This multicenter and multidsciplinary proposal aims to investigate the benefits of group medical visits as a model of chronic care for the most common chronic neurologic disorders, beginning with epilepsy and migraine headache pilot programs at OVMC and LAC+USC respectively, and then expanding the program to other facilities and neurologic diseases. In this real-world study, we will compare outcomes from patients who participate to those who receive usual care across DHS, while also obtaining measures of patient-centered and disease-specific outcomes from a waiting list control group.

We believe that group visits offer the opportunity to improve access to specialty care and improve care quality in a cost neutral manner by increasing provider efficiency and creating the opportunity for patients to learn from the experiences of their peers. Identifying changes on clinical outcomes as well as utilization will support wider scale implementation as a tool to improve access to and quality of care across DHS.

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