Surgery
Do all patients with surgical recommendations meet the surgeon for a surgical confirmation appointment?
No.
When are VNG tests typically ordered?
Once neurology providers have diagnosed patient with mild-TBI and the Chiropractic Neurologist sees a medical need for more advanced eye movement testing
In general, when should re-evaluations be performed?
Every 30 days
Do we still use brain check?
No - we have been fully integrated to Creyos
How long after a mid-level recommendation for surgery consult is the patient contacted, and the consultation scheduled?
24-48 hours.
What does a VNG test measure?
Involuntary eye movements. This is an in-depth analysis of the brain’s control over eye movements, which is a critical brain function to assess when trying to create a treatment plan for a concussion patient
How often should progress evaluations be performed on MMI patients?
After 90 days without treatment, and at least once per year. As always, whenever clinically indicated.
Can a patient complete cognitive testing with assistance?
No – Defeats the purpose of the testing if they have assistance.
What happens if a patient needs medical clearance prior to surgery, but their PCP will not see them due to the accident?
We will send them externally to a facility such as Health One. This is handled by surgical coordinators, once mid-levels have placed the referral.
When is the patient told the results and the recommendations following a VNG?
The patient is scheduled for a two-week telehealth follow-up to discuss the results of the VNG
Are patients eligible for a reevaluation if they are struggling with therapy?
Yes. A re-evaluation may be used at any time during a patient's care, if it appears that they are not responding well, or responding faster than anticipated, and changes to the care plan are likely to be made as a result of that evaluation.
What is the Creyos exam looking for?
Abnormalities with attention, concentration, and memory
What body regions does CC currently perform surgery on when medically indicated?
Spine, knee, shoulder, wrist (carpal tunnel), clavicle.
What do the initials VNG stand for?
Videonystagmography
Which is more important in the evaluation and management of a patient: completing timely progress exams, or completing all prescribed visits?
Time is the most important factor.
Why do patients need to complete a Creyos evaluation?
Cognitive function is a critical function of brain health
What factors delay a patient with a surgical rec from meeting the surgeon?
patient declines, coverage limitations, hospital setting recommendations, lack of necessary imaging
What can a patient expect during a VNG test?
Patients will wear a pair of goggles on their face and do about 10 minutes of eye movement tests.
What is the purpose of a Gap in Care?
When a patient with a diagnosed permanent injury and whose apparent progress appears to be ahead of the expected timeline of that injury, a GIC is utilized as a test return to full pre-injury capacity, prior to designating the patient at MMI.
What languages are currently offered on the testing?
English, Spanish, French