Neurology Outcomes

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Why Choose Us: Neurology

Our Outcomes: The Results of Our Care

At Nemours, our Nemours neurologists provide comprehensive care for a wide variety of conditions involving the brain, spine and nerves. Our teams work hard to provide the highest quality inpatient (hospital stay) and outpatient (office visit) care for kids.

Why Measuring Results Matters

To provide pediatric care that's among the safest for all children, we measure our results and compare them to national pediatric rates. Why? So we can:

  • help you make decisions about your child’s care
  • be clear about our results
  • improve so we can consistently deliver better, safer care

Here are a couple of outcomes we track and focus on to improve the experience for both you and your child.

 

Helping Kids Become Seizure-Free

Helping Kids Become Seizure-Free


Giving Kids With Epilepsy a Chance at a Better Future

The first line of treatment for most types of epilepsy in children is prescription antiepileptic drugs (AEDs). This is often very effective, but after trying different medicines some kids continue to have seizures (referred to as “medically refractive” or “intractable” seizures). In these cases, epilepsy surgery may help stop seizures altogether, or significantly reduce the number and severity of seizures in order to reduce, reverse or prevent neurological and cognitive damage they may cause.

At Nemours/Alfred I. duPont Hospital for Children (in Wilmington, Del.), our board-certified neurologists and neurosurgeons have the expertise to evaluate your child and determine if epilepsy surgery is the best option for your family. Using the most advanced, image-guided minimally invasive technologies available, we perform procedures without open brain surgery whenever possible. Our goal is to free your child from seizures using the latest techniques that offer less risk and better outcomes.

 

Percentage of Patients Who Were Seizure-Free After Epilepsy Surgery

80%

Nemours/Alfred I. duPont Hospital for Children (Wilmington, Del.)

Up to approximately 66%*

National average (benchmark)

Data source: Nemours epilepsy surgery data for Nemours/Alfred I. duPont Hospital for Children (Wilmington, Del.), 2017.
Benchmark: Téllez-Zenteno JF, et al. Long-Term Seizure Outcomes Following Epilepsy Surgery: A Systematic Review and Meta-Analysis. Brain. 2005 May;128(Pt 5):1188-98. Epub 2005 Mar 9.
*Results depend upon the type of surgical approach.

Involving Families in Making Medications Safer

Involving Families in Making Medications Safer


We Ask About, Review and Make Sure You Understand Your Child’s Medications

Every child’s medication needs vary — some might get none, others could require as many as eight different kinds of medicines every day. So managing kids’ medicines and making sure children are always getting the right kinds of medicines — whenever and however much they need — is complicated. That’s why it’s so crucial for us to work together as a coordinated team that incorporates the latest technology and our most important team members — you, the parents.

Through a process called “medication reconciliation,” we maintain accurate medication records so we can reduce confusion and prevent problems with:

  • duplication (prescribing medicine you already have)
  • dosage (not giving the right amount of medicine — not enough or too much)
  • dangerous interactions (medicines that shouldn’t be taken together)

At Nemours, our neurology teams exceed the national benchmark for medication reconciliation by providing more families with up-to-date medication lists with doses, frequency and clear prescribing instructions. That means we:

  1. Ask you at the beginning of your family’s encounter with us about all the current medications your child is taking. Then our goal is to review that list with you to make sure that all recommended medicines are still appropriate.
  2. Keep track of and update the medications in our award-winning electronic medical record (EMR) so that our health care providers will know the type, dosage, and frequency of all of your child’s medications.
  3. Go over any changes in medications with you and your child and provide a new list at the end of the visit.

 

Percentage of Patients Receiving Updated Medication Lists

94.6%

Nemours neurology patients, 2017

94.1%

Nemours neurology patients, 2016

94.3%

Nemours neurology patients, 2015

74%

National average (benchmark)

Data source: Nemours medication reconciliation data for Nemours/Alfred I. duPont Hospital for Children (Wilmington, Del.), Nemours Children's Hospital (Orlando) and Nemours Children's Specialty Care, Jacksonville (Jacksonville, Fla.), 2015-2017.
Benchmark: Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Hughes RG, editor. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 38: Medication Reconciliation, Jane H. Barnsteiner, PhD, RN, FAAN.

Our Differentiators: What Sets Us Apart

Our Differentiators: What Sets Us Apart


Why Choose Nemours Neurology

Here are just some of the reasons families choose Nemours for their child’s neurologic care:

  • Our large team of board-certified pediatric neurologists and neuropsychologists. We also work closely with other specialists (e.g., neurosurgeons, oncologists, physical medicine and rehabilitation physicians) to give children the most comprehensive care.
  • Research in new and improved treatments. We’re constantly looking for better ways to treat neurologic conditions in kids, including advanced techniques, medicines and therapies, particularly for children with epilepsy, autism and spinal muscular atrophy (SMA).
  • State-of-the-art equipment and care in epilepsy and epilepsy surgery. Nemours/Alfred I. duPont Hospital for Children in Wilmington, Del., has the latest in PET/MRI technology not available at most children’s hospitals. At Nemours Children's Specialty Care, Jacksonville, we collaborate with Wolfson Children's Hospital to provide care at the Brunell Family Pediatric Neurodiagnostic Center, with state-of-the-art digital EEG equipment.
  • Comprehensive programs for kids with complex conditions. We offer cutting-edge care and multispecialty centers for pediatric epilepsy and epilepsy surgery, neuromuscular disorders (muscular dystrophy, spinal muscular atrophy), neuro-oncology, as well as autism, Tourette syndrome and tic disorders, autoimmune brain diseases, neurocutaneous syndromes (e.g., tuberous sclerosis, Sturge-Weber) and more.