A Guide to Establishing a Pediatric Neurogastroenterology and Motility Program

Abstract

The purpose of this document is to provide guidance for establishing a pediatric neurogastroenterology and motility (PNGM) program, including considerations for personnel, equipment, and physical space requirements, and business planning, from members of the neurogastroenterology and motility (NGM) Committee of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) who have developed PNGM programs at various institutions. A business plan defining the needs for required personnel, dedicated physical space, procedures, clinical care, and equipment storage is a prerequisite. Thoughtful logistical planning should address provider schedules, clinical visits, procedure coordination, and prior authorization processes. A business-plan outlining equipment purchase with projected costs, revenue generation, and goals for future growth is desirable for obtaining institutional support, which is imperative to building a successful PNGM program.

Pediatric Neurogastroenterology and Motility Services in North America

“…The survey also did not explore reasons as to why certain services were not available or offered. As setting up a PNGM center requires provider training and expertise, institutional support, and substantial economic investment (21), it is likely that infrastructure and reimbursement models may limit the availability of certain diagnostic and therapeutic services.…”