Neuropsychological/ neurodevelopmental screening

Measure Purpose: Initiate interventions earlier for neuropsychological or neurodevelopmental issues to increase developmental achievement

The numerator: Patients who were screened* or referred for screening for neurodevelopmental and/or neuropsychological deficits within 1 year of initial epilepsy diagnosis

*See full specifications for additional details

is divided by

The denominator: Patients aged 1 month and older diagnosed with epilepsy within the past 12 months without severe or profound intellectual disability who are not currently under the care of a psychiatrist or psychologist

Exceptions are removed from the denominator for:

• Patient/caregiver refuse

Key Phrases

Key phrases you should use to meet this measure include:

• Screened for neurodevelopmental deficits
• Screened for neuropsychological deficits
• Neuropsychological testing

Measure Calculation Example

Dr. Medina had 25 patients over the age of 1 month who were diagnosed with epilepsy between January 1 and December 31 of the measurement year. This is the denominator. Two patients refuse screening. These patients are removed from the denominator.

Of the remaining 23 patients, eight were referred for screening for neurodevelopmental and/or neuropsychological deficits within one year of their epilepsy diagnosis. This is the numerator.

Quality of care = 8/(25-2). Dr. Medina has a score of 34% for this measure.