New Patients

To satisfy in a timely fashion the fast-growing demand for clinical evaluations and (when indicated) for surgical procedures, the expansion of the Core Team has allowed us to restructure the workflow concerning NEW PATIENTS, with the following steps:

Screening

  1. The prospective New Patient will contact our Screening Coordinator (SC) at jeffrey.wood@snch.org
  2. The SC will guide the patient throughout the enrollment process, providing forms to be completed and then uploaded to a cloud folder on a HIPAA compliant electronic platform
    1. Demographic, HIPAA, and Insurance forms
    2. Bolognese New Patient form
    3. Ruhoy’s New Patient form
    4. Maitland’s New Patient form
    5. Traction Instructions
    6. Further instructions
  3. Once completed, the Patient will upload the forms and the neuroimaging on to the Cloud folder.
  4. The SC will review the data for integrity and accuracy.
  5. The SC will identify areas needing additional diagnostic workup, prior to the initial evaluation at our Center (thus preventing avoidable additional steps and delays).
  6. The SC will then pass the case to the Medical Team for the Medical Evaluation
  7. EXCEPTION: IF the patient has already been evaluated elsewhere by another Neurosurgeon specialized in Chiari and/or EDS, AND an upcoming surgery has been scheduled elsewhere, THEN the patient has the option to skip the thorough and systematic evaluation offered by the Medical Evaluation and can proceed directly to the step of the SECOND OPINION with Dr. Bolognese. If this scenario applies, the patient has to immediately notify the Screening Coordinator (SC) at jeffrey.wood@snch.org at the beginning of the Screening process with our Center.

Medical Evaluation

  1. The patient is seen in consultation by the Medical Director, Dr. Ruhoy, either by Telemedicine, or in person.
  2. A consult letter is generated, containing an assessment and a plan.
  3. The patients who are potential candidates for invasive or surgical procedures are referred to the next step, to the attention of the Surgical Team.

Surgical SECOND OPINION

SECOND OPINION, follows an established model utilized during the last years by a growing number of Academic Institutions, including Stanford, UPenn, Mayo Clinic, Cornell, Mass General, Columbia, Hopkins, etc.

In its general definition, SECOND OPINION consists in a chart review of the medical records available, without a direct Doctor/Patient interaction, performed by a recognized expert in the field, resulting in a written report reflecting the analysis, assessment, and therapeutic plan applicable for that Patient.

In our Center, we have introduced some additional angles to the SECOND OPINION model:

  • Prior to this step, every patient has already a direct interaction with Dr Ruhoy, to guarantee a thorough evaluation
  • Only patients who are who are potential candidates for invasive or surgical procedures are referred to the SECOND OPINION step
  • In addition to the SECOND OPINION letter, the patient also receives educational material, and a dedicated video pertinent to her/his individual case
  • With very few exceptions, the Plan formulated in the SECOND OPINION stage involves the execution of Invasive Procedures to be conducted at our Hospital at a later date, thus allowing an extensive face-to-face interaction with Dr Bolognese, before any surgery is performed.
  • Invasive Procedures are very important in our workup, since they allow us to test our running diagnostic hypotheses at a higher standard, before finalizing our diagnosis, or implementing our therapeutic plan (“measure twice, cut once”).
  • As an added effect, this SECOND OPINION formula is going to result in faster turnaround time for the patients requiring surgery.

Office paperwork for Second Opinion (click here.)

Surgical SECOND OPINION

SECOND OPINION, follows an established model utilized during the last years by a growing number of Academic Institutions, including Stanford, UPenn, Mayo Clinic, Cornell, Mass General, Columbia, Hopkins, etc.

In its general definition, SECOND OPINION consists in a chart review of the medical records available, without a direct Doctor/Patient interaction, performed by a recognized expert in the field, resulting in a written report reflecting the analysis, assessment, and therapeutic plan applicable for that Patient.

In our Center, we have introduced some additional angles to the SECOND OPINION model:

  •  Prior to this step, every patient has already a direct interaction with Dr Ruhoy, to guarantee a thorough evaluation
  • Only patients who are who are potential candidates for invasive or surgical procedures are referred to the SECOND OPINION step
  • In addition to the SECOND OPINION letter, the patient also receives educational material, and a dedicated video pertinent to her/his individual case
  • With very few exceptions, the Plan formulated in the SECOND OPINION stage involves the execution of Invasive Procedures to be conducted at our Hospital at a later date, thus allowing an extensive face-to-face interaction with Dr Bolognese, before any surgery is performed
  • Invasive Procedures are very important in our workup, since they allow us to test our running diagnostic hypotheses at a higher standard, before finalizing our diagnosis, or implementing our therapeutic plan (“measure twice, cut once”).
  • As an added effect, this SECOND OPINION formula is going to result in faster turnaround time for the patients requiring surgery.

Office paperwork for Second Opinion (click here.)