Transition to Adult Neurology Care
Measure Purpose: Improve patient and caregiver satisfaction with transition, stability, or improvement of neurological condition, decrease emergency department utilization, and improve quality of life
The numerator: Pediatric neurology patients with chronic ongoing neurological conditions > 13 years of age who have had a documented neurological transition plan of care* initiated and updated annually with copy given to patient and/or caregiver
*See full measure specifications for additional details
is divided by
The denominator: Pediatric neurology patients with chronic ongoing neurological conditions > 13 years of age
Exceptions are removed from the denominator for:
- Patient does not need continued care
- Patient/caregiver refuse to see adult provider or participate in the transition planning
Key Phrases
Key phrases you should use to meet this measure include:
- Patient had a transition plan of care initiated
- Patient had a transition plan of care updated
- Documented a transition plan of care
- Transition plan of care initiated
- Transition plan of care updated
Measure Calculation Example
Dr. Gomez had 100 patients over the age of 13 with chronic ongoing neurological conditions from January 1 to December 31 of the measurement year. This is the denominator. Five patients do not need continued care and one patient refuses to participate in the transition planning process. These six patients are removed from the denominator.
Of the remaining 94 patients, 28 of them initiated a transition plan of care and 15 of them had their transition plan of care updated. This is the numerator.
Quality of care = 43/(100-6). Dr. Gomez has a score of 45% for this measure.