Assessment of acute otitis externa and otitis media with effusion performance measures in otolaryngology practices.

Journal Article (Journal Article;Multicenter Study)

OBJECTIVE: To evaluate the acute otitis externa and otitis media with effusion performance measure sets in a clinical setting and provide preliminary data on measure compliance. STUDY DESIGN AND SETTING: Quality improvement study. SUBJECTS AND METHODS: Convenience sampling (N = 84) was performed at five sites of ENT and Allergy Associates, LLC. RESULTS: Physicians reported prescribing topical antibiotic preparations and assessing for auricular or periauricular pain in 98% of acute otitis externa cases (N = 55). In addition, 87% did not prescribe systemic antimicrobials. Pneumatic otoscopy was used by 76% of physicians as a method for otitis media with effusion diagnosis and 10% administered a hearing test within 6 months before tympanostomy tube placement (N = 29). Furthermore, as recommended, 86% did not prescribe decongestants or antihistamines whereas 93% and 90% did not prescribe antimicrobials or systemic steroids, respectively. CONCLUSION: Although compliance in this study was generally high across both measure sets, actual use of the face sheet forms for appropriate patients was lower than the 80% reporting mandate by the Centers for Medicare and Medicaid Services that allows physicians to receive the monetary bonus. Incentive-based reporting should be continuously investigated to assess challenges for evaluating current measures.

Full Text

Duke Authors

Cited Authors

  • Patel, MM; Eisenberg, L; Witsell, D; Schulz, KA

Published Date

  • October 2008

Published In

Volume / Issue

  • 139 / 4

Start / End Page

  • 490 - 494

PubMed ID

  • 18922333

International Standard Serial Number (ISSN)

  • 0194-5998

Digital Object Identifier (DOI)

  • 10.1016/j.otohns.2008.07.030


  • eng

Conference Location

  • England