Innovations in Care Delivery

Editor's Blog

  • Did consolidating acute stroke services in Denmark help?
    Brian Callaghan, MD, MS

     

    Getting acute stroke patients to appropriate clinical care setting as fast as possible is very important. Hastrup et al report results of an initiative to centralize stroke care in 2012 in the Central Denmark Region (CDR). CDR has a population of 1.3million and area of 5040 square miles1. The purpose of the centralization was a) to ensure all stroke patients would receive care in designated areas and b) to reduce overall costs. The design of the study was pre/post with contemporaneous comparisons to the rest of Denmark. The centralization involved consolidating acute stroke care to 2 designated hospitals from a total of 6 hospitals in the region. These hospitals both offered thrombolysis, but endovascular therapy was only offered at one. A neurologist was on call 24 hours a day for calls from outside the acute stroke units. In addition, an outpatient clinic was established for minor stroke and TIA.

    Continued...

    August 16, 2018
    View Blog Site

Latest Articles

Show more

  • Interview With A Health Services Expert

    Dr. Kevin Kerber interviews Dr. Ralph Sacco  

    Dr. Sacco talks about his leadership role in balancing the needs of neurologists, the department and other stake holders with the needs of patients. He outlines successful approaches to improving patient access to quality care, the challenges in implementing these approaches, and what he sees as the future in care delivery .

    In April of 2017, Drs. Kerber and Callaghan had the chance to talk to Ralph L. Sacco, MD, MS, University of Miami Miller School of Medicine where Dr. Sacco is  Chairman & Professor Department of Neurology, Director and Principal Investigator of the University of Miami Clinical and Translational Science Institute, Executive Director Evelyn F McKnight Brain Institute, Miller Professor of Epidemiology, Public Health Sciences, Human Genetics, and Neurosurgery, Olemberg Family Chair in Neurological Disorders and Senior Associate Dean for Clinical & Translational Science. Dr. Sacco is also the President of the American Academy of Neurology.

    Sacco image

    N A M E: Ralph L. Sacco, MD, MS, FAHA, FAAN
    T I T L E: Chairman & Professor Department of Neurology; Director and  Principal Investigator of the University of Miami Clinical and Translational Science Institute; Executive Director Evelyn F McKnight Brain Institute; Miller Professor of Epidemiology, Public Health Sciences, Human Genetics, and Neurosurgery; Olemberg Family Chair in Neurological Disorders; and Senior Associate Dean for Clinical & Translational Science.
    E D U C A T I O N: Dr. Sacco is a graduate of Cornell University and graduated cum laude from Boston University School of Medicine. He holds a master’s in epidemiology from Columbia University, School of Public Health and completed his residency training and postdoctoral training in stroke and epidemiology at New York’s Columbia Presbyterian.
    H O B B I E S: Renovating homes in NY, biking, and volunteer work.

    INTERVIEW Audio

    FUll transcript of interview

     A  R  C  H  I  V  E  S 

Podcasts

Advertisement
  • Call to Action!

    ​An important perspective about new medical equipment in low resource countries -  Dr. Omar Siddiqi, Assistant Professor of Neurology at Harvard Medical School and the Director of the Global Neurology Program at Beth Israel Deaconess Medical Center, shares his experiences with the unforeseen negatives to innovative, medical technology in resource limited settings. He states, 'Near as I can tell, the only purpose they serve is to charge patients for a sham test.’ ”  

    ​Practice Current Newest Survey: When do you suspect autoimmune encephalitis and what is the role of antibody testing? - Neurology®​: Clinical Practice has just launched a new Practice Current survey on a hot topic for all practicing neurologists worldwide - When do you suspect autoimmune encephalitis (AE) and what is the role of antibody testing? There has been growing interest recently in stressing the importance of clinically-grounded guidelines for diagnosis of AE and antibody testing may not be available in diverse settings with varying resources. Please consider joining the discussion by taking the survey on the Practice Current page.

    The AAN recently offered a webinar course iNeurology: Best IT Practices covering "core functionalities of electronic health records, using health information technology to effectively report on payer programs, and identifying tools to improve patient care." An earlier course, Open Your Heart, Open Your Notes: A Guide to Patient Engagement, was offered in September in order to "familiarize practitioners with current patient engagement technology, employ tactics to enhance patient engagement and explore the OpenNotes concept of sharing medical information." If you missed either of these courses, it’s not too late to gain this useful information and earn CME by registering and viewing the recorded versions of the webinars on the AAN website. For specific questions, contact Jessica Nickrand, Program Manager, Policy and Practice Programming, at JNickrand@aan.com.

     

     

  • About The Editors

    Callaghan Image

    Editor, Innovations in Care Delivery
    Brian C. Callaghan, MD, MS
    Ann Arbor, MI

    Biography

     

    Kerber image

    Editor, Innovations in Care Delivery
    Kevin A. Kerber, MD, MS
    Ann Arbor MI

    Biography