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July 14, 2020; 95 (2) Article

Implementing standardized provider documentation in a tertiary epilepsy clinic

Felipe J.S. Jones, Jason R. Smith, Neishay Ayub, Susan T. Herman, Jeffrey R. Buchhalter, Brandy E. Fureman, Sydney S. Cash, Daniel B. Hoch, Lidia M.V.R. Moura
First published June 16, 2020, DOI: https://doi.org/10.1212/WNL.0000000000009778
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Article Information

vol. 95 no. 2 e213-e223
DOI: 
https://doi.org/10.1212/WNL.0000000000009778
PubMed: 
32546650
Published By: 
Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology
Print ISSN: 
0028-3878
Online ISSN: 
1526-632X
History: 
  • Received September 18, 2019
  • Accepted in final form December 17, 2019
  • First Published June 16, 2020.

Article Versions

Copyright & Usage: 
© 2020 American Academy of Neurology

Author Disclosures

    1. Felipe J.S. Jones, MD,
    2. Jason R. Smith, BA,
    3. Neishay Ayub, MD,
    4. Susan T. Herman, MD,
    5. Jeffrey R. Buchhalter, PhD, MD,
    6. Brandy E. Fureman, PhD,
    7. Sydney S. Cash, MD, PhD,
    8. Daniel B. Hoch, MD, PhD and
    9. Lidia M.V.R. Moura, MD, MPH
  1. Felipe J.S. Jones, MD,
    2. Scientific Advisory Boards:

    1. NONE

    Gifts:

    1. NONE

    Funding for Travel or Speaker Honoraria:

    1. NONE

    Editorial Boards:

    1. NONE

    Patents:

    1. NONE

    Publishing Royalties:

    1. NONE

    Employment, Commercial Entity:

    1. NONE

    Consultancies:

    1. NONE

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical Procedures or Imaging Studies:

    1. NONE

    Research Support, Commercial Entities:

    1. NONE

    Research Support, Government Entities:

    1. NONE

    Research Support, Academic Entities:

    1. NONE

    Research Support, Foundations and Societies:

    1. NONE

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  2. Jason R. Smith, BA,
    3. Scientific Advisory Boards:

    1. NONE

    Gifts:

    1. NONE

    Funding for Travel or Speaker Honoraria:

    1. NONE

    Editorial Boards:

    1. NONE

    Patents:

    1. NONE

    Publishing Royalties:

    1. NONE

    Employment, Commercial Entity:

    1. NONE

    Consultancies:

    1. NONE

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical Procedures or Imaging Studies:

    1. NONE

    Research Support, Commercial Entities:

    1. NONE

    Research Support, Government Entities:

    1. NONE

    Research Support, Academic Entities:

    1. NONE

    Research Support, Foundations and Societies:

    1. NONE

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  3. Neishay Ayub, MD,
    4. Scientific Advisory Boards:

    1. NONE

    Gifts:

    1. NONE

    Funding for Travel or Speaker Honoraria:

    1. NONE

    Editorial Boards:

    1. NONE

    Patents:

    1. NONE

    Publishing Royalties:

    1. NONE

    Employment, Commercial Entity:

    1. NONE

    Consultancies:

    1. NONE

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical Procedures or Imaging Studies:

    1. NONE

    Research Support, Commercial Entities:

    1. NONE

    Research Support, Government Entities:

    1. NONE

    Research Support, Academic Entities:

    1. NONE

    Research Support, Foundations and Societies:

    1. NONE

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  4. Susan T. Herman, MD,
    5. Scientific Advisory Boards:

    1. NONE

    Gifts:

    1. NONE

    Funding for travel or speaker honoraria:

    1. (1) Neuropace, Inc., travel to Experts Meeting

    Editorial Boards:

    1. (1) Current Treatment Options in Neurology, editorial advisory board member, 2012-2019 (2) Journal of Clinical Neurophysiology, editorial advisory board member, 2013-2019 (3) Clinical Neurophysiology Practice, associate editor, 2016-2019

    Patents:

    1. NONE

    Publishing Royalties:

    1. Epileptogenesis lecture, Henry Stewart Talks, 2013-2019

    Employment, Commercial Entity:

    1. NONE

    Consultancies:

    1. NONE

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical procedures or imaging studies:

    1. (1) Harvard Medical Faculty Practice, epilepsy patient care, 35%, 2012-2019, no benefit (2) Barrow Neurological Institute, epilepsy patient care, 35%, 2019, no benefit

    Research Support, Commercial Entities:

    1. (1) UCB Pharma (2) Acorda Therapeutics (3) Sage Therapeutics (4) NeuroPace, Inc. (5) Philips

    Research Support, Government Entities:

    1. (1) NIH/NINDS, #NS047029, co-investigator, 2014-2017

    Research Support, Academic Entities:

    1. NONE

    Research Support, Foundations and Societies:

    1. (1) American Epilepsy Society (2) Epilepsy Therapy Development Project

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  5. Jeffrey R. Buchhalter, PhD, MD,
    6. Scientific Advisory Boards:

    1. Data Safety Monitoring Board- UCB, Biviracetam dosing study DSMB- NINDS, Established Status Epilepticus Therapy Trial UCB, Inc- Biviracetam, data safety monitoring board

    Gifts:

    1. NONE

    Funding for travel or speaker honoraria:

    1. AAN, Quality Committee Epilepsy Foundation, Epilepsy Learning Healthcare System Pediatric Epilepsy Learning Healthcare System

    Editorial Boards:

    1. NONE

    Patents:

    1. NONE

    Publishing Royalties:

    1. NONE

    Employment, Commercial Entity:

    1. Banner Thunderbird Medical Center (commercial entity, 2 years)

    Consultancies:

    1. More than two years ago: Lundbeck Inc., Eisai Ltd., and Upsher-Smith During last 2 years: Insys (commercial), UCB (Commercial), Motive Medical Intelligence, Epilepsy Study Consortium (commercial) Weill Cornell Medicine (non-profit) Children's Healthcare of Atlanta (non-profit) Epilepsy Foundation (non-profit)

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical procedures or imaging studies:

    1. Banner Thunderbird Medical Center- general pediatric neurology practice in which these considerations could be relevant. Neither I nor my employer would benefit in a material fashion if these considerations were followed.

    Research Support, Commercial Entities:

    1. NONE

    Research Support, Government Entities:

    1. PCORnet infrastructure award, Epilepsy Learning Healthcare System, co-principle investigator, 2018-2020. Pediatric Epilepsy Research Fund, Pediatric Epilepsy Learning Healthcare System, leadership, 2018-2020

    Research Support, Academic Entities:

    1. NONE

    Research Support, Foundations and Societies:

    1. NONE

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  6. Brandy E. Fureman, PhD,
    7. Scientific Advisory Boards:

    1. NONE

    Gifts:

    1. NONE

    Funding for Travel or Speaker Honoraria:

    1. NONE

    Editorial Boards:

    1. NONE

    Patents:

    1. NONE

    Publishing Royalties:

    1. NONE

    Employment, Commercial Entity:

    1. NONE

    Consultancies:

    1. NONE

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical Procedures or Imaging Studies:

    1. NONE

    Research Support, Commercial Entities:

    1. 1) UCB Biopharma SPRL "Biomarkers, health outcomes, and healthcare utilization in people with resistant focal epilepsy"

    Research Support, Government Entities:

    1. NONE

    Research Support, Academic Entities:

    1. NONE

    Research Support, Foundations and Societies:

    1. 1) National Association of Epilepsy Centers "Epilepsy Learning Healthcare System" 2) Epilepsy Foundation of America; full-time employee of the Foundation since March 2016. Previous employer was NINDS/NIH.

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  7. Sydney S. Cash, MD, PhD,
    8. Scientific Advisory Boards:

    1. NONE

    Gifts:

    1. NONE

    Funding for Travel or Speaker Honoraria:

    1. NONE

    Editorial Boards:

    1. NONE

    Patents:

    1. NONE

    Publishing Royalties:

    1. NONE

    Employment, Commercial Entity:

    1. NONE

    Consultancies:

    1. NONE

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical Procedures or Imaging Studies:

    1. NONE

    Research Support, Commercial Entities:

    1. NONE

    Research Support, Government Entities:

    1. Funded as PI from NIH/NINDS R01-NS062092 Stock/Stock Options, Medical Equipment & Materials: Beacon Biosignals, 2019

    Research Support, Academic Entities:

    1. NONE

    Research Support, Foundations and Societies:

    1. NONE

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  8. Daniel B. Hoch, MD, PhD and
    9. Scientific Advisory Boards:

    1. NONE

    Gifts:

    1. NONE

    Funding for travel or speaker honoraria:

    1. Spouse has spoken at the National Consortium of MS centers and received an honorarium. Stock/Stock Options, Medical Equipment & Materials: Merck, 1990- present Regeneron, 1990-present Biogen Idec, 1990-present Medtronic, 2010-present Cigna 2015-present Johnson and Johnson 2015-present

    Editorial Boards:

    1. NONE

    Patents:

    1. NONE

    Publishing Royalties:

    1. NONE

    Employment, Commercial Entity:

    1. NONE

    Consultancies:

    1. NONE

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical Procedures or Imaging Studies:

    1. NONE

    Research Support, Commercial Entities:

    1. NONE

    Research Support, Government Entities:

    1. NONE

    Research Support, Academic Entities:

    1. NONE

    Research Support, Foundations and Societies:

    1. NONE

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  9. Lidia M.V.R. Moura, MD, MPH
    10. Scientific Advisory Boards:

    1. NONE

    Gifts:

    1. NONE

    Funding for Travel or Speaker Honoraria:

    1. NONE

    Editorial Boards:

    1. NONE

    Patents:

    1. NONE

    Publishing Royalties:

    1. NONE

    Employment, Commercial Entity:

    1. NONE

    Consultancies:

    1. NONE

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical Procedures or Imaging Studies:

    1. NONE

    Research Support, Commercial Entities:

    1. NONE

    Research Support, Government Entities:

    1. I received research support from NIH (1K08AG053380-01A1, 3P01AG032952-09S1, 1R01AG062282-01). I report no conflict of interest.

    Research Support, Academic Entities:

    1. NONE

    Research Support, Foundations and Societies:

    1. I receive funding from Epilepsy Foundation (i.e., Data Coordinating Center for the Epilepsy Learning Healthcare System). I report no conflict of interest.

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  1. From the Department of Neurology (F.J.S.J., J.R.S., N.A., S.S.C., D.B.H., L.M.V.R.M.), Massachusetts General Hospital, Harvard Medical School; Department of Neurology (S.T.H.), Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA; Department of Pediatrics (J.R.B.), Cumming School of Medicine, University of Calgary, Alberta, Canada; and Research and New Therapies (B.E.F.), Epilepsy Foundation, Landover, MD.
  1. Correspondence
    Dr. Jones felipe.jones{at}mgh.harvard.edu
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