To develop a process to improve patient outcomes from deep brain stimulation (DBS) surgery for Parkinson disease (PD), essential tremor (ET), and dystonia.We employed standard quality improvement methodology using the Plan-Do-Study-Act process to improve patient selection, surgical DBS lead implantation, postoperative programming, and ongoing assessment of patient outcomes.The result of this quality improvement process was the development of a neuromodulation network. The key aspect of this program is rigorous patient assessment of both motor and non-motor outcomes tracked longitudinally using a REDCap database. We describe how this information is used to identify problems and to initiate Plan-Do-Study-Act cycles to address them. Preliminary outcomes data is presented for the cohort of PD and ET patients who have received surgery since the creation of the neuromodulation network.Careful outcomes tracking is essential to ensure quality in a complex therapeutic endeavor like DBS surgery for movement disorders. The REDCap database system is well suited to store outcomes data for the purpose of ongoing quality assurance monitoring.

Competing Interests: The authors of this manuscript have the following competing interests: R.B. Dewey, III, BS reports no disclosures. O’Suilleabhain, MD reports grants from AVID. Sanghera, PhD reports no disclosures. Patel, MD reports grants from Adamas. Khemani, MD reports advisory boards with Lundbeck, honoraria from Lundbeck and Dallas School of Neuroscience and Sleep Medicine, and grants from NIH and Once Upon a Time Foundation. Lacritz, PhD reports advisory boards with Teva, honoraria from Omni hotel, John Peter Smith hospital, and Parkland hospital, and grants from NIH/NIA neurobiology of aging and the State of Texas, Texas Alzheimer's Research and Care Consortium.

The Fragile X–associated tremor ataxia syndrome (FXTAS). Mattis Dementia Rating Scale (MDRS). The Tremor Rating Scale (TRS). Develop a clinical rating scale for tremor that is rapid, reliable. Scales for hyperkinetic disorders: A systematic review on. Fahn – Tolosa – Marin Tre mor Ratin g Scale.

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Chitnis, MD, PhD reports consultancies with Teva and Medtronic, advisory boards with Teva, honoraria from Teva, and grants from Teva, Medtronic, NIH, and Allergan. Whitworth, MD reports no disclosures. Dewey, Jr., MD reports consultancies with Teva, Acadia and Impax, advisory boards with Teva, Acadia, Lundbeck and Impax, honoraria from Teva, Acadia, Impax, Merz, US WorldMeds, Lundbeck, and UCB, and grants from NIH. This does not alter our adherence to PLOS ONE policies on sharing data and materials. Results The result of this quality improvement process was the development of a neuromodulation network. The key aspect of this program is rigorous patient assessment of both motor and non-motor outcomes tracked longitudinally using a REDCap database.

We describe how this information is used to identify problems and to initiate Plan-Do-Study-Act cycles to address them. Hardware and software definition. Preliminary outcomes data is presented for the cohort of PD and ET patients who have received surgery since the creation of the neuromodulation network. Introduction Treatment of disorders such as PD, ET, and dystonia requires an individualized, multi-faceted approach consisting of non-pharmacological therapy, medications, and surgical treatments.