Abstract Details

Title Assessing Resident Opinions and Implementation of Quality Care for Headache Patients in Continuity Clinic

Topic Headache

Presentation(s) P1 - Poster Session 1 (9:00 AM-5:00 PM)

Poster/Presentation
Number 209

Objective

To evaluate neurology resident opinion as well performance data regarding their ability to provide quality care to patients presenting with complaints of headache in continuity clinic.

Specifically, the implementation of two quality metrics: Quality of Life (QoL) Assessment, and Addressing Medication Overuse Headache (MOH).

Background

The AAN released in 2014 a quality measure set in relation to headache patients.

In our resident clinic, headache is the most encountered complaint. However, there is currently no standardized workflow to facilitate the use of quality metrics during these visits as recommended by the AAN. Evaluation of the baseline implementation of these metrics was felt to be important prior to offering any intervention to improve adherence.

Design/Methods

A survey was sent to all current neurology residents. In addition, chart review was conducted of 50 randomized encounters with primary headache disorder as a visit diagnosis.

Results

19 survey responses were recorded. This demonstrated a mean average of 6.68 on 10 point rating scale of resident self-perception of their ability to deliver quality care to headache patients.

Residents rated the use of quality measures as useful in improving patient care (mean average 8.16).

However, resident experience in using headache QoL scales (mean average 4.11) as well as both assessing and addressing MOH during clinical encounters (mean average 7.53, 7.16 respectively) showed incomplete adherence to recommended best practices.

Chart review of 50 encounters during a 1 year period demonstrated that 0/50 encounters documented a QoL metric in relation to headaches.

In regards to MOH, 23/50 encounters met the definition of chronic headache. Of these 23 encounters, only 9 patients were screened for MOH.

Conclusions This survey and chart review serves as a baseline to demonstrate a discrepancy between resident self-perception of delivering quality care and real world performance. It will hopefully be used to implement solutions to improve these outcomes.

Authors/Disclosures
Aakash Bhargava, MD PRESENTER	Dr. Bhargava has nothing to disclose.
Ashish Adlakha, MD	Dr. Adlakha has nothing to disclose.
Riya Luhar, DO (Dr. R. Luhar)	Dr. Luhar has nothing to disclose.

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