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The emergence of inpatient neurologic specialists including neurohospitalists and neurointensivists has led to an increased focus on the quality of neurologic care delivered in the hospital. Each year, there are over 1.5 million nonsurgical neurologic hospital discharges in the United States, making neurology a large inpatient specialty even without accounting for nonadmitted emergency patients.1 National quality metrics in other non-neurologic specialties have focused primarily on inpatient care since hospitals, insurers, professional organizations, and the general public have turned their attention to outcomes achieved during and following hospitalization. Many of these metrics have been applied to neurology patients, despite their not being developed with neurology-specific patient populations or disorders in mind. This gap highlights the need for measures for neurology patients in both inpatient and emergency settings.
ACKNOWLEDGMENT
The authors thank the Inpatient and Emergency Neurology Quality Measurement Set Work Group members for their dedication, time, energy, contributions, and work that supported the development of this manuscript: John Ferro, MD, MS, FAAN (co-chair) (American Academy of Neurology); S. Andrew Josephson, MD, FAAN (co-chair) (Neurohospitalist Society); Paul Vespa, MD, FAAN (co-chair) (Neurocritical Care Society); Rohit Das, MD, MPH (American Academy of Neurology); David Gloss, MD (American Academy of Neurology); David Jones, MD (American Academy of Neurology); William Mack, MD, MS, FAANS, FAHA (American Association of Neurological Surgeons; Congress of Neurological Surgeons); Virginia Prendergast, PhD, NP-C (American Association of Neuroscience Nurses); Chip Truwit, MD (American College of Radiology/American Society of Neuroradiology); Paul Van Ness, MD (American Epilepsy Society); Michael Perskin, MD (American Geriatrics Society); Sanjeev Sockalingam, MD, FRCPC (American Psychiatric Association); Charlotte Jones, MD, PhD, MSPH (Child Neurology Society); Kevin Sheth, MD, FAAN, FNCS, FAHA (Neurocritical Care Society); Navaz Karanjia, MD (Neurocritical Care Society); Salvador Cruz-Flores, MD, MPH, FAAN (Neurocritical Care Society); Corey Fehnel, MD, MPH (Neurocritical Care Society); John Probasco, MD (Neurohospitalist Society); Mark Rubin, MD (Neurohospitalist Society); Jennifer Simpson, MD (Neurohospitalist Society); Jana Wold, MD (Neurohospitalist Society); Adam Cohen, MD (American Academy of Neurology facilitator); Adam Webb, MD (American Academy of Neurology facilitator); Amy Bennett, JD (American Academy of Neurology staff); Gina Gjorvad (American Academy of Neurology staff); Erin Lee (American Academy of Neurology staff); Becky Schierman, MPH (American Academy of Neurology staff).
Footnotes
Go to Neurology.org for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the article.
Approved by the AAN Quality and Safety Subcommittee on August 29, 2016; by the AAN Practice Committee on September 16, 2016; by the Neurohospitalist Society Board of Directors on September 30, 2016; by the Neurocritical Care Society Board of Directors on October 26, 2016; and by the AAN Board of Directors on November 3, 2016.
Supplemental data at Neurology.org
Editorial, page 646
- Received November 21, 2016.
- Accepted in final form April 10, 2017.
- © 2017 American Academy of Neurology
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