Cardiovascular Rounds

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CV organizational structures: Roundtable resources

on March 7, 2013  |  Permalink

Topics: Regionalization and Networks, Strategy, Organizational Models, Workforce, Cardiovascular, Service Lines

Jeffrey Rakover, Cardiovascular Roundtable

Questions about CV organizational structures are among the most common asked by members. CV leaders wonder about governance structures at peer institutions and which departments typically report up through the CV service line administrator while also querying how best to organize services along a number of specific parameters:

  • How best to structure leadership while integrating clinicians
  • How to develop organizational structures for multidisciplinary, disease-centered care
  • How to create a governance structure across multiple sites of service or campuses within a system

The Roundtable has developed numerous resources touching on these and related questions.


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CV organizational structures: Roundtable resources

So you're not a TAVR program—Now what?

on January 14, 2013  |  Permalink

Topics: Cardiovascular, Service Lines, Cardiac Cath, Cardiac Surgery, Regionalization and Networks, Strategy, Service Line Growth, Volume Growth, Technology Assessment, Planning, Program Infrastructure, Business Development

Megan Tooley, Cardiovascular Roundtable

There is no question the emergence of transcatheter valve technologies—specifically transcatheter aortic valve replacement (TAVR)—has elicited unprecedented excitement from the cardiovascular community in recent years. However, despite this enthusiasm, the reality is only a portion of hospitals will meet the strict resource and volume requirements necessary to become TAVR sites in the near future.

This may leave many of you wondering, “So what if we’re not a TAVR program? Is there still a place for us in the valve market?” You’re not alone, and as we explore in our national meeting series, your options for treating valve disease and disorders do not end at TAVR.

Learn how one Roundtable member is ensuring their patients have access to a full range of valve services—even if they’re not the TAVR program.

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So you're not a TAVR program—Now what?

Should you pursue a PCI program without surgical backup?

on September 14, 2012  |  Permalink

Topics: Cardiac Cath, Cardiovascular, Service Lines, Cardiac Surgery, Business Development, Strategy, Market Trends, Planning, Regionalization and Networks, Outcomes, Quality, Performance Improvement, Finance

Megan Tooley, Cardiovascular Roundtable

The Roundtable recently received a number of member requests regarding the viability of percutaneous coronary intervention (PCI) programs without on-site cardiac surgery. In addition to the latest literature comparing clinical outcomes between programs with and without surgical backup, there are number of other important factors CV leaders must take into account before pursuing this strategy.

Members of the Roundtable may access a summary below of the most recent clinical findings on PCI without surgical backup, as well as other programmatic implications to consider before starting a PCI program.

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Should you pursue a PCI program without surgical backup?

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