator who have one or more prescriptions
filled for inhaled anti-inflammatory corticosteroids medications

### Evidence Supporting the Measure

#### EVIDENCE SUPPORTING THE CRITERION OF QUALITY

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

#### NATIONAL GUIDELINE CLEARINGHOUSE LINK

-   [Diagnosis and management of
    asthma.](http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=12293)

### Evidence Supporting Need for the Measure

#### NEED FOR THE MEASURE

Unspecified

### State of Use of the Measure

#### STATE OF USE

Current routine use

#### CURRENT USE

Internal quality improvement

### Application of Measure in its Current Use

#### CARE SETTING

Physician Group Practices/Clinics

#### PROFESSIONALS RESPONSIBLE FOR HEALTH CARE

Physicians

#### LOWEST LEVEL OF HEALTH CARE DELIVERY ADDRESSED

Group Clinical Practices

#### TARGET POPULATION AGE

Adults

#### TARGET POPULATION GENDER

Either male or female

#### STRATIFICATION BY VULNERABLE POPULATIONS

Unspecified

### Characteristics of the Primary Clinical Component

#### INCIDENCE/PREVALENCE

Unspecified

#### ASSOCIATION WITH VULNERABLE POPULATIONS

Unspecified

#### BURDEN OF ILLNESS

Unspecified

#### UTILIZATION

Unspecified

#### COSTS

Unspecified

### Institute of Medicine National Healthcare Quality Report Categories

#### IOM CARE NEED

Living with Illness

#### IOM DOMAIN

Effectiveness

### Data Collection for the Measure

#### CASE FINDING

Users of care only

#### DESCRIPTION OF CASE FINDING

Adults with uncontrolled asthma, continuously enrolled for six months

Data may be collected electronically using the pharmacy database, the
claims/encounter database or the enrollment database.

It is suggested that data are collected quarterly.

#### DENOMINATOR SAMPLING FRAME

Patients associated with provider

#### DENOMINATOR INCLUSIONS/EXCLUSIONS

**Inclusions**\
Number of adults with uncontrolled asthma\* who were continuously
enrolled for six months

\*Adults with a diagnosis code of 493.00, 493.01, 493.10, 493.11,
493.90, or 493.91.

**Exclusions**\
Unspecified

#### RELATIONSHIP OF DENOMINATOR TO NUMERATOR

All cases in the denominator are equally eligible to appear in the
numerator

#### DENOMINATOR (INDEX) EVENT 

Clinical Condition

#### DENOMINATOR TIME WINDOW

Time window is a fixed period of time

#### NUMERATOR INCLUSIONS/EXCLUSIONS

**Inclusions**\
Number of adults in the denominator who have one or more prescriptions
filled for inhaled anti-inflammatory corticosteroids medications

**Exclusions**\
Unspecified

#### MEASURE RESULTS UNDER CONTROL OF HEALTH CARE PROFESSIONALS, ORGANIZATIONS AND/OR POLICYMAKERS

The measure results are somewhat or substantially under the control of
the health care professionals, organizations and/or policymakers to whom
the measure applies.

#### NUMERATOR TIME WINDOW

Episode of care

#### DATA SOURCE

Administrative data\
Pharmacy data

#### LEVEL OF DETERMINATION OF QUALITY

Individual Case

#### PRE-EXISTING INSTRUMENT USED

Unspecified

### Computation of the Measure

#### SCORING

Rate

#### INTERPRETATION OF SCORE

Better quality is associated with a higher score

#### ALLOWANCE FOR PATIENT FACTORS

Unspecified

#### STANDARD OF COMPARISON

Internal time comparison

### Evaluation of Measure Properties

#### EXTENT OF MEASURE TESTING

Unspecified

### Identifying Information

#### ORIGINAL TITLE

Percentage of adults with uncontrolled asthma who are on inhaled
corticosteroids medication.

#### MEASURE COLLECTION

[Diagnosis and Management of Asthma
Measures](http://www.qualitymeasures.ahrq.gov/Browse/DisplayOrganization.aspx?org_id=26&doc=7183)

#### DEVELOPER

Institute for Clinical Systems Improvement

#### ADAPTATION

Measure was not adapted from another source.

#### RELEASE DATE

2005 Mar

#### REVISION DATE

2008 Jan

#### MEASURE STATUS

This is the current release of the measure.

This measure updates a previous version: Institute for Clinical Systems
Improvement (ICSI). Diagnosis and outpatient management of asthma.
Bloomington (MN): Institute for Clinical Systems Improvement (ICSI);
2005 Mar. 49 p.

#### SOURCE(S)

Institute for Clinical Systems Improvement (ICSI). Diagnosis and
management of asthma. Bloomington (MN): Institute for Clinical Systems
Improvement (ICSI); 2008 Jan. 69 p. \[83 references\]

#### MEASURE AVAILABILITY

The individual measure, \"Percentage of Adults with Uncontrolled Asthma
Who Are on Inhaled Corticosteroids Medication,\" is published in
\"Health Care Guideline: Diagnosis and Management of Asthma.\" This
document is available from the [Institute for Clinical Systems
Improvement (ICSI) Web
site](http://www.icsi.org/guidelines_and_more/guidelines__order_sets___protocols/).

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](http://www.icsi.org/); e-mail:
<icsi.info@icsi.org>.

#### NQMC STATUS

This NQMC summary was completed by ECRI on June 3, 2005. This NQMC
summary was updated by ECRI Institute on June 24, 2008.

#### 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
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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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#### NQMC DISCLAIMER

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© 2008 National Quality Measures Clearinghouse

Date Modified: 11/3/2008