Project Description

TBI: What You Need to Know

Traumatic brain injury (TBI) is one of the leading causes of death and disability in the United
States. More than 2.5 million Americans suffer a TBI each year, with approximately 250,000 of
those injuries falling into the moderate or severe categories and resulting in hospitalization. (Source)

Hospitalization for moderate to severe brain injuries results in careful monitoring, imaging to
identify swelling, bleeding, or skull fractures, and testing by multidisciplinary teams to
determine how the patient’s brain injury has impacted their ability to function including, but
not limited to, their sensory processes, motor skills, and cognitive abilities.

Depending on the location of a patient’s brain injury and the symptoms they display, individual experts are deployed to evaluate them, recommend treatment, schedule follow-up evaluations, and track their progress over time.

The remaining individuals that suffer brain injuries – more than 2 million each year – have injuries that fall into the mild category—including concussions.

Most often mild TBIs do not result in medical attention. Therefore, patients with this type of injury are not assessed by any medical professionals nor are their injury and acute symptoms documented in any medical records.

But just like moderate to severe brain injuries, mild brain injuries can also damage and disrupt a patient’s ability to see, hear, sleep, think, remember, regulate their emotions, and do many other things in the same way or at the same level as they did before the injury. No matter the type of brain injury a patient has suffered, impairments in these areas may last for days, weeks, months, or years.

Improving the outcomes for patients with mild brain injuries requires comprehensive assessment of symptoms and treatment interventions that take into account the current science of brain injury and tailor the medications, dosage, monitoring, and therapies accordingly. The thorough assessment and multidisciplinary approach that is routinely and successfully employed for patients with moderate to severe TBI can also be applied to help patients with mild TBI.

MiCare offers this forward-thinking approach to its patients.

Solutions You Can Depend On

Through its strategic partnerships, MiCare offers a brain injury symptom screening program (Brain CheQ) and advanced neuroimaging data collection and quantitative MRI analysis (Quantify) through their provider network and if needed, access to a network of experts in traumatic brain injury through their affiliation with MINDSET forensic consulting practice.

By utilizing state-of-the-art brain injury screening tools, MiCare’s traumatic brain injury program addresses the gap in assessment and care for patients suffering from a mild TBI.  Here we provide a brief overview of two unique services that our providers have incorporated to ensure we properly assess and manage every MiCare patient who has suffered a brain injury.

Brain CheQ brings the comprehensive assessment and multidisciplinary approach that is used in the inpatient setting for moderate to severe TBIs to the outpatient setting for mild TBIs. The Brain CheQ protocol is deployed in a three-stage process.

    • Symptom Screening: Based on patient history and current symptoms a MiCare provider may recommend the Brain CheQ screening. The testing process takes approximately three hours and is a combination of interview, questionnaires, and testing. The data collected during a Brain CheQ evaluation identifes symptoms across the three domains where TBI patients may be suffering – Somatic, Psychiatric, Cognitive.
      • Somatic Symptoms (ex. headache, vision disturbances, sleeping problems, balance
      • Psychiatric Symptoms (ex. PTSD, anxiety, depression)
      • Cognitive Symptoms (ex. multitasking, decision making, memory, language)
    • Comprehensive Review: Brain CheQ data is scored and summarized in report form and returned to the provider. By combining and reviewing the screening data, a Brain CheQ psychologist and a physician identify the patient’s symptom profile. That profile determines the number and type of referral recommendations included in the report.
    • Treatment Referrals: The provider referrals can then be made and MiCare can coordinate appointments with the appropriate providers for additional formal testing and the implementation of tailored treatment.

QuantifyTM MRI analysis is the comparison of an individual’s structural MRI data (including DTI data) to a large sample of age- and gender-matched control subjects. The benefit of this approach is twofold: first, it offers increased sensitivity beyond traditional visual inspection, meaning it can reveal areas of structural compromise that cannot be seen by the naked eye and second, it provides statistically based results about the client’s data being within or outside of normal limits.

Other TBI Solutions May Include:

  • Access to the MiCare Provider Network

  • Comprehensive Reports

  • Records Review

  • Litigation Support (see below)

  • And more.

These services can be combined in different ways depending on the needs of the client, including case facts, economics and client injuries. The attorney and the MiCare TBI team can help you understand what each block entails and how it might work for your case.
Click the button to the right to learn more about the correct solutions for your case.

Get the Support You Need!

MiCare’s TBI evaluation and treatment program is able to accomplish two critical objectives:

  • Offer products and services that incorporate advances in brain injury medicine to further the improve care and quality of life of those who have suffered a TBI

  • Provide support to attorneys who need to investigate the existence, severity, and extent of their client’s injuries.

Click the button below to contact us in order to learn how MiCare can help TBI patients and attorneys.

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Litigation Support

When it comes to litigation, mild traumatic brain injury cases have historically been difficult for personal injury attorneys.  The cost of trying to prove all but the most severe brain injury cases has been prohibitive based on the need to rely on subjective, rather than objective evidence.  As a result, most PI attorneys have shied away from taking on brain injury claims for mild traumatic brain injury (mTBI), or in the alternative, focusing more heavily on other more easily proven injuries associated with the case.  As a result, people with often life-changing brain injuries are not receiving the care and treatment they deserve.

However, by working with the MiCare TBI team, the attorney can investigate what evidence of brain injury exists, the extent of damage incurred, and the most appropriate and reliable treatment options available. Through the cutting-edge Brain CheQ and Quantify platforms and access to MINDSET’s customized and client-centric case consultation services, MiCare patients receive a comprehensive evaluation of their TBI.

Should an individual case require expert opinion testimony and forensic reports, MINDSET case consulting experts can be retained to evaluate and opine on the client’s data and history and determine whether additional testing may be needed for forensic purposes. MINDSET’s interdisciplinary team of consulting and testifying experts include neuroradiologists, neuropsychologists, psychiatrists, neuroscientists, and many other areas of expertise and can consult with the attorneys as needed and, will rely on objective data from their respective disciplines as the foundation for their opinions.