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Quality measures for the care of pediatric patients with obstructive sleep apnea

Sanjeev V Kothare1, Carol L Rosen2, Robin M Lloyd3

  • 1NYU Langone Medical Center, New York, NY.

Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine
|February 22, 2015
PubMed

Insights

The American Academy of Sleep Medicine developed quality measures to improve childhood obstructive sleep apnea (OSA) care. These guidelines focus on early detection and effective management plans for better patient outcomes.

Area of Science:

  • Pediatric Sleep Medicine
  • Quality Improvement Science

Background:

  • The American Academy of Sleep Medicine (AASM) aims to enhance patient-centered care through quality measures.
  • Task Forces were established to develop measures for five common sleep disorders, including obstructive sleep apnea (OSA) in children.

Purpose of the Study:

  • To describe the development and implementation of quality measures for childhood OSA.
  • To outline process and outcome measures for evaluating and improving care for pediatric OSA.

Main Methods:

  • Development of five key process measures for childhood OSA.
  • Measures include symptom assessment, evidence-based action plans, polysomnography (PSG) for high-risk children, follow-up reassessment, and positive airway pressure (PAP) adherence documentation.
  • Defined two primary outcomes: improved OSA detection and symptom reduction post-management.

Main Results:

  • The proposed measures aim to standardize and improve the quality of care for pediatric OSA.
  • Successful implementation of these process measures is expected to lead to better detection and management of OSA in children.
  • The AASM recommends these measures for quality improvement initiatives.

Conclusions:

  • The developed quality measures provide a framework for enhancing the diagnosis and treatment of obstructive sleep apnea in children.
  • Adoption of these measures by clinicians can lead to significant improvements in patient care and outcomes for pediatric OSA.
  • These quality measures support the AASM's strategic goal of promoting high-quality, patient-centered sleep care.

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