Improve the health and well-being of Veteran patients with epilepsy
and other seizure disorders through the integration of
clinical care, outreach, research, and education.
In 2008 under Public Law S. 2162, the Department of Veterans Affairs (VA) set upon its mission to revolutionize services for the Veterans afflicted by epilepsy and other seizure disorders. The VA founded the Epilepsy Centers of Excellence (ECoE), establishing 16 sites that are linked to form 4 regional centers. The ECoE seek to provide the best possible epilepsy care to Veterans throughout the United States with state-of-the-art diagnostic and therapeutic services. Our goal is to deliver the highest quality of ongoing medical care to Veterans suffering from epilepsy. We also seek to promote outreach and educational efforts for both patients and their physicians in order to further the understanding of this chronic condition. The ECoE offers a range of services in both the outpatient and inpatient realms. The ECoE provides outpatient epilepsy clinics with a staff of neurology sub-specialists. From these clinics, patients can be directed to the most advanced testing methods for the evaluation of epilepsy, including magnetic resonance imaging (MRI), electroencephalography (EEG), and video monitoring. For those patients that require more intensive testing or attention, the ECoE also provide inpatient units for examining certain seizure types more closely, changing medications in a monitored setting, and presurgical evaluation. The epilepsy centers are also linked with the Polytrauma Centers to increase ability to mutually follow Veterans with moderate and severe traumatic brain injury that are at the greatest risk for post-traumatic epilepsy. The sites are developing protocols to identify Veterans with epilepsy and to develop referral networks to enable Veterans to obtain specialized treatment such as epilepsy surgery and advanced electro-diagnosis within the Veteran healthcare system.
1) Outreach (increase Veterans reached)
a. Patients - Regional Hub and Spoke further developed
b. Providers - National VA Epilepsy Consortium
2) Database National Clinical implementation
3) Expand Telehealth, all modalities to all sites
4) Increase multidiscipline care and collaboration
a. Mental Health, Nursing, EEG technologists, caregiver support
5) Administrative foundation building
a. All sites have active AO involvement with regional lead
6) Promote multi site collaborative research projects
To request a hard copy of the annual report, please contact Ryan Rieger, National Administrative Director, at 415-221-4810 x4119 or by email at email@example.com.