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50; interquartile range 22.75�C38.25), 36.5% improvement. A Wilcoxon signed-rank test was also performed to examine whether the ��on�� PD medication Hoehn and Yahr selleck compound stage differed before and after OHC participation. The results revealed no significant median difference in Hoehn and Yahr stage, though the result neared significance (Z = ?1.89, P = .06). Because the dataset contains an even number of cases, there is no true meaningful median (see Table 1 for listing of scores). Averaging the two middlemost scores yields a number that is not meaningful on the Hoehn and Yahr scale; therefore, the two middlemost scores are reported here instead of the true median. Similarly, to present more meaningful results, intertertile ranges are reported rather than interquartile ranges because the dataset of six cases can be evenly divided into tertiles. The two middlemost Hoehn and Yahr scores were 2.5 and 3 prior to OHC, with stages ranging from 2.5 to 5 (intertertile range was 2.5�C3). After Operation House Call, the two middlemost Hoehn and Yahr scores were 2 and 2.5, with stages ranging from 2 to 5 (intertertile range was 2�C2.5). Across all OHC patients there were no emergency Quinapyramine room visits or hospitalization following initiation of home visits. One patient had an emergency room visit for a fall and required inpatient rehabilitation a week prior to OHC initiation. The cost of transportation for the visits over the course of a year was $526.43/patient, which included the cost of gasoline, the paid time for the coordinator (on the visit), and the wages paid for the neurology fellow during clinic hours. The cost of transportation was paid for by the university funds and private grants and was applied to the centers cost. Patients did not incur any costs for participation in this program. However, the cost of multidisciplinary team participation and the cost of not having a fellow and program coordinator Selleckchem GDC-0449 present during clinic hours could not be easily estimated and were therefore not accounted. The mean distance travelled was 56.3 miles with a range of 25.7 to 152.8 miles. 6. Discussion Our pilot person-centered quality improvement project had a small number of participants and though successful, the small numbers were the main limitation. OHC was a true person-centered healthcare intervention. The goal was to improve quality of life for each patient and to individually address and adhere to health care goals and wishes for intervention on a patient-by-patient basis. Movement disorder fellows and also the clinical care coordinator were able to capture in real-time the favorable and unfavorable circumstances impacting care. OHC has been able to deliver care to seven patients and to assist three patients in achieving healthcare independence (insurance and travel). The non-PD psychogenic movement disorder patient was grateful for the diagnosis and was relieved he did not have a neurodegenerative disease.