Cardiovascular Rounds

News, resources, and analysis from the Cardiovascular Roundtable

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Gain insight into utilization trends in your region

By Marissa Schwartz July 29, 2015

In today’s rapidly changing and competitive CV landscape, visibility into regional Medicare utilization rates is a growing imperative. Additionally, the ability to access market-specific CV utilization data is key for the integration of population health management into the CV service line.

In order to help members understand utilization rates in their region, we developed the Regional Utilization Profiler. Read on to discover how you can use this tool in your strategic planning process.

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Leveraging dedicated rounds for high-acuity patients at LifeBridge Health

By Kristen Barlow April 10, 2015

High-risk patient management requires CV leaders to implement ways to increase the visibility of these patients, as well as manage their care across the continuum. In our study Blueprint for Cardiovascular Care Management we identified priorities for enhancing both the visibility and management of complex patients.

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Three of our best strategies for successful discharge planning

By Kristen Barlow February 9, 2015

Once patients leave the hospital, it is crucial that they are sent home with appropriate instructions and the right support infrastructure. Failing to get the discharge planning process right can lead to readmissions and higher costs – unsatisfactory outcomes in the new healthcare environment that rewards hospitals for 30-, 60-, or even 90-day outcomes and low readmission rates.

Read on to discover how three institutions have developed strategies for perfecting the discharge planning process.

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Cardiovascular 'tumor boards:' Adventist's innovative approach to multidisciplinary care

By Julie Bass January 28, 2015

It is not breaking news that the prevalence of chronic disease is growing. The expanding co-morbid and complex CV population is straining the ability for a single provider, or even a service line, to suitably care for patients across the care continuum.

Patients frequently see multiple providers both inside and outside the CV service line, making effective multidisciplinary collaboration strategies crucial to the future of CV programs, especially as we move away from the fee-for-service environment.

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Cardiovascular Roundtable’s top five underutilized tools

By Kristen Barlow January 15, 2015

At the Cardiovascular Roundtable, we hear from members every day who are looking for individualized assistance such as benchmarking financial or quality performance, market estimation and volume growth, and help with strategic plans.

To assist our members, we’ve developed a suite of tools that are are available to every member. Read on to discover the top five most underutilized tools available with your membership, and how to take advantage of them in 2015.

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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 is the two-midnight rule affecting your bottom line?

by Jeffrey Rakover and Eric Fontana October 7, 2014

The two-midnight rule remains a top-of-mind issue for CV service lines. We recently analyzed its potential financial impact—and some providers have already reported significant decreases in inpatient cases and overall revenue declines due to the shift to lower paying outpatient status.

Yet the impact of the rule differs significantly based on a patient's diagnosis or procedure performed. For instance, the base rate Medicare outpatient payment for ICD implants actually exceeds the reimbursement for comparable, low-acuity inpatients. The same is true for cardiac ablation.

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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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