Cardiovascular Rounds

News, resources, and analysis from the Cardiovascular Roundtable

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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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How to get all physicians on board with your CV strategic plan

by Kristen Barlow October 23, 2015

Strategic planning is a time consuming, critical endeavor for service line administrators. However, getting everyone to the table, and aligned to shared strategic goals, is crucial. Ervin Health Care, a pseudonymed multi-hospital system, has done this by engaging its entire employed CV physician base to participate jointly in strategic planning.

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Can't get patients to engage? A contract might.

by Kristen Barlow October 19, 2015

To increase patient activation and encourage participation in their own care, PinnacleHealth in Harrisburg, Penn., designed a heart failure contract that the nurse and patient complete together—a relatively non-resource intensive tactic that can be easily implemented by most cardiovascular programs.

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3 characteristics of successful aortic centers

by Jason Glaw October 16, 2015

With disease-centered care capturing the attention of CV leaders, aortic centers are emerging as an opportunity within vascular services. We spoke with several of our members to better understand how progressive aortic centers differentiate their services.

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Follow these steps to compare your observation use to your peers'

by Erin Lane October 9, 2015

The appropriateness of observation has been a hot topic for the past several years as we have experienced rapid, continuous growth in observation status. In fact, according to MedPAC data, observation stays increased 96% from 2006 to 2013. We are also seeing an increase in long stay observation cases, with 26% of observation cases lasting at least two nights, and 11% lasting three in 2012.

The increase in observation use is due to providers' response to multiple factors, such as short inpatient stay scrutiny, ambiguity in appropriateness of inpatient admission, and fear of readmission penalties. But members often tell us they do not have a way to compare their observation performance to their peers'.

I'm here to tell you there's a tool at your fingertips that can do just that. Our Hospital Benchmark Generator includes Medicare benchmarks for financial, operational, and quality data. The tool allows you to select a cohort of hospitals that most closely resembles your organization and compare performance side-by-side. Your organization's data will be displayed in a red column.

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Parkview Health System's path to 100% patient satisfaction

by Marissa Schwartz October 7, 2015

Patient engagement is increasingly critical in today’s successful CV service line. From perceptions of quality to readmissions rates to downstream revenue, satisfied patients often lead to better outcomes. Particularly in outpatient areas, and with the pressure mounting for same-day discharge, patient education geared toward addressing resistance and aligning expectations promotes a smooth, collaborative, and satisfying experience for patients and hospitals alike.

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The tools you need to partner better with specialists

by Julie Bass September 30, 2015

Traditionally, CV programs have pursued physician alignment as a means to increase referrals and revenue capture. However, in the new value-driven market they’re now looking to specialists to support cross-continuum care coordination, total cost reduction, increased access and market capture, and better patient experience.

That's where our Toolkit for CV Specialist Partnerships comes in.

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Q&A part two: What happens when hospitals shutter open heart programs?

September 24, 2015

Earlier this week we presented the first part of our Q&A with the Cardiovascular Roundtable's Executive Director Brian Contos on cardiac surgery programs, which for years have had to contend with dual pressures: more programs offering cardiac surgery services and fewer overall cases to go around.

Today we continue our conversation on the changing landscape for open heart surgery.

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