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SpecialtyCare is the largest provider of intraoperative neuromonitoring (IONM) services in the nation. We hold both accreditation and certification from The Joint Commission (TJC), and we are the only IONM clinical services provider with an NIOM Training Program recognized by ABRET’s Neurodiagnostic Credentialing and Accreditation Board. You can count on our clinical expertise in IONM to reduce risk, improve efficiency, and help ensure the safety of your patients. Our surgical neurophysiologists work alongside the world’s leading surgeons to review and interpret data in real time and identify the early signs of evolving neural injury. That means interventions can be implemented promptly to avoid or mitigate long-term neural deficit.
IONM cases supported annually
Accredited and certified by The Joint Commission and recognized by ABRET Neurodiagnostic Credentialing and Accreditation Board, evidence of our ongoing commitment to clinical excellence and quality
Surgeons we support in IONM
Our years of experience with IONM
Our team of IONM professionals
WHAT WE PROVIDE
Making Surgery Safer®
SpecialtyCare’s clinical staff has a proven history of research and innovation in intraoperative neuromonitoring. We were among the first clinicians to introduce routine use of transcranial electric motor evoked potentials (tceMEP) in monitoring spine and intracranial surgery. We also developed numerous tceMEP refinements and innovations, such as customized anesthesia protocols for optimized tceMEP recording and techniques for monitoring nerve root function during spine surgery, brachial plexus function during shoulder reconstruction, and sciatic nerve function during acetabular (pelvic) surgery. Additionally, we provide the industry’s most advanced neuroscience services and treatment therapies, including monitoring for deep brain stimulation and interventional neuroradiology, ICU trans-cranial Doppler evaluations, diagnostic EEG, and support of long-term EEG monitoring.
We support most complex surgical procedures including:
- Spine surgery
- Interventional neuroradiology
- Cardiothoracic surgery
- Vascular surgery
- General orthopedic surgery
Leadership that’s outcome focused and cost conscious
SpecialtyCare’s IONM keeps you on the forefront of innovation without the huge capital expense associated with hiring and equipping an advanced team of clinicians.
Our surgical neurophysiologists have, on average, eight years of experience in IONM. And, we have the most certified (Certification for Neurophysiological Monitoring – CNIM) and advanced-degreed (Diplomates of American Board of Neurophysiologic Monitoring – DABNM) staff in the industry. Surgical neurophysiologists are thoroughly evaluated and granted clinical privileges based on objective performance criteria. Competencies are then reviewed on an annual basis, fostering advanced skill sets under carefully controlled mentored learning experiences.
Innovation and Research
Bring a proven history of research and innovation to your world-class surgical teams. We were among the first to introduce routine use of transcranial electric motor evoked potentials (tceMEP) in monitoring spine and intracranial surgery. And, we developed numerous tceMEP refinements and innovations, such as customized anesthesia protocols for optimized tceMEP recording and techniques for monitoring nerve root function during spine surgery, brachial plexus function during shoulder reconstruction, and sciatic nerve function during acetabular (pelvic) surgery.
Your surgeons expect skilled, familiar people in the OR who they can trust and rely on to monitor their cases. Maintaining a highly competent internal program can be difficult. Our experienced neurophysiologists and monitoring physicians serve as an extension of the OR team—ensuring both patient safety and surgeon satisfaction.
Improving patient safety and outcomes protect your bottom line and reputation in the community. Our Clinical Quality Indicator Program tracks key measures of neuromonitoring performance that can be used to establish clinical standards and identify opportunities for improvement. These measures include clinical impact variables, such as the incidence of adverse intraoperative neuromonitoring changes, and operational process variables, such as the incidence of technical confounds during monitoring.
In January 2018, the ABRET Neurodiagnostic Credentialing and Accreditation Board recognized SpecialtyCare’s Intraoperative Neuromonitoring (IONM) Training Program with formal Neurophysiologic Intraoperative Monitoring (NIOM) program status, making SpecialtyCare the only clinical services provider to achieve this recognition. With approval as a recognized program, our surgical neurophysiology (SNI) trainees gain Pathway IV eligibility for ABRET’s Certification in Neurophysiologic Intraoperative Neuromonitoring (CNIM) testing.
Our program welcomes approximately new 25 new students across four training cohorts each year. For consideration, candidates must have a bachelor’s degree and exhibit a commitment to core values, such as excellence, integrity, and customer service. To advance through the year-long program—which includes classroom learning, supervised clinical training, and eventually, indirect oversight—a trainee must complete structured learning stages and demonstrate clinical competency.
Beyond the fundamentals of neurophysiology, trainees learn critical thinking skills in differential diagnostics, are exposed to literature review activities, and participate in simulated OR communications, all of which are focused on development of clinical acumen. The breadth of our training and our dedicated CNIM test preparation have resulted in impressive first-attempt CNIM pass rates that far exceed the national average each year. This confirms what ABRET has now recognized—that our program provides substantial and effective preparation for both certification and high-quality patient care.
At SpecialtyCare, our goal is to help you build an operating room of excellence and to provide the best outcomes, always. Our approach is based on the belief that a combination of clinical excellence, standardized processes, strict regulatory compliance, and dedicated personal service is needed to ensure the very best in patient care, operational efficiencies, and cost management. We use our robust clinical database to conduct research and share best practices that drive quality in the OR and inform the best-in-class education and training we provide our associates.
We invite you to take a look at some of the IONM research on our site:
- New Research on Alerts and Postoperative Deficits from the 2017 ACNS Annual Meeting
- Neuromonitoring during Surgical Treatment of Thoracic Outlet Syndrome (TOS)
- Utilization of Multimodality Monitoring during Cerebrovascular Procedures
- Neurologic Outcome Following Signal Change in Spine Surgery (NASS 2016 Best Paper)
- Spine Surgery Research: Alerts, Intraoperative Resolution, and Post-Op Deficits