quality reports : Clinical Quality : Medical Group Performance


Quality Insights: Clinical Quality in Primary Care

Pediatric Care:
Correct Antibiotic Use for Upper Respiratory Infections

Healthcare quality measure: This measure shows how often doctors do not prescribe antibiotic medicine (such as penicillin) for children (3 months to 18 years old) who are diagnosed with colds, sore throats, or other upper respiratory infections. A high score means that your child’s doctor is using antibiotics correctly.

Reasons for this measure: The common cold is the most frequent type of upper respiratory infection in children. Young children (3 months to 6 years old) may get up to eight colds each year. Older children (7 to 18 years old) may get as many as four colds each year.

Antibiotics do not cure colds, most sore throats, the flu, or other types of virus illness. In fact, antibiotics can cause harm if they are used when not needed. This is because germs can become resistant to antibiotics (when the medicine no longer helps). Studies show that antibiotics should only be used to treat bacterial infections, not viruses.

Click on a column heading to put the results below in order.

Medical Group
Comparison
Rate
Rating
Benchmarks:
   Nat'l Average
   90th Percentile
   MA Rate
National Average
National 90th Percentile
MA Rate

83.9%
93.2%
92.9%
 
Atrius Health, Inc., Harvard Vanguard Kenmore
Go to Website Go to Group's Website

98.6%

above three benchmarksabove three benchmarksabove three benchmarksabove three benchmarks

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MA Rate (92.9%)

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Explanation of the Star Ratings...

  • above three benchmarksabove three benchmarksabove three benchmarksabove three benchmarks Four stars means the rate is above three benchmarks
  • above two benchmarksabove two benchmarksabove two benchmarksabove two benchmarks Three stars means the rate is above two benchmarks
  • above one benchmarkabove one benchmarkabove one benchmarkabove one benchmark Two stars means the rate is above one benchmark
  • not above benchmarksnot above benchmarksnot above benchmarksnot above benchmarks One star means the rate is not above benchmarks
  • no data available MHQP has too little data to report on this measure. This can happen when the patients or illnesses a medical group cares for are not part of this report.

The three benchmarks used for comparison are:

  • The MHQP Massachusetts Statewide Rate
  • The National 90th Percentile
  • The National Average

Click here to view the MHQP Massachusetts Statewide Rates
and National benchmarks.

For more information on benchmarks, please see Questions & Answers.

Ways your doctor can help...

  • Determine (find out) if your child has a cold or other type of virus illness.
  • Not prescribe antibiotics for colds or other types of viruses. In these cases, antibiotics can cause more harm than good.
  • Maybe prescribe other medicines or ways to help children with colds feel better.
  • Maybe test your child for a bacterial infection (such as strep throat). Antibiotics can be very helpful for infections like these.
  • Ways you can help...

    • Talk with your child’s doctor about the correct use of antibiotics.
    • Wait to see if your child’s symptoms get better. Symptoms of a common cold include a runny nose, cough, and fever.
    • Only give your child an antibiotic if the doctor prescribes it.
    • If your child’s doctor does prescribe an antibiotic, make sure your child takes it correctly. This includes taking the antibiotic until it is finished.
    • Help prevent colds or lessen the chance of your child getting one. You can do so by: washing hands often, staying away from people who have colds, and keeping your child’s toys and play spaces clean.

    Ways to learn more...

     

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