Most emailed: 5 physician misconceptions about patient experience

 

Cardiovascular Rounds

News, resources, and analysis from the Cardiovascular Roundtable

Filtered by: Quality Hide

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.

Read more »

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?

Read more »

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?

Read more »

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.

Read more »

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.

Read more »

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.

Read more »

One way to make discharge education stick: Group discharge sessions

March 19, 2014

Andrew Hresko, Cardiovascular Roundtable

CV leaders know that post-discharge self-management plans are crucial to avoiding readmissions. For more than a decade, studies have shown that discharge planning can reduce readmission risk for heart failure (HF) patients. But these plans are only effective when patients are willing and able to comply.

To make sure patients can adhere to these directions, programs must provide thorough education on self-management skills. However, education often becomes a “cram session” that occurs shortly before discharge, when patients and family are anxious and less able to process complex instructions.

Fortunately, you don’t need to revamp your entire discharge planning approach to make instructions stick. CV leaders at South Nassau Communities Hospital in Oceanside, N.Y., supplement traditional one-on-one bedside delivery with group HF education sessions.

Read more »

How to track performance under risk-based contracts

February 28, 2014

Jeffrey Rakover, Cardiovascular Roundtable

As more and more CV providers take on risk-based payment, you need to start thinking about how to track performance against these contracts. The challenge is selecting metrics that you can use across payers, contracts, and time—particularly during and after the hospital stay. While providers can’t necessarily change conflicting reporting responsibilities in the near term, they can select high-value metrics to drive overall success.

Fortunately, you have some great examples to follow. Sparks Health and Maine Heart both saw significant performance improvement after updating their dashboards of CV performance metrics, specifically in the context of bundled payment models. Here’s a look at what they include.

Read more »

Comment Now

You must be logged in to comment

What Your Peers Are Saying

Rating: | Brian Maher | March 30, 2012

  • Manage your events
  • View your saved items
  • Manage your subscriptions
  • Update personal information
  • Invite a colleague