The Pipeline

See what’s going on in the clinical technology world

TAVR shows promise, but renal denervation’s future unclear: What you need to know from ACC 2014

April 3, 2014

Vanessa Lo and Jake Kahane, Service Line Strategy Advisor

This past weekend, the American College of Cardiology’s 65th Annual Meeting took place in Washington, DC. Leading cardiovascular experts from around the world gathered to present on the latest advances in CV therapies as well as future innovations to improve patient care. Here are the top highlights from this year’s conference.

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Gain a competitive advantage in elective PCI: Same-day discharge programs for PCI patients

March 24, 2014

Jacob Kahane, Service Line Strategy Advisor

Clinical practice consensus and financial incentives for the elective PCI business have changed over the past few years, but relatively few programs across the country have adjusted accordingly. Although same-day PCI strategies are recognized as safe, efficient, and a patient satisfier, a 2011 study found that only 1.25% of Medicare patients aged 65 or older undergoing elective PCI were sent home the same day of their procedure. 

Establishing a same-day discharge program for PCI patients represents an opportunity for your hospital to gain a competitive advantage, increase bed availability, and improve profitability. If you don’t already have a same-day discharge program, it may be time to rethink your outpatient PCI strategy.

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Get ahead of the curve: Orthopedics in a pay-for-performance world

March 19, 2014

Samuel Gold, Service Line Strategy Advisor

Attendees at this year’s AAOS National Meeting turned their focus forward to the potential implications of measuring quality in orthopedic care. The major questions asked were:

  • What are measures by which to measure quality?
  • What role will patient selection play?
  • How will these changes affect a physician’s practice patterns?

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How to prepare for outpatient EVAR

March 19, 2014

Shashi Shankar, Service Line Strategy Advisor

With the shift towards value-based care, hospital leaders’ focus on reducing costs while maintaining quality has sharpened in recent years. Outpatient (OP) procedures afford a cost-effective alternative to inpatient (IP) work, providing an opportunity to reduce costs while providing medical and surgical care.

As strategic planners focus on improving cost efficiency, many are monitoring the shift of profitable cardiovascular procedures to the OP setting. The Advisory Board’s Service Line Strategy Advisor group takes a closer look at one particular procedure, endovascular aortic repair (EVAR), and explores OP shift’s impact on EVAR and what it may mean for your institution.

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Improving orthopedic quality: Make a strong first impression

March 14, 2014

Samuel Gold, Service Line Strategy Advisor

Delivering quality in orthopedics has been a hot topic of discussion at AAOS because of the high degree of uncertainty around what “quality” actually means. Many presentations have addressed the importance of defining and measuring quality, its financial implications, and implementation strategies for orthopedic practices.

In particular, these discussions focused on how the patient perceives the quality of their care and why this is an important consideration.

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Don’t sleep on this: Why your program should adopt portable monitoring

March 13, 2014

Stephanie Spehar, Service Line Strategy Advisor

The outpatient space is experiencing heightened competition and sleep medicine has been especially impacted by this trend. With new payment models on the horizon and more providers entering the market, sleep programs must prepare for these changes or risk closing their doors.

Value-based care is placing pressure on sleep programs in two ways. First, providers must focus on managing patients’ comorbidities—in effect, demand for sleep services will surge, as sleep is a common comorbidity for many medical conditions. Second, new payment models will push physicians to provide sleep care in a more cost-efficient manner.

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What strategies can you use to optimize efficiency in the orthopedic OR?

March 12, 2014

Shruti Tiwari, Service Line Strategy Advisor

The first day of the American Academy of Orthopedic Surgeons (AAOS) Annual Meeting included active discussion on strategies to improve operating room efficiency. 


Increasing demand for orthopedic care

With an increasing aging and simultaneously active population, there will be a corresponding demand for additional orthopedic resources. For example, the annual demand for primary total knee arthroplasty is projected to reach 3.5M by 2030 and revision knee arthroplasties are estimated to increase by 601% from 2005 to 2030.

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Metal-on-metal care planning: coordination between patients and providers

March 12, 2014

Samuel Gold, Service Line Strategy Advisor

On day one of the American Academy of Orthopaedic Surgeons (AAOS) Annual Meeting, metal-on-metal (MoM) hip arthroplasty was yet again a focal point for discussion. The surprisingly high failure rates of these implants rapidly raised concerns with orthopedic providers, planners, and legislators, leading to massive law suits and widespread recalls of some of these devices. 

With well-documented adverse effects halting the future use of these implants for the time being, research presented at the AAOS conference in New Orleans focuses on more efficacious and efficient management of at-risk patients.

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