Neurology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
QUICK SEARCH:   [advanced]


     

Published online before print October 10, 2007, doi:10.1212/01.WNL.0000291947.29643.9f)
This Article
Right arrow Full Text (Rapid PDF)
Right arrow Data Supplement
Right arrow All Versions of this Article:
01.WNL.0000291947.29643.9fv1
69/21/2020    most recent
Right arrow Correspondence:
Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Correspondence are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Pugh, M. J.V.
Right arrow Articles by Kazis, L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Pugh, M. J.V.
Right arrow Articles by Kazis, L.
Received December 4, 2006
Accepted February 28, 2007

What constitutes high quality of care for adults with epilepsy?

M. J.V. Pugh PhD, RN*, D. R. Berlowitz MD, MPH, G. Montouris MD, B. Bokhour PhD, J. A. Cramer BS, V. Bohm MPH, M. Bollinger MPH, S. Helmers MD, A. Ettinger MD, K. J. Meador MD, N. Fountain MD, J. Boggs MD, W. O. Tatum IV DO, J. Knoefel MD, MPH, C. Harden MD, R. H. Mattson MD, and L. Kazis ScD

From the Department of Veterans Affairs (M.J.V.P., M.B.), South Texas Veterans Health Care System VERDICT HSR&D, San Antonio; University of Texas Health Science Center at San Antonio (M.J.V.P., M.B.), Department of Internal Medicine; Center for Health Quality, Outcomes and Economic Research (D.R.B., B.B.), Bedford VA Hospital, MA; Boston University School of Medicine (G.M.), Department of Neurology, MA; Yale University (J.A.C.), Department of Psychiatry, West Haven, CT; Center for the Assessment of Pharmaceutical Practices (CAPP) (B.B., V.B., L.K.), Department of Health Policy and Management, Boston University School of Public Health, MA; Emory University School of Medicine (S.H.), Atlanta, GA; Long Island Jewish Medical Center (A.E.), Department of Neurology, New Hyde Park, NY; University of Florida School of Medicine (K.J.M.), Department of Neurology, Gainesville; University of Virginia School of Medicine (N.F.), Department of Neurology, Charlottesville; Orlando Regional Healthcare (J.B.), FL; Tampa General Healthcare Outpatient Epilepsy Clinic (W.O.T.), University of South Florida; The University of New Mexico School of Medicine (J.K.), Veterans Administration Hospital, Albuquerque; Weill Medical College of Cornell University (C.H.), New York Hospital, Comprehensive Epilepsy Center, New York; and Yale University School of Medicine (R.H.M.), New Haven, CT.


* To whom correspondence should be addressed. E-mail: PughM{at}uthscsa.edu.

Background: Providers are increasingly being held accountable for the quality of care provided. While quality indicators have been used to benchmark the quality of care for a number of other disease states, no such measures are available for evaluating the quality of care provided to adults with epilepsy. In order to assess and improve quality of care, it is critical to develop valid quality indicators. Our objective is to describe the development of quality indicators for evaluating care of adults with epilepsy. As most care is provided in primary and general neurology care, we focused our assessment of quality on care within primary care and general neurology clinics.

Methods: We reviewed existing national clinical guidelines and systematic reviews of the literature to develop an initial list of quality indicators; supplemented the list with indicators derived from patient focus groups; and convened a 10-member expert panel to rate the appropriateness, reliability, and necessity of each quality indicator.

Results: From the original 37 evidence-based and 10 patient-based quality indicators, the panel identified 24 evidence-based and 5 patient-based indicators as appropriate indicators of quality. Of these, the panel identified 9 that were not necessary for high quality care.

Conclusion: There is, at best, a poor understanding of the quality of care provided for adults with epilepsy. These indicators, developed based on published evidence, expert opinion, and patient perceptions, provide a basis to assess and improve the quality of care for this population.




This article has been cited by other articles:


Home page
 NeurologyHome page
J. T. Langfitt
Do we know quality epilepsy care when we see it?
Neurology, November 20, 2007; 69(21): 1968 - 1969.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
Copyright © 2007 by AAN Enterprises, Inc.