Traumatic Brain Injury Care Systems: 2020 Transformational Challenges

Abstract

Traumatic Brain Injury (TBI) care systems are those that deliver care services to reduce mortality and morbidity rates, risks and incalculable human suffering from neuro-traumatic events. These care systems seek positive cognitive, functional and physical outcomes and social reintegration for TBI patients. Current TBI care systems are fragmented and operate in silos, each with diverse clinical and resource priorities and supported through disparate information systems. Paradoxically as each silo attempts to sustain life and mitigate the impact of patho-physiological aspects of TBI, the systemic sustainability of the entire TBI care system is compromised. This paper explores the implications for the future systemic sustainability of TBI care through regionalization, intelligence systems, virtual environments and transformational leadership.