Perspectives on the Acute Care Continuum

The Acute Care Continuum is the integration of urgent, emergent, inpatient and post-discharge care of patients with acute medical conditions.

CEP America Launches Comprehensive Acute Neurology Services

10/23/2017 3:24:07 PM | 1 comments

CEP America Acute NeurologyThe practice of neurology is going through a major change nationally. Demand for neurologists is increasing as the U.S. population ages and incidents of stroke (the leading cause of disability) and diseases such as Parkinson’s and Alzheimer’s are rising.
Historically, neurology has been an outpatient-based practice. The majority of neurologists deal with issues such as dementia, Parkinson's, and medication disbursement outside the hospital.
But that doesn’t mean there isn’t a strong in-hospital need for neurology care.
It only means there's a large, growing gap between supply and demand in terms of providing urgent inpatient services like stroke management.
Due to this gap, hospitals often lack the resources and expertise needed to care effectively for stroke patients. This can potentially lead to poorer clinical outcomes for patients and loss of revenue for the hospital.

Comprehensive Neurology Care for Hospitals

In order to provide better care for stroke and emergent neurologic conditions, CEP America launched an Acute Neurology solution for hospitals.
On July 1, 2017, CEP affiliated with the physicians of SAGE Neurohospitalist Management Group. These neurologists will collaborate with their CEP colleagues across specialties to pioneer best practices and programs that improve patient outcomes.
Through its neurohospitalist and teleneurology services, CEP America is bridging the demand gap and providing comprehensive care that meets the needs of each patient. This empowers client hospitals to better serve their communities and boost their market shares.
Specific offerings include but are not limited to:
  • Neurodiagnostic services (inpatient and outpatient)
  • Intraoperative Monitoring (IOM) services setup
  • Interpretation of EEG studies
  • Implementation and supervision
  • Customized support teams
  • Program development
CEP’s panel of board-certified neurologists uses innovative approaches such as telemedicine to improve cost efficiency and deliver best-practice patient care.
CEP America’s neurology practice is led by Arbi Ohanian, MD, who developed several Primary and Comprehensive Stroke Centers in California, and Yafa Minazad, DO, who has served in stroke management teams for over a decade.
Minazad and Ohanian cofounded SAGE Neurohospitalist Management Group, which became renowned by hospitals for its innovative approach to care. Today, both physicians serve as operational vice presidents for CEP's Acute Neurology program.

Customized Neurology Solutions

CEP America's Acute Neurology team provides customized solutions that allow hospitals to greatly enhance their care.
All partnerships start with consulting and education. CEP America develops customized solutions for every hospital and also provides consulting to help hospitals achieve Primary or Comprehensive Stroke Center certification. 
Hospitals are supported by CEP America practice management experts, who help with program development, implementation, and operational enhancement. This improves the quality and experience of neurology care while simultaneously boosting provider satisfaction and reducing program costs.

A Comprehensive Approach

CEP America is the only organization of its kind to provide hospitals with a full range of acute neurology services, including teleneurology/telestroke, neurohospitalist, and specialty services accredited by the Joint Commission. 
Others in the industry offer fragmented support for neurologic care at the acute level, due to lack of investment across all subspecialties.
"Acute neurologic conditions such as stroke are difficult and costly to treat," said Minazad. "We’re creating a tightly coordinated and streamlined effort that will lead to better clinical and financial outcomes for patients and the hospital."
This comprehensive approach helps many types of patients. But it is most important in the case of stroke, because it's such an incredibly acute condition. CEP America's hospital-based neurology services greatly improve the timeliness and clinical quality of stroke care. And patients and families appreciate having help so close.
CEP America is uniquely qualified to introduce tightly coordinated care for patients requiring acute neurology services. As a multispecialty group, CEP understands the power of clinical integration and teamwork. CEP’s neurologists work with partners in the emergency department, the ICU, and across the hospital to promote better outcomes and a more satisfying patient experience.

Meeting Patient Needs

Telemedicine allows CEP America to provide comprehensive neurology care to patients in even the tiniest, most remote community hospitals.
"Telemedicine is the most up-and-coming piece of technology that's going to help expand healthcare everywhere," Ohanian said. "Marrying neurohospitalist and telemedicine work is one of the best ways to provide services to underserved populations."

Telemedicine can assist patients with a wide range of neurologic conditions, but stroke is the most time sensitive. During the acute phase of a stroke, 2 million brains cells die every minute. There's no time for a neurologist to drive to the ED — or even to rush to the ED from the far side of the hospital.

By contrast, telemedicine provides an expert evaluation almost immediately. Through the secure video conferencing platform, the neurologist can conduct an exam, read imaging studies, and give recommendations to the emergency department team.

Telemedicine can provide stroke coverage to remote hospitals where a patient couldn't dream of seeing a neurologist for days. And in addition to expanding access, the technology can also significantly improve outcomes.

Many stroke patients benefit from advanced treatments like tissue plasminogen activator (tPA). Prompt administration of these powerful drugs can make a big difference in the patient's outcome.

The CEP Difference

In addition to providing customized stroke care solutions, CEP America helps hospitals leverage advanced technologies, drive improvement through data, create new care team models, and much more.
Our flexible solutions go beyond teleneurology and neurohospitalist services to provide comprehensive and cost-effective neurology care.

To learn more about CEP America’s best practices and solutions to quality patient care, email

The expertise and diversity of the Neurology practice line will provide a significant impact for patients served by our organization.
10/24/2017 7:43:32 AM