Table 2.
Distribution of Respiratory Encounters and Antibiotic Prescribing Practices Among Intermountain’s Urgent Care Clinics
| Total, Respiratory | InstaCare, Respiratory | Connect Care, Respiratory | KidsCare, Respiratory | |
|---|---|---|---|---|
| N = 486 061 | 426 070 | 17 621 | 42 370 | |
| Distribution of respiratory encounter types | ||||
| Tier 1 | 9.2% (n = 44 727/486 061) | 9.4% (40 090/426 070) | 0.3% (47/17 621) | 10.8% (4590/42 370) |
| Tier 2 | 49.9% (n = 242 343/486 061) | 49.9% (212 432/426 070) | 53.8% (9484/17 621) | 48.2% (20 427/42 370) |
| Tier 3 | 40.9% (n = 198 991/486 061) | 40.7% (173 548/426 070) | 45.9% (8090/17 621) | 41% (17 353/42 370) |
| Respiratory encounter antibiotic prescribing rates | ||||
| Total respiratory prescribing rates | 49.9% (242 651/486 061) | 51.3% (218 445/426 070) | 44.4% (7829/17 621) | 38.7% (16 377/42 370) |
| Tier 1 | 96.6% (43 187/44 727) | 96.5% (38 686/40 090) | 31.9% (15/47) | 97.7% (4486/4590) |
| Tier 2 | 64.8% (157 078/242 343) | 65.4% (138 948/212 432) | 81.3% (7715/9484) | 51% (10 415/20 427) |
| Tier 3 | 21.3% (42 386/198 991) | 23.5% (40 811/173 548) | 1.2% (99/8090) | 8.5% (1476/17 353) |
| Respiratory tier distribution among respiratory encounters where an antibiotic was prescribed | ||||
| Tier 1 | 17.8% (43 187/242 651) | 17.7% (38 686/218 445) | 0.2% (15/7829) | 27.4% (4486/16 377) |
| Tier 2 | 64.7% (157 078/242 651) | 63.6% (138 948/218 445) | 98.5% (7715/7829) | 63.6% (10 415/16 377) |
| Tier 3 | 17.5% (42 386/242 651) | 18.7% (40 811/218 445) | 1.3% (99/7820) | 9% (1476/16 377) |
In Tier 1, antibiotics were almost always indicated (eg, pneumonia); in Tier 2, antibiotics may have been indicated (eg, sinusitis); and in Tier 3, antibiotics were not indicated (eg, bronchitis).