Featured Practice: Semmes Murphey – Reduced Reliance on EEGs

As TCPI comes to a close, we want to highlight Semmes Murphey, a multi-specialty clinic that successfully transitioned into the Bundled Payments for Care Improvement model. Successful entry to an advanced alternative payment model such as this one relies on practices’ ability to sustain high quality, coordinated, patient-centered and cost effective care. We commend Semmes Murphey on its excellent work resulting in this important accomplishment. 

Semmes Murphey has served patients’ brain, spine and neurological care needs for over 100 years. With locations in Tennessee, Arkansas and Mississippi, Semmes Murphey provides high quality care for acute illnesses, injuries, surgical care, and rehabilitation. The practice has a worldwide reputation as a leader in neuroscience.         

As part of continuous transformation efforts, Semmes Murphey decided to see where they could reduce unnecessary tests and procedures. They set a goal to reduce utilization of electroencephalography (EEG) for headaches. Starting with a review of evidence-based protocols and Choosing Wisely guidelines, they created a system to compare their current practices against these benchmarks. They disseminated information to providers about best practices for prescribing EEGs, along with quality improvement strategies on waste management. The data analyst developed reporting guidelines, and the practice has steadily reduced EEGs from 19% to 8%

Semmes Murphey provides an important example of how an already high performing practices can still find areas for improvement, underscoring how change can be created through continuous quality improvement work. You can read more about their practice and transformation work at this link

The views expressed in this story are those of the authors and do not necessarily represent the official views of Semmes Murphey. Additionally, this work was funded by the U.S. Department of Health and Human Services – Centers for Medicare and Medicaid Services’ Transforming Clinical Practice Initiative, under grant number 1CMS331549-03-00. The contents provided are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.

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