Innovations in Care Delivery

Editors' Blog

  • The challenge of epilepsy quality measures
    By Chloe Hill, MD, MPH

     

    The American Academy of Neurology (AAN) Epilepsy Quality Measurement Set Workgroup updated the quality metrics in 2017 guided by “the overarching goal to improve the delivery of care for patients with epilepsy for providers, practices, and systems”.1 Yet whether these metrics indeed relate to outcomes prioritized by patients with epilepsy had not been well explored until the recent paper by Moura et al.2 In this paper, the authors report a prospective approach to systematically capturing patient reported data at an academic epilepsy clinic through the application of web-based and iPad-based questionnaires, integration with the electronic medical record, query of a research patient data registry, and employment of an Epic-based patient portal. Collection of AAN epilepsy quality measures identified gaps in care for close to half of patients with epilepsy and those gaps in care quality appeared to be associated with worse physical and mental health as estimated by the Patient-Reported Outcome Measurement Information System (PROMIS).

    Continued...

    January 6, 2020
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  • 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 

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  • Call to Action!

    ​Neurology: Clinical Practice has launched their next Practice Current survey on a universally controversial topic —Practice Current: Practice Current: "How do you diagnose and treat post-concussive headache? 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.’ ”  

     

  • 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