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## Complete Summary

#### TITLE

Diagnosis and treatment of respiratory illness in children and adults:
percentage of encounters for cold symptoms (phone care and/or office
visits) for which there is documentation of home treatment education.

#### SOURCE(S)

Institute for Clinical Systems Improvement (ICSI). Diagnosis and
treatment of respiratory illness in children and adults. Bloomington
(MN): Institute for Clinical Systems Improvement (ICSI); 2008 Jan. 71 p.
\[175 references\]

### 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 encounters for cold
symptoms (phone care and/or office visits) for which there is
documentation of home treatment education.

#### RATIONALE

The priority aim addressed by this measure is to increase
patient/caregiver knowledge of effective home treatment of cold
symptoms.

#### PRIMARY CLINICAL COMPONENT

Viral upper respiratory infection; cold symptoms; patient education

#### DENOMINATOR DESCRIPTION

Number of patients with cold symptoms whose medical records are reviewed
(see the related \"Denominator Inclusions/Exclusions\" field in the
Complete Summary)

#### NUMERATOR DESCRIPTION

Number of records with documentation of home treatment education (see
the related \"Numerator Inclusions/Exclusions\" field in the Complete
Summary)

### 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 treatment of respiratory illness in children and
    adults.](http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=12294)

### 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

Age greater than or equal to 3 months

#### 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

Getting Better

#### IOM DOMAIN

Effectiveness\
Patient-centeredness

### Data Collection for the Measure

#### CASE FINDING

Users of care only

#### DESCRIPTION OF CASE FINDING

Patients with a call or visit to primary care (General Internal
Medicine, Pediatrics, Family Practice, Urgent Care) for cold symptoms.

Data will be collected through medical record review. A minimum of 20
charts per month per medical group is recommended.

Suggested data collection time frame is monthly.

#### DENOMINATOR SAMPLING FRAME

Patients associated with provider

#### DENOMINATOR INCLUSIONS/EXCLUSIONS

**Inclusions**\
Number of patients with cold symptoms whose medical records are
reviewed\*

\*All patients with an encounter by phone or office visit to primary
care with one or more of the following symptoms: cold, cough, sneezing,
runny nose, congestion, sniffles (or upper respiratory infection \[URI\]
or viral upper respiratory infection noted) as the presenting
complaint(s).

**Exclusions**\
If the impression and/or discharge diagnosis in the medical record is
sinusitis, do NOT include in denominator.

#### RELATIONSHIP OF DENOMINATOR TO NUMERATOR

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

#### DENOMINATOR (INDEX) EVENT 

Clinical Condition\
Encounter

#### DENOMINATOR TIME WINDOW

Time window is a single point in time

#### NUMERATOR INCLUSIONS/EXCLUSIONS

**Inclusions**\
Number of records with documentation of home treatment education\*

\*Documented is defined as any evidence in the medical record that
education or educational materials were provided to the patient or
parent or caregiver related to any of the following:

-   Prevention of viral upper respiratory infection

-   Frequency, symptoms, and natural course of viral upper respiratory
    infection

-   Treatment recommendations, including comfort measures

-   Callback instructions

**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

Encounter or point in time

#### DATA SOURCE

Medical record

#### 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 encounters for cold symptoms (phone care and/or office
visits) for which there is documentation of home treatment education.

#### MEASURE COLLECTION

[Diagnosis and Treatment of Respiratory Illness in Children and Adults
Measures](http://www.qualitymeasures.ahrq.gov/Browse/DisplayOrganization.aspx?org_id=26&doc=10624)

#### DEVELOPER

Institute for Clinical Systems Improvement

#### ADAPTATION

Measure was not adapted from another source.

#### RELEASE DATE

2004 May

#### 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 treatment of respiratory illness in
children and adults. Bloomington (MN): Institute for Clinical Systems
Improvement (ICSI); 2007 Jan. 71 p.

#### SOURCE(S)

Institute for Clinical Systems Improvement (ICSI). Diagnosis and
treatment of respiratory illness in children and adults. Bloomington
(MN): Institute for Clinical Systems Improvement (ICSI); 2008 Jan. 71 p.
\[175 references\]

#### MEASURE AVAILABILITY

The individual measure, \"Percentage of Encounters for Cold Symptoms
(Phone Care and/or Office Visits) for which There is Documentation of
Home Treatment Education,\" is published in \"Health Care Guideline:
Diagnosis and Treatment of Respiratory Illness in Children and Adults.\"
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 Institute on August 5, 2004. The
summary was updated by ECRI Institute on April 4, 2007 and again on June
18, 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
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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
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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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© 2008 National Quality Measures Clearinghouse

Date Modified: 11/3/2008