SIP24-008 Economic analysis of an evidence-based MEW epilepsy self-management intervention (MINDSET) in community and healthcare settings.

PROJECT SUMMARY/ ABSTRACT The goal of this 3-year Special Interest Project is to perform intervention implementation costing and cost- effectiveness analyses (CEA) (cost-benefit, -utility, and -effectiveness) of the evidence-based Managing Epilepsy Well self-management program, MINDSET, in community and clinical settings, using retrospective and prospective data. Through goal-based patient-provider-driven Action Planning MINDSET (Management Information Decision Support Epilepsy Tool) has demonstrated impact in increasing patient epilepsy self- management (ESM) behaviors and validity in providing recommendations for linkage to salient MEW programs (PACES, UPLIFT, HOBSCOTCH) and assessment and feedback on patient social determinants of health. This proposal supports the 2012 IOM report for “development, evaluation, replication, and expanded use of ESM and educational programs, including MEW Network programs to improve quality of life for PWE” and multiple Health People 2030 targets to improve health and well-being in people with disabilities, improve mental health, and increase access to comprehensive, high-quality health care services. The CEA will be performed as recommended by the task force of experts organized by the U.S. Public Health Service and the International Society for Pharmacoeconomics and Outcomes Research. This proposal addresses the broader challenges around understanding financial preparedness and the value associated with interventions to enable the dissemination and implementation of evidence-based epilepsy self-management programs in clinical and community settings. As the MEW-EBP evidence base matures there is a need to guide healthcare providers (HCPs) and decision-makers on the economic feasibility of adopting, implementing, and maintaining these programs that includes guidance on coding and billing practices to offset implementation costs. This study aims to:1.) Assess MINDSET intervention implementation costs in community (EFCST, EFTx) and clinical health care (Kelsey Seybold, Harris Health, UTHealth, Banner, Barrow) settings using retrospective and prospective data (Year 1) to facilitate financial preparedness for new organizations wanting to implement MINDSET. 2.) Assess MINDSET cost-effectiveness in the community (EFCST, EFTx) and clinical healthcare (Banner, Barrow) settings using retrospective and prospective data (Years 2-3) to establish the value associated with the intervention. 3.) Collaborate with other MEW Network members (Years 1-3). 4.) Contribute to the annual evaluation report of site-specific activities and network-wide collaboration and disseminate findings (Years 1-3).