Table 1 Adherence and eligibility criteria and level of evidence for the Parkinson's disease quality of care indicators
Defined eligibility = denominator | Defined adherence = numerator | Level of evidence* | Domain | |
|---|---|---|---|---|
Urinary incontinence management | PD patient with new urinary incontinence or worsening urinary incontinence | Documenting that discussed with patient and offered patient several treatment options | A1 | Management of non motor complications |
Annual depression screening | Each year in cohort for patients with PD | Screening for depression with at least note of the presence or absence | A1 | Management of dementia, depression, psychosis |
Annual fall screening | Each year in cohort for patients with PD | Medical record documents patient asked about falls at least once a year | Indirect | Management of motor complications |
Orthostatic hypotension management | Patient with symptomatic orthostatic hypotension not responsive to behavioral modification | Prescribing midodrine or fludrocortisone | A1/C1 | Management of non motor complications |
Hallucination management | Patient with PD having persistent hallucinations or delirium not improved by a discontinuation or reduction of PD medications | Prescribing quetiapine or clozapine rather than prescribing contraindicated neuroleptic or no anti-psychotic at all | A1 | Management of dementia, depression, psychosis |