ICD-10 and the medical group: A conversation with Sanjiv Datt

 

Cardiovascular Rounds

News, resources, and analysis from the Cardiovascular Roundtable

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Would you be my (medical home) neighbor?

October 8, 2014

Just last month, the National Committee for Quality Assurance (NCQA) recognized the 8,000th patient-centered medical home – and that’s just the number of medical homes that are formally recognized, not including the many that operate without formal recognition. The role of primary care is emphasized in many of the care transformation efforts, such as medical homes and ACOs.

In fact, our colleagues over on the Medical Group Strategy Council just posted a great blog explaining the difference between a number of these clinical care redesign efforts, including the patient-centered medical home model.

However, the increasing popularity of these primary care-focused entities has left a lot of our members wondering “What is CV’s role in primary care redesign?”

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Some love below the heart: New guidelines for appropriate use of peripheral vascular interventions

by Julie Bass September 8, 2014

CV services are facing increasing scrutiny over the appropriateness of diagnostic tests and procedures, coupled with pressure to contain costs while improving quality.

As a result, CV leaders must develop strategies to right-size utilization, and ensure each service is provided for the right patient at the right time.

Related: Our webconference on appropriate use in CV services

Fortunately, medical societies continue to offer increasing support through appropriate use criteria (AUC), which CV programs can implement to ensure principled utilization. However, the focus had been primarily on coronary procedures, largely overlooking peripheral vascular interventions—until now.

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Ready to 'FoCUS'? We explain the new guidance for focused cardiac ultrasound

by Julie Bass August 22, 2014

The World Interactive Network Focused on Critical UltraSound (WINFOCUS) recently released the first international evidence-based guidance on the use of focused cardiac ultrasound (FoCUS)—a form of echocardiography primarily used in critical care settings. Creation of these guidelines was important to standardize situations in which FoCUS is acceptable, as well as detail who is qualified to utilize the tool.

It took a multidisciplinary team of 33 experts from 16 countries several years to complete, but the collaboration yielded 108 statements and recommendations.

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We’re experts on our patients’ hearts, but do we understand their heads?

by Olivia Ley August 20, 2014

Regulatory emphasis on quality and cost transparency is increasing, insurance networks are narrowing, and patients are selecting their care providers more actively. As a result, CV programs are searching for ways to better understand their patients’ priorities in order to effectively design patient access strategies and generate the kind of patient experience that leads to brand loyalty. 

So, what do your patients want, and what sources do they trust when evaluating their options?

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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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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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Findings from ACC 2014—and the resources you need to act on them

April 24, 2014

Andrew Hresko, Cardiovascular Roundtable

At the end of March, two of my colleagues from the Service Line Strategy Advisor program attended the American College of Cardiology’s annual meeting in Washington, D.C. They’ve written several blog posts about what was discussed, including the promising future for transcatheter aortic valve replacement (TAVR) efficiency and length of stay, the need for further investigation of renal denervation, the learning curve for radial PCI, and the future of aortic aneurysm care.

To help you act on findings from the conference, I’ve highlighted the Cardiovascular Roundtable’s available resources on a few of these topics.

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CV service distribution: The decision aids you need

April 7, 2014

Olivia Ley, Cardiovascular Roundtable

More and more CV leaders have to make challenging decisions about how to distribute services across sites. This not only means thinking more strategically about where and when to offer new services, but, in some cases, when it’s necessary to consolidate programs.

And while these decisions will never be easy, you have resources at your disposal that make them easier.

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