Value of the Academic Neurologist in New Models of Care

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Presenter: Allison Brashear, MD, MBA, Walter C. Teagle Chair of Neurology 
Professor and Chair, Dept of Neurology 

Institution: Wake Forest School of Medicine 

Speaker Bio:
Allison Brashear, MD, MBA, is professor and chair of the department of neurology at Wake Forest University School of Medicine in Winston Salem, NC. She also holds the Walter C. Teagle Chair of Neurology. Brashear has been the principal investigator in many multicenter trials for the treatment of cervical dystonia and spasticity. She was the lead author on the pivotal paper, “Intramuscular Injection of Botulinum Toxin for the Treatment of Wrist and Finger Spasticity After a Stroke,” published in The New England Journal of Medicine in 2002. Brashear is the principal clinician to describe a unique genetic form of dystonia-parkinsonism, Rapid-Onset Dystonia-Parkinsonism (RDP). The gene responsible for RDP, 
mutations in the Na/K ATPase α3 subunit, was reported in Neuron in July 2004 and Brain in February 2007. In 2008, NINDS funded Brashear and her group to study mutations in the ATP1A3 gene. 

Brashear graduated from DePauw University in 1983, Indiana University School of Medicine in 1987, and completed her training in neurology at Indiana University School of Medicine in 1991. Brashear completed an MBA from Duke University with certification in health sector management in 2012. 

Description: The specialist needs to define the role they will play when we shift from a volume based payment system to value based payments. The options include impacting readmissions, utilization, high cost environments for care. 


  1. VanLare, Jordan M., and Patrick H. Conway. "Value-based purchasing—national programs to move from volume to value." *New England Journal of Medicine* 367, no. 4 (2012): 292-295. 
  2. Patel, Mitesh S., Matthew M. Davis, and Monica L. Lypson. "The VALUE Framework: training residents to provide value-based care for their patients."*Journal of general internal medicine* 27, no. 9 (2012): 1210-1214. 
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Learning Objectives:
After this session, participants will be better prepared to do the following in practice:

  1. Describe value based payments 
  2. Outline a scenario where neurology can influence the cost of care 
  3. Describe a utilization issue and possible solutions 

Accreditation & Designation Statements

The American Neurological Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Neurological Association designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.