Quality Measure Adherence in Parkinson’s Disease: A Single Center Experience***Parkinson’s Disease Quality Measures

Abstract

Background

Patients with Parkinson’s Disease (PWPs) often have both motor and non-motor manifestations requiring specialized care. Neurologists typically lead their care; however, the population of PWPs is exceeding the supply of neurologists. Primary care providers (PCPs) may need to contribute to improve care.

Objective

To measure American Academy of Neurology quality metric (QM) adherence between neurologists and PCPs for PWPs.

Methods

We conducted a single-center retrospective, descriptive analysis assessing 14 QMs in the past year for PWPs established with a neurologist and PCP. McNemar’s test assessed statistical differences between groups. Logistic regression models explored the impact of age, sex, and visit frequency on QM adherence

Results

On average, 8.9 QMs were addressed among 89 PWPs. Motor complications, rehabilitation referrals, falls, and autonomic dysfunction were the most often addressed while apathy and impulse control disorder were the least. Neurologists alone met motor complications, psychosis, impulse control disorder, and sleep disturbance significantly more than PCPs alone while PCPs assessed depression and advance care planning more often. PCP involvement improved adherence throughout. Depression, apathy, and advance care planning metric adherence were significantly impacted by age and/or visit frequency.

Conclusions

A team-based approach to quality metric adherence may reduce the burden on providers and improve care for PWPs.