Quality Measures

Epilepsy Quality Measures Approved August 2014

Epilepsy Quality Measures (2014)


Updating the Quality Measures

In August 2014, along with representatives from AES, the American Academy of Neurology (AAN) updated the original 2009 Epilepsy Quality Measures. These measures are set for another update in 2017. 
Representatives from AES will again participate in this process and work group. The new project will be chaired by AAN and AES member, Anup Patel, MD. The work group members will serve for a three year cycle and will evaluate and update the measures as needed based on evidence based guidelines, best practice consensus, and demonstrated gap in care. 
A goal of this measure set is to develop outcome measures for patients with epilepsy. The new measures will further showcase the role of specialty care for epilepsy patients and improved outcomes as a result. 
It is likely that implementation of quality measures and quality improvement based on measures will be used for reimbursement by CMS based on the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).

About the Quality Measures

On January 1, 2012 the Centers for Medicare and Medicaid Services (CMS) implemented quality measures for epilepsy care. The AES joined with the AAN and NAEC to develop a task force to develop quality measures that ultimately lead to the CMS approved measures. CMS approved the following measures that are to be voluntarily reported with an incentive payment at that time but required reporting was anticipated to start in 2014. Physicians who do not report these measures will be penalized 1 to 3% of Medicare reimbursement after required reporting is implemented.

Eight measures were approved by the workgroup that developed them, but only three were adopted by CMS:

  • The frequency of each seizure type should be reported at each visit
  • The etiology (or epilepsy syndrome) should be reported at each visit
  • Counseling for women of childbearing potential with epilepsy should be provided annually

The vast majority of epilepsy practitioners are already following these measures (so it is important to document each of these in the medical record for proper reimbursement) but they are often neglected by primary care doctors. Implementation of the measures should provide an enormous improvement in care for the many epilepsy patients cared for by primary care doctors.

For further information: Quality improvement in neurology: AAN epilepsy quality measures: Report of the Quality Measurement and Reporting Subcommittee of the American Academy of Neurology.