1 Roadmap for Quality Measurement in the Traditional Medicare Fee-for-Service Program [PDF, 3MB]. 2  Roadmap for Implementing Value Driven Healthcare in the Traditional Medicare Fee-for-Service Program [PDF, 3MB]. 3  Medicare Resource Use Measurement Plan [PDF, 3MB].
When a nerve signal, or impulse, reaches the ends of its axon, it has traveled as an action potential, or a pulse of electricity. However, there is no cellular continuity between one neuron and the next; there is a gap called synapse.
At a synapse, the plasma membrane of the signal-passing neuron (the presynaptic neuron) comes into close apposition with the membrane of the target (postsynaptic) cell. In an electrical synapse, the presynaptic and postsynaptic cell membranes are connected by special channels called gap junctions that are capable of passing electric current, causing voltage changes in the presynaptic cell to induce voltage changes in the postsynaptic cell.