NeuromeasuresTM: Sustained Provider Practice Changes in Ambulatory Epilepsy Quality Metric Utilization
Abstract number :
2.086
Submission category :
13. Health Services (Delivery of Care, Access to Care, Health Care Models)
Year :
2025
Submission ID :
740
Source :
www.aesnet.org
Presentation date :
12/7/2025 12:00:00 AM
Published date :
Authors :
Presenting Author: Dina Saban, BS – Wayne State University School of Medicine
Maryam Syed, MD – Wayne State University School of Medicine
Maysaa Basha, MD – Wayne State University School of Medicine, Detroit, MI
Rohit Marawar, MD – Wayne State University School of Medicine
Deepti Zutshi, MD – Wayne State University School of Medicine
Rationale:
The effectiveness of implementing a real-time quality improvement application remains an underexplored area of research, as most studies on quality improvement primarily focus on retrospective analyses and do not offer real-time amendments to healthcare providers. Our primary purpose in this study was to evaluate the efficacy of changing clinician adherence to quality measures one year after the intervention of a real-time quality metric application tool, NeuromeasuresTM, in improving the quality of patient care in Harper Neurology Clinic.
Methods:
Our study’s main focus was comparing the preintervention and postintervention cohorts of patients with epilepsy before and one year after the implementation of Neuromeasures. This tool delivered real-time patient-specific feedback to the healthcare providers (HCPs), prompting them to address relevant epilepsy quality measures (EQMs) as defined by the American Academy of Neurology (AAN) 2017 guidelines. To assess the impact of NeuromeasuresTM, a retrospective chart review was conducted for patient visits at a level 4 epilepsy center between January and March 2023, one year after the initial implementation of the tool. We then compared the HCPs’ adherence to the quality metrics in the postintervention cohort to that of the preintervention cohort, based on the previously published data.
Results:
Our preintervention cohort included 150 unique patient encounters, while our postintervention cohort included 227 unique patient encounters with epilepsy. The percentages for adherence to most EQMs, as outlined by the AAN’s 2017 EQMs, were significantly improved by the implementation of Neuromeasures within the Harper Neurology Clinic for our two comparison groups. Specifically, our results showed statistically significant advancements (p < 0.00001) between the preintervention and postintervention groups in the quality metrics regarding counseling for women of childbearing potential with epilepsy (79.25%), counseling for epilepsy surgery (66.9%), depression and anxiety screening for patients with epilepsy (16.3%), counseling for epilepsy patients for medication nonadherence (29.8%), driving (96%), and counseling for Sudden Unexpected Death in Epilepsy (51.7%).
Health Services (Delivery of Care, Access to Care, Health Care Models)