Minding the gap in pediatric headache care: Can a focus on quality measures improve outcomes?

The American Academy of Neurology Headache Quality Measures seek to improve care delivery and outcomes by addressing gaps in care. Our practice identified underperformance in 3 of the 7 measures that apply to children and adolescents. We expected that improved performance on these measures would lea...

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Bibliographic Details
Published in:Neurology. Clinical practice 2019-06, Vol.9 (3), p.187-193
Main Authors: Turner, Scott, Foss-Barratt, Amanda, Malmberg, Jessica, Disabato, Jennifer
Format: Article
Language:English
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Summary:The American Academy of Neurology Headache Quality Measures seek to improve care delivery and outcomes by addressing gaps in care. Our practice identified underperformance in 3 of the 7 measures that apply to children and adolescents. We expected that improved performance on these measures would lead to a reduction in emergency department (ED) visits and improvement in the average disability grade of established patients. An interdisciplinary workgroup used the Institute for Healthcare Improvement's Model for Improvement. Quality improvement (QI) interventions focused on the use of Pediatric Migraine Disability Assessment (PedMIDAS), headache action plans (HAPs), nurse triage, and infusion center order sets. Provider use of PedMIDAS increased from 15% to 55% (
ISSN:2163-0402
2163-0933
DOI:10.1212/CPJ.0000000000000614