Abstract Details

Title Implementation of the Quality Measures in the Neurology Residents' Clinic: Experience in a Single Institution

Topic Epilepsy

Presentation(s) P03 - (-)

Poster/Presentation
Number 121

Objective

Background BACKGROUND: Due to gaps in practice and recommended guidelines, there has been a push toward implementing quality measures to be used for improving patient care. Quality measures for the care of epilepsy were developed and published in January 2011.

Design/Methods DESIGN/METHODS: The eight quality measures assessed were: seizure type and current seizure frequency, documentation of etiology of epilepsy, EEG results, MRI/CT scan, querying and counseling about antiepileptic drug side effects, surgical therapy referral consideration for intractable epilepsy, counseling about epilepsy specific safety issues, and counseling for women of childbearing potential with epilepsy. Clinic charts of patients from the neurology residents' clinic with a diagnosis of epilepsy were reviewed for the month of September 2012. Twenty-nine patients were identified. There were 20 men and 9 women (6 of childbearing age). Mean age was 33.6 years.

Results RESULTS: The most frequently documented epilepsy quality measures included EEG, 26 patients, and brain imaging, 27 patients, which were reviewed or requested (89.6% compliance and 93% compliance, respectively). Seizure etiology was addressed for 23 (79.3% compliance). One patient had already epilepsy surgery, otherwise candidacy for surgery was not addressed for 3 patients (89% compliance). Counseling of women of childbearing age was performed in all but 2 patients (66.6% compliance). The least addressed measures (62% compliance) included antiepileptic medication side effects, seizure type and frequency, and safety issues.

Conclusions CONCLUSIONS: In this study looking at the implementation of the epilepsy measures in our residents' clinic, there was not a single quality measure that had 100% compliance. Compliance was below 70% for 4 measures. The use of a standardized electronic template and resident education may help in assuring 100% compliance with the epilepsy metrics.

Authors/Disclosures
Heather R. McKee, MD (University of Cincinnati Medical Center) PRESENTER	Dr. McKee has nothing to disclose.
Julie Youssefi, MD (University of Kentucky College of Medicine)	No disclosure on file
Meriem K. Bensalem Owen, MD (University of Kentucky)	Dr. Bensalem Owen has received personal compensation in the range of $0-$499 for serving as a Principle Investigator (PI) with Xenon. Dr. Bensalem Owen has received personal compensation in the range of $0-$499 for serving as a PI with UCB. Dr. Bensalem Owen has received personal compensation in the range of $0-$499 for serving as a PI with NeuroPace.
	No disclosure on file

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