Cardiovascular Rounds

News, resources, and analysis from the Cardiovascular Roundtable

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Why CV services are overused, and how to fix the problem

By Marissa Schwartz September 2, 2015

There’s no doubt that cardiovascular disease is a killer. As the leading cause of death in the US, CV disease comprises 17% of our nation’s health expenditures, with much of the cost growth linked to noninvasive testing. A recent article published in Circulation reported on the widespread overuse of CV services in the US: the scope of the problem, its causes, and initiatives for change.

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New federal law requires patient disclosure of observation status

by Julie Bass August 19, 2015

Last week, President Obama signed the "Notice of Observation Treatment and Implication for Care Eligibility Act," or the NOTICE Act, into law. This law alters both the manner and timeframe in which hospitals must notify patients of their observation status.

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Inside a CMS-approved pilot CV program

by Marissa Schwartz August 10, 2015

In 2011, JAMA published a study detailing that just 50% of stent procedures logged in the National Cardiovascular Data Registry were categorized as appropriate. Since then, the focus on appropriate use for CV services has only grown, given CMS’s efforts to transition to value-based care models.

One new program, the SMARTCare pilot, was awarded a $15.8 million CMS Innovation Center grant and launched at 10 sites across Wisconsin and Florida in late May 2015.

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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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