• MouraLidia M V RLMVRDepartment of Neurology, Massachusetts General Hospital, Boston, MA Department of Neurology, Harvard Medical School, Boston, MA Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA Health Policy Research Ce, Maria A Donahue, Jason R Smith, Deepika Dass, Paula R Sanches, Neishay Ayub, Christopher McGraw, Sahar F Zafar, Sydney S Cash, and Daniel B Hoch.
• Department of Neurology, Massachusetts General Hospital, Boston, MA Department of Neurology, Harvard Medical School, Boston, MA Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA Health Policy Research Center, Mongan Institute, Massachusetts General Hospital, Boston, MA Department of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, Brazil.
• Am J Med Qual. 2021 Jan 1; 36 (1): 5-16.

AbstractRoutine outpatient epilepsy care has shifted from in-person to telemedicine visits in response to safety concerns posed by the coronavirus disease 2019 (COVID-19) pandemic. But whether telemedicine can support and maintain standardized documentation of high-quality epilepsy care remains unknown. In response, the authors conducted a quality improvement study at a level 4 epilepsy center between January 20, 2019, and May 31, 2020. Weekly average completion proportion of standardized documentation used by a team of neurologists for adult patients for the diagnosis of epilepsy, seizure classification, and frequency were analyzed. By December 15, 2019, a 94% average weekly completion proportion of standardized epilepsy care documentation was achieved that was maintained through May 31, 2020. Moreover, during the period of predominately telemedicine encounters in response to the pandemic, the completion proportion was 90%. This study indicates that high completion of standardized documentation of seizure-related information can be sustained during telemedicine appointments for routine outpatient epilepsy care at a level 4 epilepsy center.Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.

15 keywords...

hide…