Quality and Safety in Neurosurgery

Creating National Practice Standards Through Collaboration

Protocols and Guidelines As technology advances, the practice of medicine has been rapidly transforming from anecdotal, traditional techniques, and experience to sophisticated data-driven, evidence-based protocols. Significant variability exists in the practice of medicine, including neurosurgery where diseases with relatively low…

Improving Outcomes With Subspecialization and Regionalization

Introduction The provision of high-quality, safe, affordable neurosurgical care is a goal sought after by the surgeon, patient, hospital, and insurers. Evaluation of hospital and individual neurosurgical performance has become more elaborate due to increased costs, rising patient expectations, demands…

Improving Performance by Improving Education

Introduction A strategy for improving neurosurgical performance by improving education may comprise a broad spectrum of tactics. From a traditional educational standpoint, it can refer simply to improving the knowledge base of medical students, residents, and fellows. With regard to…

Improving Outcomes: Big Data and Predictive Analytics

Introduction Computational Neurosurgery Outcomes Center Dr. Timothy R. Smith and Dr. William B. Gormley founded Computational Neurosurgery Outcomes Center (CNOC) at Brigham and Women's Hospital and Harvard Medical School in 2015. The purpose of this center is to centralize disparate…

Reducing Readmissions

Introduction Health care spending is a significant area of concern as the national health spending is projected to grow at an average rate of 5.6% each year from 2016 to 2025. In 2015, the National health expenditure accounted for 17.8%…

Quality Efforts for Reducing Mortality in Neurosurgery

Introduction With recent changes in health care policy, patient health metrics and mortality rates are increasingly recognized as proxies for quality of care and determinants of hospital reimbursements. As a result, both medical and surgical specialties have begun to place…