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 | N = 426,070 | N = 17,621 | N = 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% (4,590/42,370) |
| Tier 2 | 49.9% (n=242,343/486,061) | 49.9% (212,432/426,070) | 53.8% (9,484/17,621) | 48.2% (20,427/42,370) |
| Tier 3 | 40.9% (n=198,991/486,061) | 40.7% (173,548/426,070) | 45.9% (8,090/17,621) | 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% (7,829/17,621) | 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% (4,486/4,590) |
| Tier 2 | 64.8% (157,078/242,343) | 65.4% (138,948/212,432) | 81.3% (7,715/9,484) | 51% (10,415/20,427) |
| Tier 3 | 21.3% (42,386/198,991) | 23.5% (40,811/173,548) | 1.2% (99/8,090) | 8.5% (1,476/17,353) |
| Respiratory tier distribution among respiratory encounters prescribed an antibiotic | ||||
| Tier 1 | 17.8% (43,187/242,651) | 17.7% (38,686/218,445) | 0.2% (15/7,829) | 27.4% (4,486/16,377) |
| Tier 2 | 64.7% (157,078/242,651) | 63.6% (138,948/218,445) | 98.5% (7,715/7,829) | 63.6% (10,415/16,377) |
| Tier 3 | 17.5% (42,386/242,651) | 18.7% (40,811/218,445) | 1.3% (99/7,820) | 9% (1,476/16,377) |
Tier 1: Antibiotics are almost always indicated (e.g., pneumonia)
Tier 2: Antibiotics may be indicated (e.g., sinusitis)
Tier 3: Antibiotics not indicated (e.g., bronchitis)