Cardiovascular Rounds

News, resources, and analysis from the Cardiovascular Roundtable

How CHI Memorial improved TAVR documentation—and 3 ways you can, too

October 24, 2018

Since TAVR first hit the U.S. market, structural heart programs have made vast improvements in increasing efficiency of the program and the procedure. These efforts have not only increased outcomes and experience for patients, but also improved fiscal sustainability of these resource-intensive programs.

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The 5 key takeaways on the new heart transplant allocation guidelines

by Aaron Mauck and Daniel Roza October 12, 2018

On October 18, 2018, the United Network for Organ Sharing (UNOS) will implement extensive changes to its adult heart allocation policy, which may have implications for your transplant-eligible patients.

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3 ways CV outpatient payments could change in 2019

by Megan Tooley and Emily Snow September 26, 2018

As usual, this summer brought new CMS proposals for outpatient and physician payments, which if finalized would go into effect for the 2019 calendar year. While this year's proposed updates were not as monumental as some in recent years, there are still some significant changes that will impact cardiovascular service lines.

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VAD program adoption is growing—but is it the right move for you?

by Megan Tooley and Dhananjai Seth September 12, 2018

Optimizing management of heart failure (HF) patients has been a priority for cardiovascular programs for years, and CV leaders are continuing to evaluate new opportunities to better treat this growing patient population. In fact, the American Heart Association expects the prevalence of heart failure to grow by 46%, to 8.5 million individuals, by 2030.

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TAVR program requirements are changing, are you ready?

Megan Tooley August 29, 2018

Editor's note: This story was updated on November 6, 2018.

A few weeks ago, four CV societies jointly released a new expert consensus document on operator and institutional requirements for transcatheter aortic valve replacement (TAVR)—a statement that existing and aspiring TAVR programs have been anxiously awaiting for nearly a year.

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Cardiovascular—integrated in name only?

Megan Tooley , Aaron Mauck August 1, 2018

Cardiovascular programs have spent decades developing strategies to optimize the care for cardiac conditions. Vascular conditions, on the other hand, are often approached as an afterthought.

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How MemorialCare reduced care variation for ED chest pain patients

by Megan Tooley and Julie Bass June 13, 2018

A chest pain patient comes into your ED. What happens next? What tests do you run? Do you call for a cardiology consult? Do you admit them? For most programs, this is a common and challenging scenario.

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Looking for CV patients? Here's how to engage referring physicians and consumers.

by Megan Tooley and Julie Bass May 16, 2018

A recent Advisory Board analysis of almost 13,000 patients discovered that 86% of CV referrals are physician-driven. The analysis also found that patients can be surprisingly loyal to physician referrals—in fact, two-thirds of cardiac surgery patients said they would drive an hour to follow a physician referral to a specific surgeon, and almost one-quarter of patients said they would fly three hours.

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