How We Began
In the late 1990s, the first practice of neurohospitalist providers was born. The field was first driven by the advent of thrombolytic therapy, requiring neurologic specialists to leave clinic to rapidly evaluate acute stroke patients in the ED. It became difficult for outpatient providers to juggle a full clinic with this increased demand for emergent stroke patient evaluation. This evolved into full time neurohospitalist providers working solely in the hospital, leaving the clinic behind. As the field has grown, neurohospitalist providers have become experts in not just stroke care, but the care of all hospitalized neurology patients. Hospitals and neurology programs have recognized the integral role that neurohospitalists play in the delivery of efficient and quality care to neurological inpatients.
Introduction of the Neurohospitalist Society
The Neurohospitalist Society began in 2011. At that time, more than 10,000 internal medicine hospitalists were practicing in the United States. Economic pressures and a focus on quality patient safety metrics promoted the use of neurohospitalist programs.
Moving Forward Into the Future
By 2025, it is estimated that more than 20,000 neurohospitalists are needed if the use and delivery of care remains unchanged. The shortage of neurohospitalists will increase. Neurohospitalists will continue to be leaders in implementing efficient processes and technology to allow for treatment of patients.