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Related Experiment Video

Updated: Jan 6, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

A Technology-Enabled Concussion Care Pathway Reduces Costs and Enhances Care.

Jay L Alberts¹, Michael T Modic², Belinda L Udeh³

¹Department of Biomedical Engineering, Cleveland Clinic Foundation, 9500 Euclid Avenue, ND-20, Cleveland, OH 44195 (USA); Center for Neurological Restoration, Cleveland Clinic Foundation; Office of Clinical Transformation, Cleveland Clinic Foundation; and Concussion Center, Cleveland Clinic Foundation.

Physical Therapy

|October 5, 2019

Summary

Implementing a concussion carepath improved patient outcomes and reduced costs by streamlining care and increasing physical therapy referrals. This standardized approach enhanced resource utilization and decreased emergency medicine and imaging use, leading to significant cost savings.

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Last Updated: Jan 6, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

Vision Training Methods for Sports Concussion Mitigation and Management

Vision Training Methods for Sports Concussion Mitigation and Management

Published on: May 5, 2015

A Neuroscientific Approach to the Examination of Concussions in Student-Athletes

A Neuroscientific Approach to the Examination of Concussions in Student-Athletes

Published on: December 8, 2014

Area of Science:

Neuroscience
Health Services Research
Rehabilitation Medicine

Background:

Standardizing care improves outcomes and reduces costs, but concussion management is fragmented across disciplines.
A gap exists in effectively utilizing rehabilitation services for concussion patients.
Current concussion care pathways often lead to disparate patient experiences and suboptimal resource allocation.

Purpose of the Study:

To characterize changes in healthcare utilization after implementing a concussion carepath.
To conduct an economic evaluation of patient charges following the carepath implementation.

Main Methods:

Retrospective cohort study analyzing electronic medical and financial records (N=3937) from 2010-2016.
Individuals aged 18-45 with a primary concussion diagnosis were included.
Compared encounter length, resource utilization, and charges pre- and post-carepath implementation.

Main Results:

Concussion diagnoses increased by 385% (2010-2015), with physical therapy utilization rising from 9% to 20%.
Time to physical therapy referral decreased significantly from 72 to 23 days post-injury.
Emergency medicine and imaging utilization decreased, resulting in a 20.7% reduction in median patient charges.

Conclusions:

The concussion carepath successfully optimized clinical practice, ensuring continuity of care and appropriate resource utilization.
Effective handoffs to physical therapy and standardized data collection via technology were crucial for success.
Standardized care improved patient outcomes without compromising quality, demonstrating the value of a structured approach.