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11-30-2010, 11:37 AM | #1 | ||
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Subject: AAN Announces 10 Quality Measures for PD Care
EMove, Date: 11/29/2010 Balance of item: http://www.mdvu.org/emove/article.asp?ID=1286 The American Academy of Neurology has formulated a set of 10 quality measures for care of Parkinson’s disease patients. The measures are designed to permit “evaluation of health care on its value, roughly defined as a ratio of quality to cost, and this is a step forward from evaluating health care solely on cost,” according to the report. “Desirable physician-level measures address a gap in care, are evidence-based and linked to outcomes, are actionable, are feasible to collect, and have well-defined specifications.” The 10 measures (and frequency of inquiry) are: 1. Annual Parkinson disease diagnosis review (at least annually) 2. Psychiatric disorders or disturbances assessment (at least annually) 3. Cognitive impairment or dysfunction assessment (at least annually) 4. Querying about symptoms of autonomic dysfunction (at least annually) 5. Querying about sleep disturbances (at least annually) 6. Querying about falls (every visit) 7. Parkinson disease rehabilitative therapy options (at least annually) 8. Parkinson disease–related safety issues counseling (at least annually) 9. Querying about Parkinson disease medication–related motor complications (every visit) 10. Parkinson disease medical and surgical treatment options reviewed (at least annually) |
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"Thanks for this!" says: | tulip girl (11-30-2010) |
11-30-2010, 12:05 PM | #2 | |||
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This seems to be a step in the right direction - it's just so, well, clinical (!) as written. Can't believe the only factor used previously was cost!
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Carey “Cautious, careful people, always casting about to preserve their reputation and social standing, never can bring about a reform. Those who are really in earnest must be willing to be anything or nothing in the world’s estimation, and publicly and privately, in season and out, avow their sympathy with despised and persecuted ideas and their advocates, and bear the consequences.” — Susan B. Anthony |
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11-30-2010, 01:48 PM | #3 | |||
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12-01-2010, 07:53 AM | #4 | ||
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Anyone know if the diagnosis review includes yanking the patient off their meds?
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12-01-2010, 09:26 AM | #5 | ||
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Jaye, For the majority of patients, "yanking" them off of their meds is a bad idea and would drive up costs, not to mention agony for the patient. The only situation I can think of is if you are on one med and it is questionable whether it is working or you are on so many meds that in order to get some control over it, you need to start clean and restart one at a time or drop a med one at a time. This should be preceeded with a discussion between doctor and patient and be mutually agreed upon. The guideline are open for interpretation IMHO. TG |
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