Cardiovascular Rounds

News, resources, and analysis from the Cardiovascular Roundtable

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What you need to know about intensive cardiac rehab

by Marissa Schwartz and Jodi Askew February 22, 2016

Cardiac rehab isn’t a new phenomenon. However, in recent years, CMS has expanded opportunities for this traditional program by approving reimbursement for three intensive cardiac rehab models.

Many factors set ICR apart from traditional cardiac rehab, including a focus on plant-based meatless diet and stress-reduction through daily meditation. ICR not only presents a compelling argument for integrative care within the traditional cardiac rehab program, but also suggests opportunities for strategic service line development. Medicare-reimbursed yoga, anyone?

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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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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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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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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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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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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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