Stanford Neurohospitalist Program News
Team improves Neurology Clinic referral processing time
A team of neurology faculty, patient representatives, operations and performance improvement specialists recently completed a months’ long project to improve general neurology clinic referral processing time. Through a series of multidisciplinary focus groups involving RNs, MDs and new patient coordinators, process mapping and root cause analysis, they developed a new simplified pathway for triaging and processing referrals. The group’s efforts have already resulted in an average reduction of 2 days of referral processing time. The team was composed of Laurice Yang, MD, Katie Kvam, MD, Nicole Batino, operations specialist, Ting Pun, patient representative/advocate, and Hannah Wetmore, performance improvement.
The team hopes to continue these efforts into the next year with a plan to focus on streamlining the inpatient to outpatient referral and scheduling process as this is a critical gap for many patients and families.
Stanford medical student Harrison Hines and neurology residents Dr. Nick Murray and Dr. Sarah Ahmad have published a Video case report in Neurology titled “Paraneoplastic spinal myoclonus associated with Caspr2 antibodies.” The patient described in the report was seen by the Neurohospitalist consult service while hospitalized at Stanford. Clinical care and the manuscript were supervised by Professor Safwan Jaradeh and Clinical Assistant Professor Carl Gold.
PGY3 Neurology Resident Dr. Collin Culbertson has published a Teaching NeuroImage case report in the November 21 issue of Neurology, along with Neuropathology Fellow, Dr. Seth Lummus, and Clinical Assistant Professor, Dr. Carl Gold. Dr. Culbertson was a member of the clinical team that cared for a hospitalized patient who presented with left eye vision loss. After an extensive work-up, she was diagnosed with an uncommon inflammatory condition known as myeloperoxidase-anti-neutrophil cytoplasmic antibody-positive hypertrophic pachymeningitis.
Multidisciplinary team pilots checklists to promote high-value inpatient care
A multidisciplinary team from the Department of Neurology participated in Cohort 5 of the SHC Clinical Effectiveness and Leadership Training course (CELT). Pictured here with SHC leadership at the September 1 CELT graduation, the team included former residents and current fellows Tresa McGranahan and Rebecca Miller-Kuhlmann, H1-G1 patient care manager Elisa Nguyen, clinical nurse Karlene Mills, and case manager Judy Pettibone. Clinical assistant professor Carl Gold served as the team leader. The team's CELT project, "Delivering High-Value Care on Inpatient Neurology: A Multidisciplinary Initiative," focused on developing and piloting checklist tools to promote high-value practices on the neurohospitalist service.
The Stanford Department of Neurology & Neurological Sciences is excited to announce the creation of the Neurohospitalist Fellowship program. The goal of this one-year clinical Fellowship is to gain expertise in the diagnosis and management of a wide variety of common and rare acute neurological conditions. The emphasis will be on inpatient ward and consultative neurology, with exposure to neurocritical care and vascular neurology. In addition to consolidation of clinical knowledge, Fellows will be mentored on managing clinical teams and teaching learners of multiple levels. Fellows will also be actively involved in quality improvement and patient safety projects. At the completion of the program, each Fellow will have developed the necessary clinical, research, and teaching skills to launch a successful academic career.
Candidates must be board-eligible and have a license to practice in the state of California by the start date of the fellowship.
Fellowship start date: July 1, 2019
Please submit CV and a personal statement to Carl Gold, MD (firstname.lastname@example.org) by November 15, 2017. Candidate interviews will be scheduled for December 2017.