Funds flow in academic neurology

Funds flow arrangements define the financial relationships between departments, medical centers, and university entities within a coordinated academic health system. Although these funds flow frameworks differ, common themes emerge including those that are unique in their influence on academic departments of neurology. Here, we review various funds flow models and their application. Four typical models are described, highlighting the advantages and disadvantages of each for neurology, keeping in mind that most academic health systems use a hybrid model. Several considerations are important when neurology departmental leadership participates in crafting or revising of these funds flow agreements, including choice of benchmarking targets, planning and funding for future growth, demonstrating value, and supporting nonclinical missions including education and research. The American Academy of Neurology Academic Initiative aims to continue to help academic departments nationally understand these issues and define funds flow arrangements that incorporate the unique characteristics of our specialty and allow us to provide outstanding care for patients while supporting the broad missions of neurology departments.

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Challenges of Implementing the 4Ms in Federally Qualified Health Centers and Private Academic Medical Centers

Innovation in Aging ◽

10.1093/geroni/igaa057.2959 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 813-813

Author(s):

Bonnie Olsen ◽

Theresa Sivers-Teixeira ◽

Kelly Sadamitsu

Keyword(s):

Older Adults ◽

Health System ◽

Large Scale ◽

Academic Health ◽

Medical Centers ◽

Strategic Approach ◽

Academic Medical ◽

Leadership Engagement ◽

Trained Staff ◽

Implementation Plans

Abstract As our country increases our capacity to provide quality interprofessional geriatric medical care to older adults, we find challenges that are unique to the setting. Many older adults receive care in Federally Qualified Healthcare Centers where implementing Age-Friendly Care is critical. Implementing the 4M’s in this setting has specific challenges including lack of geriatric trained staff, staff turnover, leadership engagement and financial sustainability. When implementing Age-Friendly Care within a large-scale complex academic health system, equally difficult challenges surface. With less nimble infrastructures, changes in one service area can have a domino effect and create larger barriers in other parts of the system. Instituting the 4M’s in an academic health system environment requires a careful strategic approach and support from many areas of organizational leadership. This talk will focus on strategies to anticipate and adapt implementation plans to best address barriers that are unique to the setting.

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Faculty Opinions recommendation of Evidence-based guideline: Treatment of painful diabetic neuropathy: report of the American Academy of Neurology, the American Association of Neuromuscular and Electrodiagnostic Medicine, and the American Academy of Physical Medicine and Rehabilitation.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.11408956.12429054 ◽

2011 ◽

Author(s):

Amanda Peltier ◽

Elias Abou-Zeid

Keyword(s):

Diabetic Neuropathy ◽

American Academy ◽

American Association ◽

Evidence Based ◽

Painful Diabetic Neuropathy ◽

Physical Medicine ◽

Physical Medicine And Rehabilitation ◽

Evidence Based Guideline ◽

American Academy Of Neurology

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Faculty Opinions recommendation of Evidence report: Genetic and metabolic testing on children with global developmental delay: report of the Quality Standards Subcommittee of the American Academy of Neurology and the Practice Committee of the Child Neurology Society.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.13380979.14750180 ◽

2011 ◽

Author(s):

Adam Hartman ◽

Alison Dolce

Keyword(s):

American Academy ◽

Developmental Delay ◽

Quality Standards ◽

Global Developmental Delay ◽

Child Neurology ◽

Practice Committee ◽

American Academy Of Neurology

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FDA Approvals and Consensus Guidelines for Botulinum Toxins in the Treatment of Dystonia

Toxins ◽

10.3390/toxins12050332 ◽

2020 ◽

Vol 12 (5) ◽

pp. 332 ◽

Cited By ~ 2

Author(s):

Lauren L. Spiegel ◽

Jill L. Ostrem ◽

Ian O. Bledsoe

Keyword(s):

Botulinum Toxin ◽

Literature Review ◽

American Academy ◽

Practice Guidelines ◽

European Federation ◽

Botulinum Toxins ◽

Consensus Guidelines ◽

Off Label ◽

Fda Approval ◽

American Academy Of Neurology

In 2016, the American Academy of Neurology (AAN) published practice guidelines for botulinum toxin (BoNT) in the treatment of blepharospasm, cervical dystonia, adult spasticity, and headache. This article, focusing on dystonia, provides context for these guidelines through literature review. Studies that led to Food and Drug Administration (FDA) approval of each toxin for dystonia indications are reviewed, in addition to several studies highlighted by the AAN guidelines. The AAN guidelines for the use of BoNT in dystonia are compared with those of the European Federation of the Neurological Societies (EFNS), and common off-label uses for BoNT in dystonia are discussed. Toxins not currently FDA-approved for the treatment of dystonia are additionally reviewed. In the future, additional toxins may become FDA-approved for the treatment of dystonia given expanding research in this area.

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Description of a Multi-faceted COVID-19 Pandemic Physician Workforce Plan at a Multi-site Academic Health System

Journal of General Internal Medicine ◽

10.1007/s11606-020-06543-1 ◽

2021 ◽

Author(s):

Sachin R. Pendharkar ◽

Evan Minty ◽

Caley B. Shukalek ◽

Brendan Kerr ◽

Paul MacMullan ◽

...

Keyword(s):

Health System ◽

Acute Care ◽

Care Physician ◽

System Capacity ◽

Medical Emergency ◽

Physician Workforce ◽

Future Health ◽

Academic Health ◽

Response Planning ◽

Implementation Period

Abstract Background The evolving COVID-19 pandemic has and continues to present a threat to health system capacity. Rapidly expanding an existing acute care physician workforce is critical to pandemic response planning in large urban academic health systems. Intervention The Medical Emergency-Pandemic Operations Command (MEOC)—a multi-specialty team of physicians, operational leaders, and support staff within an academic Department of Medicine in Calgary, Canada—partnered with its provincial health system to rapidly develop a comprehensive, scalable pandemic physician workforce plan for non-ventilated inpatients with COVID-19 across multiple hospitals. The MEOC Pandemic Plan comprised seven components, each with unique structure and processes. Methods In this manuscript, we describe MEOC’s Pandemic Plan that was designed and implemented from March to May 2020 and re-escalated in October 2020. We report on the plan’s structure and process, early implementation outcomes, and unforeseen challenges. Data sources included MEOC documents, health system, public health, and physician engagement implementation data. Key Results From March 5 to October 26, 2020, 427 patients were admitted to COVID-19 units in Calgary hospitals. In the initial implementation period (March–May 2020), MEOC communications reached over 2500 physicians, leading to 1446 physicians volunteering to provide care on COVID-19 units. Of these, 234 physicians signed up for hospital shifts, and 227 physicians received in-person personal protective equipment simulation training. Ninety-three physicians were deployed on COVID-19 units at four large acute care hospitals. The resurgence of cases in September 2020 has prompted re-escalation including re-activation of COVID-19 units. Conclusions MEOC leveraged an academic health system partnership to rapidly design, implement, and refine a comprehensive, scalable COVID-19 acute care physician workforce plan whose components are readily applicable across jurisdictions or healthcare crises. This description may guide other institutions responding to COVID-19 and future health emergencies.

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Building a neuroinfectious disease consensus curriculum

Neurology ◽

10.1212/wnl.0000000000007872 ◽

2019 ◽

Vol 93 (5) ◽

pp. 208-216

Author(s):

Arun Venkatesan ◽

Felicia C. Chow ◽

Allen Aksamit ◽

Russell Bartt ◽

Thomas P. Bleck ◽

...

Keyword(s):

American Academy ◽

Delphi Technique ◽

Fellowship Training ◽

Consensus Process ◽

Diverse Range ◽

Modified Delphi ◽

Delphi Approach ◽

Modified Delphi Technique ◽

Comprehensive Curriculum ◽

American Academy Of Neurology

ObjectiveTo delineate a comprehensive curriculum for fellowship training in neuroinfectious diseases, we conducted a modified Delphi approach to reach consensus among 11 experts in the field.MethodsThe authors invited a diverse range of experts from the American Academy of Neurology Neuro-Infectious Diseases (AAN Neuro-ID) Section to participate in a consensus process using a modified Delphi technique.ResultsA comprehensive list of topics was generated with 101 initial items. Through 3 rounds of voting and discussion, a curriculum with 83 items reached consensus.ConclusionsThe modified Delphi technique provides an efficient and rigorous means to reach consensus on topics requiring expert opinion. The AAN Neuro-ID section provided the pool of diverse experts, the infrastructure, and the community through which to accomplish the consensus project successfully. This process could be applied to other subspecialties and sections at the AAN.

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