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Cardiovascular Rounds

News, resources, and analysis from the Cardiovascular Roundtable

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The CV care management dictionary

December 9, 2013

Andrew Hresko, Cardiovascular Roundtable

At our national meeting, we begin our CV care management presentation with a complicated word cloud and two big questions: What do all these new terms about patient care mean? Are they just catchy buzzwords?

Care management jargon certainly can be confusing. But parsing out the nuances between the often similar-in-name and related-in-function terms is an important step in developing a coordinated CV care management strategy. We’ve defined some of these complicated terms below to provide some clarity and identify the relationships between them.

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Preview the national meeting presentations your peers are raving about

Brian Maher October 31, 2013

Last week, we hosted the first session of the 2013-14 national meeting series, Unlocking Cardiovascular Value, in our Washington, D.C., office. We had a great mix of administrators, managers, and physicians attend who provided lively discussion and gave overwhelmingly positive feedback. In fact, 100% of them thought the research advanced their knowledge of how to cut CV costs, build a CV care management platform, and optimize the CV patient experience.

But don’t just take our word for it—see what attendees had to say, and preview the presentations they’re raving about.

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Your chance to get exclusive CV care management benchmarks

October 24, 2013  | Comments (1)

Megan Tooley, Cardiovascular Roundtable

Crafting a high-value platform for complex care management has never been more important, as we are facing greater longitudinal accountability for an increasingly comorbid and chronic population. During our 2013-14 national meeting series, attendees will learn how to develop a comprehensive strategy for managing high-risk, poly-chronic CV patients across the care continuum—and you have a chance to shape this research.

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No need to come in: CMS proposes payment for chronic care management without an office visit

September 30, 2013

Andrew Hresko, Cardiovascular Roundtable 

A few months ago, when we wrote about new provisions included in the proposed 2014 Medicare Physician Fee Schedule, we briefly mentioned a new set of services that the rule, if finalized, will allow physicians to bill for: chronic care management. In last week’s edition of JAMA, Bindman et al. explored this provision in greater depth, outlining the requirements physicians must meet to bill for chronic care management provided without face-to-face contact with the patient.

As inclusion of this provision in the proposed rule indicates, chronic care management is an increasingly important initiative for our industry. For this reason, it is a topic that we will be discussing at length at our national meeting, launching October 24. To help cardiologists understand the requirements and logistics of the provision, I’ve outlined the relevant parts of the rule below.

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Can you please repeat that? Resources to master the ‘teach-back’ approach

September 19, 2013

Megan Tooley, Cardiovascular Roundtable

There is no denying the importance of comprehensive patient discharge education in reducing readmissions. This is particularly evident in complex CV patients, who are often faced with numerous medications, dietary restrictions, and critical follow-up appointments. However, many programs still struggle to put an effective strategy in place to increase post-discharge compliance.

A recent study in JAMA: Internal Medicine provided additional evidence that patient discharge education for acute coronary syndrome, heart failure, and pneumonia patients is often sub-par. For example, only 60% of patients in the study sample were able to accurately describe their diagnosis after discharge, and only 44% of patients that had a follow-up visit scheduled with a PCP or cardiologist could accurately recall the details of either appointment.

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A prescription for the ‘blockbuster drug of the century’: AHA outlines patient engagement strategies

August 30, 2013

Megan Tooley, Cardiovascular Roundtable

Patient engagement.

As you have likely noticed, this concept has been garnering increased attention lately, and not just in the medical community. A 2012 study in Nursing Research and Practice found the focus on patient engagement in academic research has increased significantly, from just 74 journal publications on the topic in 2002, to over 950 in 2011. Patient engagement has also found a place in mainstream media, heralded by one journalist as the “blockbuster drug of the century.”

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Build your multidisciplinary CV care team with these resources

August 19, 2013

Megan Tooley, Cardiovascular Roundtable

Recently, many of our members have asked us how to elevate multidisciplinary collaboration for complex patients, whether by implementing multidisciplinary rounding, convening multidisciplinary high-risk patient committees, or even developing polycondition clinics to address longitudinal needs of poly-chronic patients.

In truth, this comes as little surprise: as we discussed in our recent study, Blueprint for Cardiovascular Disease Centers, an increasingly comorbid and complex CV population is making it difficult for a single provider or service line to adequately address all of a patient’s needs. To create and carry out comprehensive, high-value care plans for these patients, programs need to ensure multidisciplinary collaboration between relevant providers and non-clinical support staff.

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What you need to know about aortic disease centers

July 19, 2013

Carly Anderson, Cardiovascular Roundtable

You’d like to develop a cardiovascular disease center—but where should you begin? At our 2012-13 national meeting, we discussed seven imperatives for developing any type of CV disease-centric program, and delved deeper into three areas of particular interest: heart failure, valve, and atrial fibrillation centers. But other disease-center programs also have substantial growth potential, such as aortic disease centers.

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Rating: | Brian Maher | March 30, 2012

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