We highly recommend you discuss your medical history, surgical plan and questions about neuromonitoring with your surgeon. We are also available to discuss neuromonitoring with you at any time. To reach a member of the clinical services team, call us at (855) 522-7233, Option 5.


What is Intraoperative Neuromonitoring?

Intraoperative Neurophysiologic Monitoring and Mapping (IONM, IOM), also known as neuromonitoring, is the use of physiological techniques to identify and/or evaluate nervous system structures during certain surgical procedures.  The types of surgical procedures during which IONM is employed vary greatly and include: brain, spine, ear, nose & throat (ENT), orthopedic and vascular surgery. Neuromonitoring is typically provided by a team consisting of an on-site neurophysiologists and a supervising physician who interacts remotely with the on-site neurophysiologist throughout surgery through a real-time secure internet connection.

Why is Intraoperative Neuromonitoring important?

  • Intraoperative neurophysiology reduces the risk of neurologic injury during surgery.
  • Different surgical procedures carry different risks to different regions of your nervous system (e.g., brain, spine, nerve roots, etc.).
  • Prior to your surgical procedure, our neurophysiologists consult with your surgeon to identify risks and tailor a plan your particular needs.
  • During the procedure, our neurophysiology team will perform the appropriate tests, providing constant feedback to the surgeon regarding the integrity of your nervous system.
  • This helps to guide the surgeon’s decision-making process, and potentially take steps to minimize the possibility of injury to your nervous system.

What can I expect on the day of my surgery?

As part of the surgical team, our neurophysiologist works hand-in-hand with the surgeon and surgical team to deliver the highest care. Our neurophysiologist will:

  • Explain neuromonitoring
  • Perform a pre-operative exam appropriate to the procedure.
  • Have you sign a consent form.
  • Place electrodes on you before or after you go to sleep, depending on the needs of the surgery.
  • Use a computer to conduct tests on your nervous system while you are asleep.
  • Interface with the surgical and anesthesia teams to optimize care.
  • Remove all electrodes.
  • Perform a post-op exam appropriate to the procedure.

What type of training will the Safe Passage Neurophysiology Team have?

Safe Passage sets the bar high to ensure that our care delivery team includes the best, brightest, most educated and experienced minds in the field of neurophysiology.

  • We have a 1-year training program with both classroom and practical components.
  • We partner with several education institutions to create industry-leading training and educational programs for neuromonitoring.
  • Most all of our staff hold at least a bachelor’s degree and have achieved technical certification attesting to their competency in performing basic IONM (CNIM).
  • Many of our staff hold doctoral degrees (PhD, AuD, DC, MD, DO) and have achieved professional board-certification attesting to their competency in performing, interpreting and supervising advanced IONM (ABNM, ABCN, ABPN).


Will Safe Passage be available for a surgery at night or on the weekend?

Safe Passage's expert clinicians are available 24 hours a day, 7 days a week, 365 days a year. Our services are ordered by your surgeon’s office and all the information relevant to your procedure and medical history is safely transmitted to our neurophysiology team prior to surgery.

What are the risks of intraoperative monitoring?

  • Neuromonitoring electrodes are placed for your benefit and safety.
  • Some risks are related to the particular tests that may be required to increase the safety of your surgery. These risks occur infrequently and rarely necessitate  further treatment.
  • We encourage you to speak to your surgeon or to our team to discuss specifics for your surgical procedure.

Will I receive a bill for your services?

  • Safe Passage is a medical care provider and as such bills insurance plans for the services performed on the day of surgery. This is a separate charge from your surgical procedure and is not issued by your surgeon or surgeon’s office.
  • You will receive an explanation of benefit from your insurance plan detailing the charges from Safe Passage. This is not a bill. If you have any questions about this statement, please call our billing department at (855) 522-7233 (Option 4).
  • SPN is out-of-network with all insurance plans with the exception of CDPHP and Medicare. SPN will not bill you any amount for IOM services provided to you, other than the deductible and coinsurance amounts permitted by your plan. Your out-of-pocket cost for our IOM services, therefore, will depend on the deductible and coinsurance amounts under your plan benefits. Your estimated out-of-pocket cost share amount for the IOM service is available upon request. Please contact our billing office at the above number for your specific plan-benefit information or for information regarding our hospital affiliations. You may obtain an estimate of neuromonitoring charges and how they apply toward your deductible by calling our billing department at (855) 522-7233, Option 4 (MF, 8am-5pm).

Patient Safety and Quality of Care

Individuals who have concerns regarding patient safety or quality of care are encouraged to contact Safe Passage Clinical Services: Clinicalservices@safepassagenm.com or (855) 522-7233 and may also contact The Joint Commission through one of the following methods:

Online: www.jointcommission.org
Email:  patientsafetyreport@jointcommission.org
Fax: 630-792-5636
Mail: Office of Quality and Patient Safety
The Joint Commission
One Renaissance Boulevard
Oakbrook Terrace, Illinois 60181