Neurohospital Medicine

T. Scott Diesing
Dr. T. Scott Diesing 

The University of Nebraska Medical Center & Nebraska Medicine Neurohospital Medicine Program’s mission is to provide high quality care for hospitalized patients with neurologic disorders. Our neurohospitalists specialize in the care of acute neurological illness in the hospital and emergency room. We are passionate about the wellbeing of our patients and providing the best possible care. We are dedicated to the improvement of hospital-based care, and enthusiastic about the education of our learners and colleagues. 

The Neurohospital Medicine Program was founded in 2015 by Dr. T. Scott Diesing and has grown rapidly to become the largest neurohospitalist program in the region. Our inpatient neurology services have grown to become one of the most active and comprehensive in the upper Midwest. Our services are divided into a Stroke Service and General Neurology Service. The services provide both primary admitting neurology services and the full spectrum of inpatient neurological consultations. Additionally, tele-stroke consultations are provided in collaboration with the vascular neurologists. Our hospital is a regional hub for acute neurologic disease, and we receive a high volume of transfers for rare or complex neurologic conditions.  We also help serve the common community neurologic needs of the approximately 1,000,000 million people of the metropolitan area. Our full-time inpatient neurology services provide approximately 13,000 patient encounters per year. 

Our neurohospitalists are dedicated to optimizing care in the hospital. Neurohospitalists are on the front lines of acute neurologic care and are ideally situated to facilitate positive outcomes for patients. Our neurohospitalists have a strong focus on improvement in patient safety and patient experience in the hospital. We serve on the major committees and work groups at our hospital and nationally to bring about further improvements in these areas. We are at the forefront of quality improvement and patient centered outcomes. Neurohospitalists are instrumental in identifying and monitoring key metrics related to high quality care. Our group has been especially innovative in this area, and developed the “Round Together” initiative, comprehensive multidisciplinary rounds, projects to dissect the discharge process to identify and eliminate inefficiencies, piloted numerous quality improvement projects related to communication and patient education, and is constantly on the lookout for ways to work with our interdisciplinary colleagues in efforts to improve patient outcomes.

Our neurohospitalists are clinical educators. We are enthusiastic about sharing what is known in clinical neurology. Our group is at the cutting edge of the latest research and studies related to hospital medicine and clinical neurology. We are heavily involved in the educational mission and enjoy teaching residents, students, and other learners.Our neurohospitalists are recognized as some of the more active interdisciplinary educators and collaborate regularly with other hospital-based specialties. More than half of our providers have been recognized at the departmental and institutional level as outstanding teachers or role models.

The University of Nebraska Medical Center & Nebraska Medicine is the only nationally accredited Comprehensive Stroke Center in the area and provides acute tele-stroke consultation services to several hospitals in the region. The neurohospitalists are essential participants in both programs, and actively participate in multiple clinical research trials. Our neurohospitalists are drivers of quality-based studies in the hospital. We are involved at every level of the hospitalized neurologic patient.

Neurohospital medicine specialists or neurohospitalists are one of the newest and fastest growing subspecialties within neurology. Neurohospitalists specialize in the care of acute neurological illness in the hospital and emergency room. Conditions commonly seen by neurohospitalists include but are not limited to acute stroke, meningoencephalitis, neuromuscular conditions such as Guillain-Barre Syndrome or myasthenia gravis, seizures, delirium, coma or alterations of consciousness, acute headache, or inflammatory disease. They are also involved in the management of chronic neurologic disease while the patient is hospitalized.