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Cardiovascular Rounds

News, resources, and analysis from the Cardiovascular Roundtable

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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 a dedicated CV patient experience role can benefit your service line

by Julie Bass December 22, 2014

Patient satisfaction is increasingly top of mind for hospital executives, particularly given its recent inclusion in value-based purchasing, and ability to gain a competitive edge in attracting empowered patient consumers. In fact, last year almost one quarter of organizations created chief experience officer (CExO) positions designed to have direct accountability for patient experience.

Our colleagues over on the Marketing and Planning Leadership Council recently highlighted key lessons for organizations considering adding a CExO at the system-level.  For the Cardiovascular Roundtable, a "mini CExO" within the CV service line can have tangible benefits, as in the case of Akron General Medical Center.

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Building bridges: Uniting heart and vascular services at an AMC

by Andrew Hresko December 17, 2014

Developing an integrated CV service line that enables collaboration between heart and vascular services has been an ongoing priority and challenge for many programs. But as we share at our 2014-2015 national meeting series, new market pressures make it more important than ever for the CV service line’s reporting structure to enable multidisciplinary, cross-continuum, and patient-centered care delivery.

Related: Heart and Vascular Service Line Integration

However, there is no one-size-fits-all organizational structure; each program must account for its unique clinical and operational processes, political challenges, resource allocation, and service line and institutional goals when defining the optimal service line model.

UC Davis—a 560-bed academic medical center (AMC) in Sacramento, Calif.—has done just this, developing an organizational model that unites cardiac and vascular services strategically through shared oversight, while maintaining the separate academic departments that function well for their physicians and organization.

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Are you considering a rep-less model for med tech?

by Kristen Barlow Rand December 3, 2014

A few months ago, the Daily Briefing covered an interesting article from Modern Healthcare that explored Loma Linda University Medical Center’s efforts to move towards a “rep-less” model in the OR to reduce costs. This model replaces medical device sales representatives in the OR with OR technicians, who provide technical assistance during joint replacement procedures.

Loma Linda has seen a 50% reduction in joint implant prices. Intrigued, we decided to explore what this emerging rep-less model could look like for cardiac rhythm management (CRM).

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The new definition of cardiovascular leadership

by Andrew Hresko November 13, 2014

During our research on cardiovascular service line leadership structures for our recently launched 2014-2015 Cardiovascular Roundtable national meeting, we often heard that CV administrator’s responsibilities and required skills sets are rapidly changing.

Not long ago, CV administrators focused primarily on service line operations. Key responsibilities included personnel management, improving patient throughput, and acting as the go-to-person when crises in patient care or staff relations arose.

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Can new clinical technology save you money? Putting bioabsorbable stents to the test.

Brian Contos November 7, 2014

Recently a member asked me whether new technology will impact value creation for CV programs. In the context of catheter-based revascularization, my answer was "maybe."

As interventional cardiology programs are increasingly asked to find cost savings while maintaining high quality outcomes, they may find that technology is an untapped source of value.

For a long time, providers and regulators evaluated new technology according to its safety, efficacy, and ability to facilitate profitable revenue growth. Broader economic benefit was a secondary concern and was largely focused on the inpatient episode. But times are changing.

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Readmission penalty increases to 3%—are you prepared?

by Olivia Ley October 28, 2014

While it might be hard to believe we’re entering the third year of the Readmission Reduction Program, the new ruling announcing an increase in the maximum penalty from its initial 1% (2013) to 3% beginning in 2015 is a clear signal from CMS that performance expectations have been raised.

The good news? The Cardiovascular Roundtable has created an easy to use, objective oriented, toolkit to help you overcome the most common readmission reduction challenges.

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Exclusive transcatheter mitral valve repair benchmarks

Brian Contos , Megan Tooley October 14, 2014

Earlier this summer, we shared new transcatheter aortic valve replacement (TAVR) benchmarks from the most recent set of Medicare Provider Analysis and Review (MEDPAR) data.

But aortic valves aren’t the only transcatheter valve procedure in the game–this year, we’ve also compiled benchmarks for transcatheter mitral valve repair (TMVR) cases based on the latest MEDPAR data. This data set includes cases performed in FY 2013, which spans from Oct. 1, 2012 to Sept. 31, 2013.

Below you’ll find early data on volumes, patient demographics, and reimbursement for TMVR cases. To the best of our knowledge, these are the first benchmarks of their kind on MitraClip procedures performed in the United States.

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