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Congress Quarterly Archives - Neurosurgery Blog

Practice Restructuring in the COVID-19 Era

By CNS Spotlight, COVID-19, Cross PostNo Comments

From time to time on Neurosurgery Blog, you will see us cross-posting or linking to items from other sources that we believe are relevant to our audience. We wanted to bring attention to this article from the Winter 2021 issue of Congress Quarterly titled “Considerations for Private Practice Groups in the Age of COVID.” Stacey Lang, an executive administrator at the University of Pittsburgh Medical Center and a volunteer with the Neurosurgery Executives’ Resource Value & Education Society, outlines both short-term and long-term considerations for practice restructuring in the COVID-19 era, including staffing, facility and scheduling matters.

According to a recently released American Medical Association survey, the average number of weekly office visits per provider fell by over 50%. In addition, while on average physicians experienced a 32% drop in revenue since February, approximately 20% saw reductions of 50% or more. Less than 20% of physicians reported no decrease in revenue. Given the duration of the pandemic thus far, it is difficult to remember what everyday practice was and to imagine that we will, at some point, return to normal, albeit a new normal.

To read the complete article, click here.

Editor’s Note: We encourage everyone to join the conversation online by using the hashtags #COVID19 and #Neurosurgery.

RVU Compensation Model Insufficient for Measuring the Value of Academic Surgeons

By CNS Spotlight, Cross PostNo Comments

From time to time on Neurosurgery Blog, you will see us cross-posting or linking to items from other sources that we believe are relevant to our audience. We wanted to bring attention to the recent analysis of the worth of neurosurgeons in academic departments by Elad I. Levy, MD, FAANS, MBA, FACS, FAHA; Kunal Vakharia, MD; and Michael Cournyea, CEO of the University at Buffalo Neurosurgery, Inc. This article from the Winter 2021 issue of Congress Quarterly examines how the relative value unit (RVU) system is insufficient for effectively measuring an academic surgeon’s impact and value and proposes alternative strategies for developing appropriate compensation models for teaching faculty.

Academic neurosurgical departments are the lifeblood of the neurosurgical profession — their mission is to train the next generation of neurosurgeons. By educating stakeholders such as health care systems, universities, philanthropic entities and the community of the importance of each of the subspecialties in neurosurgery, it becomes possible to create appropriate compensation models for teaching faculty.

To read the complete article, click here.

Editor’s Note: We encourage everyone to join the conversation online by using the hashtag #Neurosurgery.

Novel Strategies for Reducing Health Care Costs

By CNS Spotlight, Cross Post, Healthcare CostsNo Comments

From time to time on Neurosurgery Blog, you will see us cross-posting or linking to items from other sources that we believe are relevant to our audience. We wanted to bring attention to the article from the Winter 2021 issue of Congress Quarterly, titled “Cost Effectiveness in Cranioplasty: Investigational 3D-Printed Method for Patient-Specific Cranial Implant.” Daniel Solomon; Jonathan A. Forbes, MD, FAANS; Joseph S. Cheng, MD, MS, FAANS; and Alice Xu from the University of Cincinnati, College of Medicine examine methods to reduce the cost of patient-specific cranial implant (PSCI) by approximately 70% via 3D printing and investigational technology.

Figure 1: (A) and (B) cadaveric specimen following right decompressive craniectomy. (C) Same specimen pictured following cranioplasty with patient-specific cranial implant. PSCI printed/constructed using investigational freeware.

Finding novel ways to reduce surgical expenditures reduces the financial burden on hospitals and patients without compromising quality of care. Strategies such as this are increasingly important as the U.S. continues to push towards value-centric health care.

To read the complete article, click here.

Editor’s Note: We encourage everyone to join the conversation online by using the hashtag #Neurosurgery.