Cardiovascular Rounds

News, resources, and analysis from the Cardiovascular Roundtable

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How health care “consumerism” is impacting CV

by Julie Bass December 15, 2016

The health care market today is riding a patient consumerism wave. The concept of the “empowered patient consumer” may be old news to CV leaders, but the impact is only getting stronger. Health care consumers are in fact becoming increasingly selective in how they choose and access care.

And it’s not just patients—payers, referring physicians, and even employers are directing patients as they too become increasingly accountable for care value. Each of these consumers is looking for common characteristics: good outcomes, low costs, experience, and access.

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How Banner Hospital cut its heart failure readmission rate in half

by Daniel Roza November 14, 2016

CMS’s cardiac bundling proposal has everyone thinking about ways to cut down on costs while maintaining high-quality care delivery.

As one of the most significant contributors to spending, post-acute care (PAC) is increasingly top-of-mind for hospitals—particularly CV leaders. Post-acute care typically constitutes 5% of spending for a procedural patient, but can represent up to 15% for a medical condition like heart failure, leading CV practices to be particularly vulnerable to PAC costs.

Lack of alignment between CV practices and PAC providers can result in lower quality of care and costly readmissions, and many PAC providers face difficulties in meeting the performance expectations of hospitals without some degree of structured support. As such, progressive CV programs are using cross-continuum care pathways that span inpatient, outpatient, and post-acute settings.

At Banner Heart Hospital in Arizona, CV leaders take an active role in setting and maintaining high expectations for their PAC providers.

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Recently announced coding change improves financial outlook for hemodynamic support devices

by Emily Fletcher November 7, 2016

Annual coding adjustments are par for the course when it comes to CMS’s annual reimbursement updates. On rare occasions these changes can make a big difference in how hospitals are paid. This year, one such change caught our attention.

Recently the American Hospital Association released clarifying ICD-10 coding guidance that should shift hemodynamic support devices like Abiomed’s Impella device from valve MS-DRGs 216-218 to the higher reimbursed MS-DRG 215.

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Inside Community Regional Medical Center's approach to CV co-management

by Julie Bass October 13, 2016

Strengthening hospital-physician alignment is no easy feat, and it’s more important than ever as the health care industry holds providers more accountable for cross-continuum value.

Community Regional Medical Center (CRMC) in Fresno, Calif., developed its first CV co-management agreement a year ago, and has already realized benefits to its patients, physicians, and the service line.

Keep reading to learn about the seven key strategies behind the hospital's success.

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Behind the numbers: Why the hybrid OR investment decision isn't just financial

by Nadeem Farooqi and Carrie Wolf October 7, 2016

Hybrid operating room investment is a hot topic with members, as increasing complexity of interventional case mixes and rising interest in TAVR are sparking physician demand for access to these facilities. However, extremely high upfront costs are rightfully giving hospital leaders pause.

Because of this, our Service Line Strategy Advisor team has run financial analyses* for many members to evaluate the implications of hybrid OR investment. In these analyses, the five-year net present value (NPV) for hybrid OR investment is calculated based on various inputs such as standard upfront costs, incremental volume projections for hybrid OR-suitable procedures, expected reimbursement, labor, and maintenance.

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The results are in: What's the current state of hybrid OR use?

Aaron Mauck September 28, 2016

As hospitals confront rising demand for minimally invasive procedures, interest in the hybrid OR has grown among CV administrators and clinical staff alike. The hybrid OR offers advantages over the traditional surgical suite, allowing practitioners to combine surgical and interventional approaches, which is why it's no surprise the AHA reports that 75% of CV surgeons expect to be working within a hybrid OR space by 2018.

Despite the attention the hybrid OR has received, it remains unclear how programs are planning their hybrid OR investments or utilizing their existing hybrid OR suites. That's why we recently asked you to help us better understand the current state of this technology. Here's what we found.

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Quick poll: What's the current state of your hybrid OR?

Aaron Mauck September 9, 2016

Here at the Cardiovascular Roundtable, we receive a lot of questions about how to plan for hybrid operating rooms. Given the investment considerations around this technology, getting a better understanding of how CV programs use their existing hybrid OR space or plan for future expansion is imperative. So we would like to put the question to you.

You can see real time results on how programs are planning for expansion by answering the following brief questions, and we will provide a full report of our findings in an upcoming post.

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Breaking: FDA approves TAVR in intermediate risk patients

by Marissa Schwartz August 22, 2016

TAVR indications have expanded dramatically, thanks to recent FDA approval of two devices in intermediate-risk patients. Read on to see our analysis of this newest TAVR update.

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