About
I am a Neurointensivist and Vascular Neurologist at Prisma Health Upstate. My areas of interest include patient centered care by improving efficiency in care coordination and shared decision making. There are significant challenges in coordination of care during hospitalization and transition of care in neurointensive care unit. By observing conversations and surveying healthcare providers, patient families, we will assess the barriers to effective communication. Using industrial and resilient engineering concepts, we will design an effective conversational space by accommodating in-person and virtual stakeholders. The goal is to improve time to decision making, intensive care utilization and provide a safe transition to post hospital care. I collaborated with Sudeep Hegde, PhD, Assistant Professor in the Department of Industrial Engineering and Anjali Joseph, PhD, Endowed Chair in Architecture and Health Design and Director of the Center for Health Facilities Design and Testing at Clemson University and co authored a proposal. We submitted our proposal “A systems Approach to Designing for Provider-Patient Family Conversations in the Neuro-Intensive Care Unit” in June 2023 to AHRQ for an RO3 grant and awaiting decision.
How their research is transforming health care
Based on our pilot project results, we will eventually plan for a RO1 grant submission to help design a hybrid space to accommodate stakeholders in a seamless manner. The goal is to design the framework to link electronic medical record systems to share clinical and imaging data with patients and family members, tele-health capabilities to accommodate virtual stakeholders including healthcare providers, case management, and necessary clinical and prognostic tool incorporation to aid in status updates, goals of care discussions and hospice/comfort care transitions. This framework will help ease of access to schedule care coordination meetings, avoid miscommunication/over-communication, decrease time needed to critical decision making, interdepartmental clinical collaboration, patient centered multidisciplinary care and enhance safety during care transitions to out of hospital care. If the model is successful, we can generalize this framework to other intensive care settings
Health research keywords
Neurocritical care shared decision making, Refining neurocritical care prognostication through multimodal approach, coma research and improving outcomes of coma patients, Prehospital care of brain injury patients, and Ethics and palliative care utilization in Neurocritical care
