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Acute Otitis Media - Appropriate First-Line Antibiotics

CBE ID
2811e
Endorsement Status
E&M Committee Rationale/Justification

Steward no longer seeking endorsement.

1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
1.3 Measure Description

The proportion of encounters at which antibiotics prescribed to patients aged 2 months to 12 years for Acute Otitis Media (AOM) conform to the AAP/AAFP recommendation for first-line use of amoxicillin.

        • 1.14 Numerator

          0.25% in the African American population, pediatric cancer 0.3%, and urinary tract infection with vesicoureteral reflux 0.5-2%).

          The utility of the measure for benchmarking across similar entities, or for detection of trends over time, is not affected by these factors, which are expected to remain relatively constant.

        • 1.15 Denominator

          All patients aged 2 months through 12 years with a diagnosis of acute otitis media (AOM), an antibiotic prescribed at the current visit, and no antibiotic prescription in the prior 30 days.

        • Exclusions

          Diagnosis of alternate, co-occurring infection for which antibiotics are typically indicated will be excluded (as specified in S.11. Denominator Exclusion Details).

        • OLD 1.12 MAT output not attached
          Attached
          1.13a Data dictionary not attached
          No
        • Most Recent Endorsement Activity
          Endorsed 2016-2017 Off-Cycle Activities: Measure Review
          Initial Endorsement
          Last Updated
          Removal Date
        • Steward
          The Children's Hospital of Philadelphia
          Steward Organization POC Email
              • Risk adjustment approach
                Off
                Risk adjustment approach
                Off
                Conceptual model for risk adjustment
                Off
                Conceptual model for risk adjustment
                Off