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## Complete Summary

#### TITLE

Uncomplicated urinary tract infection in women: percentage of women
reporting satisfaction with their management of uncomplicated urinary
tract infection (UTI) (patient survey).

#### SOURCE(S)

Institute for Clinical Systems Improvement (ICSI). Uncomplicated urinary
tract infection in women. Bloomington (MN): Institute for Clinical
Systems Improvement (ICSI); 2006 Jul. 21 p. \[34 references\]

### Measure Domain

#### PRIMARY MEASURE DOMAIN

Patient Experience

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 assesses the percentage of women reporting satisfaction
with their management of uncomplicated urinary tract infection (UTI).

#### RATIONALE

The priority aim addressed by this measure is to increase patient
satisfaction with management of uncomplicated urinary tract infection
(UTI).

#### PRIMARY CLINICAL COMPONENT

Uncomplicated urinary tract infection (UTI); management; patient
satisfaction

#### DENOMINATOR DESCRIPTION

Total number of women ages 18 to 65 with uncomplicated urinary tract
infection (UTI) responding to survey (see the related \"Denominator
Inclusions/Exclusions\" field in the Complete Summary)

#### NUMERATOR DESCRIPTION

Number of women reporting satisfaction with their management of
uncomplicated urinary tract infection (UTI) (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

-   [Uncomplicated urinary tract infection in
    women.](http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=9657)

### 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 18 to 65 years

#### TARGET POPULATION GENDER

Female (only)

#### 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

Patient-centeredness

### Data Collection for the Measure

#### CASE FINDING

Users of care only

#### DESCRIPTION OF CASE FINDING

Women ages 18 to 65 with uncomplicated urinary tract infection (UTI)

Medical groups should define women ages 18 to 65 with an encounter for
uncomplicated UTI (including telephone treatment or a provider visit)
from telephone logs, databases, schedules, or whatever method they
devise. A random sample of patients \"seen\" (by telephone or provider
visit) for this diagnosis during the month will be selected.

It is suggested that patients are surveyed within a short time after
telephone treatment or a provider visit for uncomplicated UTI, ideally
not longer than one month.

#### DENOMINATOR SAMPLING FRAME

Patients associated with provider

#### DENOMINATOR INCLUSIONS/EXCLUSIONS

**Inclusions**\
Total number of women ages 18 to 65 with uncomplicated urinary tract
infection (UTI)\* responding to survey

\*A UTI is defined by the International Classification of Diseases,
Ninth Revision (ICD-9) codes of 595, 595.0, 595.2, 595.3, 595.8, 595.89,
595.9, 599, 599.0.

**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\
Encounter\
Therapeutic Intervention

#### DENOMINATOR TIME WINDOW

Time window is a single point in time

#### NUMERATOR INCLUSIONS/EXCLUSIONS

**Inclusions**\
Number of women reporting satisfaction with their management of
uncomplicated urinary tract infection (UTI)\*

\*Patients can be contacted by telephone or mailed a survey to inquire
about their satisfaction with treatment for uncomplicated UTI. A brief
(3-4 questions) survey could include questions about:

-   whether women were satisfied with being prescribed treatment over
    the telephone

-   whether women understood they had the option to receive treatment at
    a clinic visit

-   whether women received education material (by phone, from the
    pharmacy, or by mail) about prescribed therapy, prevention
    techniques, and the need to return to the clinic if symptoms persist

-   overall satisfaction with their treatment for uncomplicated UTI

**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

Administrative data\
Medical record\
Patient survey

#### LEVEL OF DETERMINATION OF QUALITY

Not 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 women reporting satisfaction with their management of
uncomplicated UTI (patient survey).

#### MEASURE COLLECTION

[Uncomplicated Urinary Tract Infection in Women
Measures](http://www.qualitymeasures.ahrq.gov/Browse/DisplayOrganization.aspx?org_id=26&doc=4515)

#### DEVELOPER

Institute for Clinical Systems Improvement

#### ADAPTATION

Measure was not adapted from another source.

#### RELEASE DATE

2002 Nov

#### REVISION DATE

2006 Jul

#### MEASURE STATUS

This is the current release of the measure.

This measure updates a previous version: Institute for Clinical Systems
Improvement (ICSI). Uncomplicated urinary tract infection in women.
Bloomington (MN): Institute for Clinical Systems Improvement (ICSI);
2004 July. 21 p.

#### SOURCE(S)

Institute for Clinical Systems Improvement (ICSI). Uncomplicated urinary
tract infection in women. Bloomington (MN): Institute for Clinical
Systems Improvement (ICSI); 2006 Jul. 21 p. \[34 references\]

#### MEASURE AVAILABILITY

The individual measure, \"Percentage of women reporting satisfaction
with their management of uncomplicated UTI (patient survey),\" is
published in \"Health Care Guideline: Uncomplicated Urinary Tract
Infection in Women.\" 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 February 9, 2004. This
summary was updated by ECRI on October 11, 2004 and again on September
11, 2006.

#### 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.

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© 2008 National Quality Measures Clearinghouse

Date Modified: 11/3/2008