FY20 Annual Report - VHA Epilepsy Centers of Excellence





 

  





 

 

 





 

 

 



 





 





U.S. Department

Veterans Health

Administration

Epilepsy Centers of Excellence

ANNUAL REPORT FISCAL YEAR 2020

October 1, 2019 ¨C September 30, 2020

Table of Contents

Mission..............................................................................................................................................................................................................vi

Message from the VA Acting National Director and Deputy National Director of Neurology ...............................vii

Message from the National Coordinator .................................................................................................................................... viii

Introduction .....................................................................................................................................................................................................1

National Program Goals .............................................................................................................................................................................2

FY20 National ECoE Goals & Accomplishments ..........................................................................................................................3

FY20 National ECoE Goals¡ªStatus ...................................................................................................................................................5

FY21 National ECoE Goals.....................................................................................................................................................................7

FY21 National ECoE Goals Crosswalk ...............................................................................................................................................8

Centers of Excellence ...................................................................................................................................................................................9

Definition of Centers ............................................................................................................................................................................ 10

Epilepsy Centers of Excellence Regional Map............................................................................................................................ 12

Epilepsy Centers of Excellence Organization Chart ................................................................................................................. 13

National VA Epilepsy Consortium................................................................................................................................................... 14

Inventory of Services ............................................................................................................................................................................ 15

ECoE Workload ............................................................................................................................................................................................ 16

FY20 Clinical Workload ....................................................................................................................................................................... 16

Psychogenic Non-Epileptic Seizure Workload .......................................................................................................................... 17

Ambulatory EEG Workload (24¨C96 Hours) .................................................................................................................................. 17

FY20 Telehealth Workload ................................................................................................................................................................. 18

FY20 Telehealth Workload (continued) ......................................................................................................................................... 19

ECoE Surgery Workload ...................................................................................................................................................................... 20

ECoE Workload Trends........................................................................................................................................................................ 21

Outreach: Tele-Epilepsy ...................................................................................................................................................................... 22

Outreach: Tele-Epilepsy (continued) .............................................................................................................................................. 23

VHA Seizure, Epilepsy, and Other Events..................................................................................................................................... 24

Unique Patient Counts ........................................................................................................................................................................ 24

Epilepsy Monitoring Unit Database ............................................................................................................................................... 25

QI¡ªStandard Assessments for EMU Patients ............................................................................................................................ 29

VHA FY19 Patient Counts ................................................................................................................................................................... 32

VHA FY19 Epilepsy Prevalence Estimates .................................................................................................................................... 33

ECoE COVID-19 Cancellations and Evidence of Follow-Up .................................................................................................. 34

Outreach ........................................................................................................................................................................................................ 35

VHA Policy ..................................................................................................................................................................................................... 38

Epilepsy Centers of Excellence

Annual Report FY20

iii

Standards for Veterans Health Administration Centers of Excellence ............................................................................. 38

Efforts to Meet VHA Directive 1215 ............................................................................................................................................... 39

Scoring of Performance Standards...................................................................................................................................................... 41

Review of the Four ECoE Regions ........................................................................................................................................................ 47

Northeast Region ....................................................................................................................................................................................... 48

VA Maryland Health Care System ................................................................................................................................................... 49

VA Boston Healthcare System.......................................................................................................................................................... 50

Central Virginia Health Care System (CVHCS) ........................................................................................................................... 50

VA Connecticut Healthcare System................................................................................................................................................ 51

Northeast Region Self-Assessment Results, Accomplishments, and Future Initiatives ............................................. 51

Northeast Region Fellowships.......................................................................................................................................................... 55

Northeast Region Publications and Presentations .................................................................................................................. 55

Northeast Region Research Grants ................................................................................................................................................ 57

Northwest Region ...................................................................................................................................................................................... 59

William S. Middleton Memorial Veterans Hospital .................................................................................................................. 60

Minneapolis Veterans Administration Medical Center ........................................................................................................... 61

VA Portland Health Care System..................................................................................................................................................... 61

VA Puget Sound Health Care System............................................................................................................................................ 62

Northwest Region Self-Assessment Results, Accomplishments, and Future Initiatives........................................... 63

Northwest Region Fellowships......................................................................................................................................................... 65

Northwest Region Publications/Presentations .......................................................................................................................... 66

Northwest Region Research/Grants............................................................................................................................................... 69

Southeast Region ....................................................................................................................................................................................... 71

Southeast Regional Staff .................................................................................................................................................................... 72

Durham VA Healthcare System ....................................................................................................................................................... 72

Malcom Randal VA Medical Center ............................................................................................................................................... 73

Bruce W. Carter Department of VA Medical Center ................................................................................................................ 73

James A. Haley Veterans¡¯ Hospital.................................................................................................................................................. 74

Southeast Region Self-Assessment Results, Accomplishments, and Future Initiatives ............................................. 74

Southeast Region Fellowships.......................................................................................................................................................... 76

Southeast Region Publications/Presentations ........................................................................................................................... 78

Southeast Region Research/Grants................................................................................................................................................ 82

Southwest Region ...................................................................................................................................................................................... 83

New Mexico VA Health Care System ............................................................................................................................................. 84

Michael E. DeBakey VA Medical Center ....................................................................................................................................... 84

Audie L. Murphy Memorial VA Hospital....................................................................................................................................... 85

San Francisco VA Medical Center ................................................................................................................................................... 86

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Epilepsy Centers of Excellence

Annual Report FY20

Greater Los Angeles Medical Center ............................................................................................................................................. 87

Southwest Region Self-Assessment Results, Accomplishments, and Future Initiatives ............................................ 88

Southwest Region Fellowships......................................................................................................................................................... 90

Southwest Region Publications/Presentations .......................................................................................................................... 91

Southwest Region Research/Grants.............................................................................................................................................102

National ECoE Workgroups ..................................................................................................................................................................107

Basic Science Research Seminar Group ......................................................................................................................................108

Clinical Research Workgroup .........................................................................................................................................................109

Education Workgroup .......................................................................................................................................................................111

EEG Technologist Workgroup ........................................................................................................................................................112

Consortium Medical Instrument Technologists (MITs) ........................................................................................................113

Mental Health Workgroup...............................................................................................................................................................115

Nursing Workgroup ...........................................................................................................................................................................116

ECoE Technology Workgroup ........................................................................................................................................................117

ECoE Telehealth Workgroup ...........................................................................................................................................................119

Women Veterans with Epilepsy (WVE) Workgroup ...............................................................................................................121

National Peer Review Committee ......................................................................................................................................................123

Original National Advisory Committee Members ..................................................................................................................123

National Peer Review Committee Report ..................................................................................................................................124

Public Law S. 2162 ....................................................................................................................................................................................130

Acronyms .....................................................................................................................................................................................................134

In Memory of David Kuan-Hua Chen, MD, FAES .........................................................................................................................136

2020 Annual Report Project Manager:

Pamela Kelly, DHA, MBA/HCM

In addition to the ECoE Directors and staff, special thanks go out to those

who went above and beyond to assist in bringing this annual project to

fruition: Linda Benson, MPH; Winona Finley; Rizwana Rehman, PhD.

Epilepsy Centers of Excellence

Annual Report FY20

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