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Getting to value in neurological care: A roadmap for academic neurology
Author(s) -
Holloway Robert G.,
Ringel Steven P.
Publication year - 2011
Publication title -
annals of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.764
H-Index - 296
eISSN - 1531-8249
pISSN - 0364-5134
DOI - 10.1002/ana.22439
Subject(s) - scrutiny , neurology , transformational leadership , health care , value (mathematics) , investment (military) , perspective (graphical) , public relations , business , quality (philosophy) , medicine , political science , psychiatry , economic growth , economics , philosophy , epistemology , machine learning , artificial intelligence , politics , computer science , law
Academic neurology is undergoing transformational changes. The public investment in biomedical research and clinical care is enormous and there is a growing perception that the return on this huge investment is insufficient. Hospitals, departments, and individual neurologists should expect more scrutiny as information about their quality of care and financial relationships with industry are increasingly reported to the public. There are unprecedented changes occurring in the financing and delivery of health care and research that will have profound impact on the mission and operation of academic departments of neurology. With the passage of the Patient Protection and Affordable Care Act (PPACA) there will be increasing emphasis on research that demonstrates value and includes the patient's perspective. Here we review neurological investigations of our clinical and research enterprises that focus on quality of care and comparative effectiveness, including cost‐effectiveness. By highlighting progress made and the challenges that lie ahead, we hope to create a clinical, educational, and research roadmap for academic departments of neurology to thrive in today's increasingly regulated environment. Ann Neurol 2011;69:909–918