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Using Design Thinking to Understand the Reason for Headache Referrals and Reduce Referral Rates.

Ashish D Patel¹, Mallory Sponenberg¹, Leeann Webster¹

¹Neurology (ADP, SC, ES), Health Information Technology (MS), Pharmacy Services (LW), and Community Medicine (JAD, BS), Geisinger (SF), Danville, PA.

Neurology. Clinical Practice

|August 26, 2024

Summary

This summary is machine-generated.

An electronic health record (EHR) tool reduced neurology referrals by 77% and MRI orders by 35% for headache patients. This innovation effectively managed demand and cut healthcare costs.

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Area of Science:

Neurology
Health Informatics
Healthcare Management

Background:

Growing demand for neurology services outstrips current supply.
Primary care providers' (PCPs) referral patterns for headache patients were investigated.
Stakeholder input informed the development of an electronic health record (EHR) tool.

Purpose of the Study:

To evaluate the impact of an EHR headache tool on care delivery within PCP clinics.
To assess the tool's effectiveness in managing demand for neurology consultations.
To identify strategies for reducing healthcare costs associated with headache management.

Main Methods:

Collaborative development of an EHR-based headache management tool.
Implementation of the tool in PCP clinics.
Analysis of neurology referral rates and MRI ordering patterns before and after tool implementation.

Main Results:

Neurology referrals decreased by 77% post-implementation.
MRI orders declined by 35% after the EHR tool's release.
Estimated healthcare cost savings of $207,600 over a 3-month period were observed.

Conclusions:

Embedding neurologist expertise within PCP offices via an EHR tool effectively shapes demand for specialized consultations.
The EHR tool demonstrated significant potential in reducing healthcare costs and managing the burden of headache care.
Further collaboration and tool refinement are planned for wider dissemination across the health system.