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Specialty: Neurology
Source: Neurology Clinical Practice
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Total 200 results found since Jan 2013.
Episode-based care for stroke: Can neurologists play a leading role?
In this issue of Neurology® Clinical Practice, Dr. Michael Dobbs argues that episode-based care, which would encompass acute and longer-term associated care, is a likely candidate model of reimbursement for stroke.1 Physicians may be familiar with other bundled payment formats, particularly the diagnosis-related groups used by the Centers for Medicare & Medicaid Services (CMS) for determining inpatient care reimbursement to hospitals under Medicare part A.2 Episode-based care would have the advantages of looking at recurrent care and utilization events up to 1 year following the initial treatment and would be a bas...
Source: Nature Clinical Practice - June 9, 2014 Category: Neurology Authors: Ney, J. P. Tags: Medical care, Stroke prevention, Billing, Infarction Editorial Source Type: research
Episode-based payment for ischemic stroke care with implications for neurologists
Episode-based payment bundles a single lumped payment around a health care event, such as ischemic stroke. Hospitals are already experienced with a type of episode-based payment for stroke, the diagnosis-related group payment system. Ischemic stroke fits well into an episode-based system because (1) ischemic stroke is common, (2) an ischemic stroke care episode lasts for a definable period of time, and (3) ischemic stroke care costs are high and episode-based payment could provide savings. In an episode-based ischemic stroke care payment system built around cost savings, it is unclear whether neurologists would provide sav...
Source: Nature Clinical Practice - June 9, 2014 Category: Neurology Authors: Dobbs, M. R. Tags: All Cerebrovascular disease/Stroke, Models of care, Health care reform Eye on Practice Source Type: research
Stroke prevention in atrial fibrillation: Commentary regarding the AAN's evidence-based guideline update
Atrial fibrillation is a common, potentially preventable cause of disabling stroke in the elderly, particularly in elderly women, resulting from embolism of stasis-precipitated thrombi formed in the left atrial appendage. In 1989, the first randomized clinical trial of anticoagulant therapy in atrial fibrillation showed that warfarin produced a large reduction in ischemic stroke.1 In the ensuing 25 years, more than 40 additional randomized trials have permitted stroke prophylaxis to be importantly refined. It has been a period of remarkable progress in stroke prevention. Here, we discuss selected aspects of the American Ac...
Source: Nature Clinical Practice - April 14, 2014 Category: Neurology Authors: Hart, R. G., Eikelboom, J. W. Tags: Guideline Perspective Source Type: research
Eastchester clapping sign
A 63-year-old right-handed man with known right carotid artery occlusion developed acute left arm weakness. When asked to clap his hands, he brought the right hand to midline and stopped (figure, A; video). A CT scan demonstrated a right frontal infarction (figure, B, arrow).
Source: Nature Clinical Practice - April 14, 2014 Category: Neurology Authors: Mukerji, S. S., Bevers, M. B., Prasad, S. Tags: CT, Clinical neurology examination, All Cerebrovascular disease/Stroke, Infarction Cases Source Type: research
Management of sleep apnea in the neurology patient: Five new things
Recognizing and treating sleep-disordered breathing (SDB) is essential in delivering neurologic care due to its association with a growing list of neurologic conditions (e.g., stroke, neurodegenerative disorders). Thus, increased proficiency in the recognition and management of SDB is likely to result in better outcomes, care, and utilization of health care resources. To date, continuous positive airway pressure remains the gold standard for patients with moderate to severe obstructive sleep apnea and has been shown to be effective in treating variations of SDB. Appropriate application of new methods and technology such as...
Source: Nature Clinical Practice - February 17, 2014 Category: Neurology Authors: Salas, R. E., Chakravarthy, R., Sher, A., Gamaldo, C. E. Tags: All Sleep Disorders, Sleep apnea, Other Education Five New Things Source Type: research
