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Innovations in Care Delivery

Editors' Blog

  • Both diagnosis and treatment of epilepsy pose huge issues in interpretation of “big data” sources
    By Jacqueline French, MD

     

    In the current era, “big data” is considered to be a way to find out things that studies run on small populations cannot derive. It has been used specifically to address comparative evaluation of new interventions, and assessment of cost versus quality in care. These approaches are very appropriate when 1) both the disease and the outcome are relatively straightforward, 2) there is no clear bias in where or how the patient presents and 3) the codes used to capture both diagnosis and outcomes are representative of what actually occurs

    Continued...

    February 15, 2019
    View Blog Site
  • Editors' Top Five Recommended Reading

    Readmission after seizure discharge in a nationally representative sample
    Leah J. Blank, James A.G. Crispo, Dylan P. Thibault, Kathryn A. Davis, Brian Litt, Allison W. Willis
     
    Optical coherence tomography is highly sensitive in detecting prior optic neuritis
    Sarah Chaoying Xu, Randy H. Kardon, Jacqueline A. Leavitt, Eoin P. Flanagan, Sean J. Pittock, John J. Chen
     
    Diagnostic yield of genetic tests in epilepsy A meta-analysis and cost-effectiveness study
    Iván Sánchez Fernández, Tobias Loddenkemper, Marina Gaínza-Lein, Beth Rosen Sheidley, Annapurna Poduri
     
    Continuous EEG is associated with favorable hospitalization outcomes for critically ill patients
    Chloe E. Hill, Leah J. Blank, Dylan Thibault, Kathryn A. Davis, Nabila Dahodwala, Brian Litt, Allison W. Willis
     
    Natural history and survival in stage 1 Val30Met transthyretin familial amyloid polyneuropathy
    Teresa Coelho, Mónica Inês, Isabel Conceição, Marta Soares, Mamede de Carvalho, João Costa
     
     

Latest Articles

  • Article
    Validation of an algorithm for identifying MS cases in administrative health claims datasets
    William J. Culpepper, Ruth Ann Marrie, Annette Langer-Gould, et al.
    Neurology February 15, 2019
  • Views & Reviews
    A new way to estimate neurologic disease prevalence in the United StatesIllustrated with MS
    Lorene M. Nelson, Mitchell T. Wallin, Ruth Ann Marrie, et al.
    Neurology February 15, 2019
  • Editorial
    Wartime neurologyServing the neediest in an austere environment
    Mill Etienne, Jack W. Tsao
    Neurology: Clinical Practice December 20, 2018
  • Research
    Ten-year trajectories of health care utilization by Manitobans with MS predict nursing home entry
    Marcia Finlayson, Okechukwu Ekuma, Greg Finlayson, et al.
    Neurology: Clinical Practice November 19, 2018
Show more
  • Browse Subcategories

    All Health Services Research

    Cost Effectiveness/Economic

    Decision Analysis

    Diagnostic Test Assessment

    Harm/Risk Analysis

    Medical Care

    Outcome Research

    Patient Safety

    Quality of Life

  • 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

  • Dr. Kevin Kerber interviews Dr. Ralph Sacco
    January 1, 2018
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  • Call to Action!

    ​Neurology: Clinical Practice has just launched their next Practice Current survey on a universally controversial topic —Practice Current: How do you manage patients with a "hot carotid"? Please consider completing the survey to add your own perspective.

    ​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.’ ”  

    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

  • RESOURCES
     
    • AAN Resources/Practice
    • Alternative Payment Models
    • MACRA
    • AAN Resources/Academic
    • Agency for Healthcare Research
    • The Centers for Medicare & Medicaid Services
    • Health Affairs
    • Health Affairs - Top Ten Most-Read Articles in Health Services Research
    • Patient-Centered Outcomes Research Institute
    • Rock Health
     
     
  • Neurology Podcast - Over 16 million downloads!
    Quality of Life Outcomes in Patients Presenting for Evaluation of Central Nervous System Tumors
    Dr. Ted Burns talks with Dr. Irene Katzan
    February 12, 2019 Issue
    Listen20:05
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