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VERT: Vestibular Rehabilitation Triage to enhance access for patients with dizziness; a multidisciplinary initiative
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  • Michael C. Schubert,
  • Allison L. Nogi,
  • John Carey,
  • Dan Gold,
  • Colin Grove
Michael C. Schubert
Johns Hopkins Medicine Department of Physical Medicine and Rehabilitation

Corresponding Author:[email protected]

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Allison L. Nogi
Johns Hopkins Medicine Department of Physical Medicine and Rehabilitation
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John Carey
Johns Hopkins Medicine Department of Otolaryngology-Head and Neck Surgery
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Dan Gold
Johns Hopkins Medicine Department of Neurology and Neurosurgery
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Colin Grove
Johns Hopkins Medicine Department of Otolaryngology-Head and Neck Surgery
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Abstract

The Vestibular Rehabilitation Triage Program (VERT) is a multidisciplinary collaboration created to expedite and improve the care management of individuals experiencing dizziness. The purpose of this manuscript is to describe VERT and demonstrate the ability of using a call center algorithm and specially trained physical therapists to appropriately triage individuals with dizziness. The Departments of Otolaryngology Head and Neck Surgery, Neurology, and Physical Medicine and Rehabilitation at the XXXX have created a multidisciplinary call center algorithm that advantages specially trained physical therapists to initiate care and refer to physician specialists when appropriate. The goal of this partnership is to mitigate the common hardships of living with a vestibular disorder that include increased fall risk, inefficient diagnostic testing, prolonged wait time, and excessive health service utilization. Increased access to specialists, reducing the likelihood of misdiagnosis and starting appropriate treatment sooner, may facilitate improved symptoms and reduced disability 1. Two case examples exhibit how the standardized algorithm and follow through in such management effectively reduced the more common and fragmented medical care. Initial cases within the VERT pathway demonstrate effective management for patients with dizziness and balance impairment, though additional assessment is needed to more completely understand the effectiveness of this novel clinical model.