By Avant-guard Health

The results of the 2022 Single-Level PLIF/TLIF Performance Benchmark are complete. The summary below is based on nation-wide stats from more than 800 procedures coded as DRG 455/460 for inpatient cases or CPT 22630/22632 for outpatient cases.

Dear NERVES Members:

I’m getting excited about our upcoming Annual Meeting on April 19-21 in Marina del Rey, California (outside of Los Angeles). Please take a minute to register now and remember to book your hotel through the link provided by NERVES. We have a great speaker line-up thanks to the committee members who serve on the Annual Meeting Planning Committee. We also have wonderful, caring vendors coming to California to support us as well.

Help us welcome our new members to NERVES! The Regional Directors representing the North/Midwest, Northeast, Southeast, Southwest Regions would like to personally welcome you to our great professional organization. We are excited you have decided to join us and look forward to getting to know you!

Southwest

By Craig Parker, JD, CPA and CEO, Guideway Care

Neurology and neurosurgery administrators and providers are increasingly focused on social determinants of health (SDoH) and how they impact access, compliance with treatment plans and other health equity/social determinants for neuro patients. Given the growing focus on finding and addressing non-clinical patient issues from outside the clinical environment which can impact care, executives responsible and accountable for the operational and financial performance of neurology practice groups, surgery centers or other related care settings increasingly seek to identify and implement programs that specifically address these concerns.

Tamara Johnson, BSN, RN, CPHRM, RHIA
Program Director, Clinical Risk Management & Patient Safety—Curi Advisory

Burnout has become far too common among medical professionals. A recent claims case study from Curi outlines risk management recommendations for combatting this rapidly growing trend in healthcare.

In September, NERVES Board of Directors approved updated bylaws. The updates to the bylaws will allow for board discretion to permit inactive members to continue to hold society positions for the benefit of the society.  Additionally, it will allow for Regional Directors to keep their position for their reminder of their term if they move to a different region during their term. 

If you have questions or concerns about the current bylaws or have a governance question, please email us at [email protected].

In September, NERVES Board of Directors approved updated bylaws. The updates to the bylaws will allow for board discretion to permit inactive members to continue to hold society positions for the benefit of the society.  Additionally, it will allow for Regional Directors to keep their position for their reminder of their term if they move to a different region during their term.

If you have questions or concerns about the current bylaws or have a governance question, please email us at [email protected].

State “Surprise Bill” Laws or the Federal No Surprises Act—Which Law Applies When?

By Thomas LaGreca, Esq., Callagy Law

I would like to start off by saying that being the NERVES Liaison to the Congress of State Neurosurgical Societies (CSNS) has been one of the most rewarding experiences of my time in NERVES. I have had the opportunity to interact with both professionals and physicians from across the practice spectrum. For those who don’t know much or anything about the CSNS it is the grassroots socio-economic organization that sits between the American Association of Neurological Surgeons (AANS) and the Congress of Neurological Surgery (CNS). It is made up of various appointees and volunteers from all practice venues and state and regional neurosurgery societies. It has a Chair, currently Dr. Joseph S. Cheng, that serves a two-year term as well as various other officers. There are also several committees that have a Chair like the Practice Committee and the Medico-Legal Committee, among others. It also offers great exposure for residents. The CSNS take around 12 Socio -Economic Resident Fellows each year that get to learn many aspects of practice that they get little or no exposure to during their six to seven years of training in an academic program. The CSNS meets in-person at both annual meetings of its parent organizations and all neurosurgeons are welcome to attend and vote on the various resolutions that are put forward during the meeting. The CSNS also meets in the Summer and Winter either in-person or through a video to keep things moving forward between the annual meetings.

At the CNS meeting in San Francisco in October, several resolutions were put forward for consideration, of which only a few were adopted and are moving forward. Some of the following resolutions will be moving forward during the next year: 

Committee Members: Carrie Bennett, Antoine Curtis, Galyn Damiani, Kelly Hornbacher, M.J. Orellano (chair), Alex Palleschi, Jim Shea, Stacey Snodgrass, Kathy Tobin (past chair), Mark Vorherr, Melissa Klingberg (NERVES). 

The Education Committee is responsible for creating educational opportunities for NERVES members throughout the year. The committee has a great balance of private practice, hospital-based practices, and academic practice to represent our membership on our committee.

Name, Title, Employer: Cynthia Voorhees MSN, RNFA, ACNP-BC. CFO of TNSPINE PLLC.

How long have you been a NERVES member: I am new. Not even a year and I have enjoyed it very much.  

Hello NERVES Members,

Starting your recruitment on the right foot is only half of the recruitment equation. Once you’ve identified your top candidates, these four tips will help you to have your new hire signing on the dotted line!

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Curi was proud to be a platinum-level sponsor of the 2022 NERVES Conference in Philadelphia. It was wonderful to see NERVES members and to share how Curi’s advisory, capital, and insurance offerings are delivering valued advice that’s time-tested and trusted for practices and practice leaders across the country.  

We look forward to keeping in touch with the neurosurgery groups that make up the NERVES membership and are excited to partner with many of you to understand how we can continue to support you and your practices in medicine, business, and life.

Author, Nicola Hawkinson with SpineSearch

Our recent article "WHAT MAKES A CENTER OF EXCELLENCE..., EXCELLENT?" certainly caught the attention of many readers, and your questions have been well…, “excellent.”

Dear NERVES Members:

I am so pleased to report that our first Building the Best: The Future of Spine Care & the Development of Centers of Excellence conference on September 22-23 in Chicago was phenomenal! Everyone who attended learned detailed nuts and bolts information about spine center and ERAS planning, operations, multidisciplinary team approaches, marketing, cost measurement, insurer perspectives, and the future of spine care. We all returned to our workplaces with a tremendous amount of new information and ideas that will improve spine care for patients across the country.  Hats off to the NERVES members who planned this event and the exhibitors and speakers who supported it. It was a true success story!

Unfortunately, I was unable to attend the Winter CSNS EC Meeting in Washington, DC due to a prior commitment, but was able to attend the CSNS Meeting in Philadelphia during both the NERVES Annual Educational Meeting and the AANS Annual Meeting. This was the first in-person plenary meeting since the onset of COVID. There were many topics discussed as resolutions and I will highlight some of the ones that should be of interest to our group.

• Cost Awareness Amongst Neurosurgeon Faculty and Residents: A Need for Health Care Sustainability Education
• Case Minimum and Credentialing Requirements
• Creating Sustainable Reimbursement for the Physician Workforce of the Future (Medicare)
• Evaluating Medical Error Reporting Practices in Neurological Intensive Care Units (Emergency Resolution pertaining to the criminal conviction of a neurosurgical ICU nurse)

I was also asked to sit on a lunch panel at the CSNS luncheon that was focused on philanthropy, how to pursue it and what areas within a practice that it can help, like bridge research funding, helping backstop certain clinical programs that lack reimbursement but are critical to high functioning centers and teams.

The membership committee has expanded the committee by six members. We are working on a plan to improve the retention and engagement of the members by the following : 

• Survey to establish the reasons for members leaving. Already sent to those who left. Pending results.
• We are developing a standard practice to ensure engagement from the regional directors and members within the next 30 days.  

We are looking for permission from the board to develop the following: 

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Hello NERVES Members,