Accountable Care
Accountable Care Champion
Dr. Olga Goldberg serves as the Accountable Care Champion for the Department of Neurology. Dr. Goldberg previously served as Neurology’s Value-Based Care Champion through the Value-Based Care (VBC) Program, which ended in 2025.
Historically, Neurology VBC projects focused on designing innovative systems in which our specialists are able to effectively support primary care providers in clinical decision-making. One major project led by Dr. Goldberg has been “Optimization of Care of Patients Presenting with Headache to a Stanford Health Care Primary Care Provider.” Another project, the “MD2MD Pager Pilot,” facilitated communication among primary care physicians and ambulatory neurologists while the patient was still in the primary care physician's office to address urgent questions, such as whether the patient should be sent to the Emergency Department or for imaging studies. Neurology VBC has also partnered with the Department of Radiology to focus on reduction of unnecessary imaging in patients with dizziness presenting to primary care providers.
In Fiscal Year 2024, the VBC program was integrated into the Improvement Capability Development Program under the Financial Strength domain. In Fiscal Years 2024 and 2025, Dr. Goldberg led interventions to optimize the use of the physical space in the ambulatory neurology clinics as measured by visits per clinic room per day.
In Fiscal Year 2026, Dr. Goldberg is leading a project focused on patients admitted to the hospital for stroke as part of the CMS Bundled Payments for Care Improvement Advanced (BCPI Advanced) Model.
Olga Goldberg, MD
Clinical Associate Professor
Cost Savings Reinvestment Program
The Department of Neurology & Neurological Sciences strives to deliver high-value care. This involves continuously improving the quality and safety of care, and also reducing costs where possible. The Cost Savings Reinvestment Program (CSRP) is a program that benefits both the School of Medicine and Stanford Health Care by sharing some of the realized cost savings from physician-led improvements. Although these funds cannot be used as any form of salary support or compensation for physicians, they can be used at the discretion of the departments to fund the purchase of supplies, research, or continuing education.
Neurology has completed two CSRP projects. The first project focused on providing appropriate care to hospitalized neurology patients by reducing low-value practices, like unnecessary telemetry, recurring labs, and administering IV medications in patients who can take pills. The main intervention was a rounding checklist completed for every patient every day on the Neurohospitalist and Stroke services. The second project focused on safely transitioning patients with intracerebral hemorrhage from the ICU to the hospital wards through the appropriate use of oral antihypertensive medications.
For Neurology faculty members who wish to learn more about CSRP, please contact Carl Gold.