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August 2015; 5 (4) Eye on Practice

Neurology advanced practice providers

A position paper of the American Academy of Neurology

Heidi B. Schwarz, Joseph V. Fritz, Raghav Govindarajan, Rebecca Penfold Murray, Kathryn B. Boyle, Thomas S.D. Getchius, Miriam Freimer
First published August 6, 2015, DOI: https://doi.org/10.1212/CPJ.0000000000000164
Heidi B. Schwarz
Department of Neurology (HBS), University of Rochester, Rochester, NY; Dent Neurologic Institute (JVF), Amherst, NY; Department of Neurology (RG), University of Missouri, Columbia, MO; Center for Health Policy (RPM, KBB, TSDG), American Academy of Neurology, Minneapolis, MN; and Department of Neurology (MF), The Ohio State University, Columbus, OH.
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Joseph V. Fritz
Department of Neurology (HBS), University of Rochester, Rochester, NY; Dent Neurologic Institute (JVF), Amherst, NY; Department of Neurology (RG), University of Missouri, Columbia, MO; Center for Health Policy (RPM, KBB, TSDG), American Academy of Neurology, Minneapolis, MN; and Department of Neurology (MF), The Ohio State University, Columbus, OH.
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Raghav Govindarajan
Department of Neurology (HBS), University of Rochester, Rochester, NY; Dent Neurologic Institute (JVF), Amherst, NY; Department of Neurology (RG), University of Missouri, Columbia, MO; Center for Health Policy (RPM, KBB, TSDG), American Academy of Neurology, Minneapolis, MN; and Department of Neurology (MF), The Ohio State University, Columbus, OH.
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Rebecca Penfold Murray
Department of Neurology (HBS), University of Rochester, Rochester, NY; Dent Neurologic Institute (JVF), Amherst, NY; Department of Neurology (RG), University of Missouri, Columbia, MO; Center for Health Policy (RPM, KBB, TSDG), American Academy of Neurology, Minneapolis, MN; and Department of Neurology (MF), The Ohio State University, Columbus, OH.
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Kathryn B. Boyle
Department of Neurology (HBS), University of Rochester, Rochester, NY; Dent Neurologic Institute (JVF), Amherst, NY; Department of Neurology (RG), University of Missouri, Columbia, MO; Center for Health Policy (RPM, KBB, TSDG), American Academy of Neurology, Minneapolis, MN; and Department of Neurology (MF), The Ohio State University, Columbus, OH.
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Thomas S.D. Getchius
Department of Neurology (HBS), University of Rochester, Rochester, NY; Dent Neurologic Institute (JVF), Amherst, NY; Department of Neurology (RG), University of Missouri, Columbia, MO; Center for Health Policy (RPM, KBB, TSDG), American Academy of Neurology, Minneapolis, MN; and Department of Neurology (MF), The Ohio State University, Columbus, OH.
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Miriam Freimer
Department of Neurology (HBS), University of Rochester, Rochester, NY; Dent Neurologic Institute (JVF), Amherst, NY; Department of Neurology (RG), University of Missouri, Columbia, MO; Center for Health Policy (RPM, KBB, TSDG), American Academy of Neurology, Minneapolis, MN; and Department of Neurology (MF), The Ohio State University, Columbus, OH.
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Citation
Neurology advanced practice providers
A position paper of the American Academy of Neurology
Heidi B. Schwarz, Joseph V. Fritz, Raghav Govindarajan, Rebecca Penfold Murray, Kathryn B. Boyle, Thomas S.D. Getchius, Miriam Freimer
Neurol Clin Pract Aug 2015, 5 (4) 333-337; DOI: 10.1212/CPJ.0000000000000164

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Summary

There are many factors driving health care reform, including unsustainable costs, poor outcomes, an aging populace, and physician shortages. These issues are particularly relevant to neurology. New reimbursement models are based on value and facilitated by the use of multidisciplinary teams. Integration of advanced practice providers (APPs) into neurology practice offers many advantages with new models of care. Conversely, there are many and varied challenges financially and logistically with these practice models. The American Academy of Neurology has formed a Work Group to address the needs of both neurologists and neurologic APPs and monitor the effect of APPs on quality and cost of neurologic care.

Footnotes

  • Funding information and disclosures are provided at the end of the article. Full disclosure form information provided by the authors is available with the full text of this article at Neurology.org/cp.

  • Approved by the Advanced Practice Provider Work Group on April 20, 2014, by the Practice Committee on January 24, 2015, and by the AANI Board of Directors on February 17, 2015. Approved as a position of the AAN by the AAN/AANI Board of Directors on June 16, 2015.

  • © 2015 American Academy of Neurology
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