Cardiovascular Rounds

News, resources, and analysis from the Cardiovascular Roundtable

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How Christiana Care defines care management for cardiologists

by Kristen Barlow November 23, 2015

As with any initiative, monitoring the progress and impact of a care management program is imperative for both defending ROI and targeting performance improvement. Defining metrics to achieve this goal ensures CV care management remains top-of-mind for stakeholders.

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Six things you need to know about critical limb ischemia

by Kristen Barlow November 18, 2015

Critical limb ischemia (CLI) is the most severe form of peripheral vascular disease. It’s an underappreciated epidemic, and despite a dramatic increase in health care spending to combat the disease, it has a very poor prognosis. We can and should do much more to improve outcomes. That was the message delivered by Brian Contos, Executive Director of the Cardiovascular Roundtable, at this year’s VIVA conference in Las Vegas.

Here are his six take-home lessons.

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LEADLESS II trial findings support leadless cardiac pacemakers

by Julie Bass November 16, 2015

The growth in demand for EP services is currently a hot topic in the CV world: there are more technologies entering the market to meet patient needs and hospital executives are turning toward EP as a way to grow CV service lines as traditional CV services decline. In fact, according to Advisory Board analysis outpatient EP services are expected to grow 15% in the next 5 years and 21% in the next 10 years.

Coupled with this increased focus on EP as a growth opportunity are technological advancements in EP devices. Recent findings from the LEADLESS II study published in the New England Journal of Medicine this summer suggest that a leadless cardiac pacemaker is a safe and effective alternative to conventional transvenous cardiac pacemakers. Leadless pacemakers present a promising alternative as leads are notorious for challenges with durability, extraction, and longevity.

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JAMA: Death rates for heart disease and stroke declined dramatically

by Marissa Schwartz November 13, 2015

In the past four decades, we’ve gone through many changes, from cassette tapes to iPhones, from the Beatles to Coldplay, and—ever increasingly—from fee-for-service medicine towards value-based care models. According to a study recently published in JAMA, the U.S. has also seen a steep decline in heart disease- and stroke-related mortality since 1969.

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How one council made patient and family care its mission

by Julie Bass November 11, 2015

CV administrators have focused on improving patient engagement for years. However, the status quo for gathering patient perspectives is quite limited. Most programs rely on HCAHPS scores, which provide an incomplete picture of the entire patient experience. Few organizations conduct more comprehensive analyses, such as vendor surveys or community opinion surveys.

The University of Michigan’s Frankel Cardiovascular Center (CVC) is one program that has gone above and beyond by creating a Patient and Family Advisory Council (PFAC) to further patient- and family-centered CV care.

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The care coordinator role, version 2.0

by Kristen Barlow November 9, 2015

Given new market pressures, it is important that navigator roles and responsibilities mature. For example, navigators must expand the time frame over which they track patients, aim to keep patients out of the hospital, and manage patients across various sites.

At The Valley Hospital in New Jersey, administrators developed the complex care coordinator role to identify and follow high-risk patients.

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The difference NPs made for ICU care in one hospital

by Kristen Barlow October 30, 2015

Upon noticing suboptimal cost and quality performance for CV surgery patients, administrators at Loyola University Hospital in Illinois determined they needed to improve CV ICU patient management. To improve outcomes, administrators considered the possibility of leveraging NPs.

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Cleveland Clinic's model for shared medical appointments

By Marissa Schwartz October 26, 2015

CV clinical providers face larger workloads and higher volumes. To increase efficiency and maximize productivity, we must consider new strategies. One tactic discussed in the Cardiovascular Roundtable’s study, The Highly Productive Cardiovascular Enterprise, involves shared medical appointments.

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