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Strategies for Improving Access in Academic Neurology
Jaya Trivedi1, Amber Salter1, Debra Clamp1
1Department of Neurology, UT Southwestern Medical Center, Dallas, TX; and.
Neurology. Clinical Practice
|September 2, 2025
Summary
Neurologic care access improved by optimizing clinic templates and utilizing advanced practice providers (APPs). This initiative significantly reduced wait times for new patients, enhancing overall neurology service delivery.
Area of Science:
- Neurology
- Healthcare Management
- Patient Access
Background:
- Neurologic disorders represent a significant global disease burden.
- A projected 19% shortfall in neurologists exacerbates concerns regarding access to care.
- Decreasing appointment wait times and improving patient access are critical needs in neurology.
Purpose of the Study:
- To describe a departmental initiative aimed at bridging the access gap in neurology.
- To detail strategies for improving patient access and reducing wait times for new patient appointments.
Main Methods:
- Implementation of template management strategies.
- Leveraging advanced practice providers (APPs) within the neurology department.
- Focusing on the provision of timely access for new patient referrals.
Main Results:
- Total patient volume increased by 34% and new patient volume by 32% over two years.
- Visits per clinic session grew by 21% for APPs.
- The percentage of new patients seen within 10 days increased by over 100% for both internal and all referrals.
Conclusions:
- Departmental initiatives focusing on template optimization and APP utilization can significantly improve patient access in neurology.
- Strategies implemented led to substantial increases in patient volume and reductions in wait times.
- The findings highlight effective methods for addressing neurologist shortages and enhancing healthcare delivery.

