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Cardiovascular Rounds

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Three of our best strategies for successful discharge planning

By Kristen Barlow February 9, 2015

Once patients leave the hospital, it is crucial that they are sent home with appropriate instructions and the right support infrastructure. Failing to get the discharge planning process right can lead to readmissions and higher costs – unsatisfactory outcomes in the new healthcare environment that rewards hospitals for 30-, 60-, or even 90-day outcomes and low readmission rates.

Read on to discover how three institutions have developed strategies for perfecting the discharge planning process.

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Cardiovascular 'tumor boards:' Adventist's innovative approach to multidisciplinary care

By Julie Bass January 28, 2015

It is not breaking news that the prevalence of chronic disease is growing. The expanding co-morbid and complex CV population is straining the ability for a single provider, or even a service line, to suitably care for patients across the care continuum.

Patients frequently see multiple providers both inside and outside the CV service line, making effective multidisciplinary collaboration strategies crucial to the future of CV programs, especially as we move away from the fee-for-service environment.

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Cardiovascular Roundtable’s top five underutilized tools

By Kristen Barlow January 15, 2015

At the Cardiovascular Roundtable, we hear from members every day who are looking for individualized assistance such as benchmarking financial or quality performance, market estimation and volume growth, and help with strategic plans.

To assist our members, we’ve developed a suite of tools that are are available to every member. Read on to discover the top five most underutilized tools available with your membership, and how to take advantage of them in 2015.

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CV guidelines in the palm of your hand

by Julie Bass December 29, 2014

What better way to get rid of those little handbooks in your coat pocket than to have all the guidelines you need right at your fingertips?

Professional societies are catching up to speed with physician demand and are finding ways to make key clinical guidelines, including appropriate use criteria (AUC), more accessible. One strategy is mobile apps for smart phones and tablets with collocated guidelines that can be used at the point of care.

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How is the two-midnight rule affecting your bottom line?

by Jeffrey Rakover and Eric Fontana October 7, 2014

The two-midnight rule remains a top-of-mind issue for CV service lines. We recently analyzed its potential financial impact—and some providers have already reported significant decreases in inpatient cases and overall revenue declines due to the shift to lower paying outpatient status.

Yet the impact of the rule differs significantly based on a patient's diagnosis or procedure performed. For instance, the base rate Medicare outpatient payment for ICD implants actually exceeds the reimbursement for comparable, low-acuity inpatients. The same is true for cardiac ablation.

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The future of the two-midnight rule

by Jeffrey Rakover July 9, 2014

Wondering what's in store for two-midnight? Looking for guidance on implementation? Then you'll want to check out a recent post from our colleagues at the Care Transformation Center. 

Our two-midnight experts responded to three frequently asked questions of late: 

1. What are the implications of CMS’s recent request for comments on potential short stays payment methodologies?
2. How likely is an adjustment to the 0.2% cut in payment that accompanied the initial finalization of the two-midnight rule?
3. Should I focus on compliance right now?

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Want a better picture of performance? Financial integration offers a panoramic shot.

May 27, 2014

Olivia Ley, Cardiovascular Roundtable

While financial integration requires an investment of time and resources, many programs are beginning to realize the substantial value of having a more holistic and transparent view of their performance. Some programs are integrating across specialties, while others are integrating across different sites of care beyond the hospital setting.

We’ve included examples of both below and shared how these programs are already starting to benefit from the results.

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The case for palliative care

May 1, 2014

Olivia Ley, Cardiovascular Roundtable

CV programs are starting to embrace palliative care as a means to improve quality and reduce costs—and they’re backed by some compelling evidence.

We've reviewed some of this research below, and offered guidance to help you integrate these services into your care continuum strategy.

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