{"title":"Adoption of Angiomax at Christus Santa Rosa Medical Center decreases costs and increases satisfaction.","authors":"Elvira Starin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Angiomax allows for easier post-percutaneous coronary intervention care and enhanced throughput and has become the gold standard of care in our institution. This article describes how Angiomax was brought into our hospital; the rationale and science to support its use; and the resulting patient and staff satisfaction, improved throughput, and cost savings.</p>","PeriodicalId":79743,"journal":{"name":"The Journal of cardiovascular management : the official journal of the American College of Cardiovascular Administrators","volume":"16 3","pages":"14-8"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25591017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Advance-practice nursing in heart-failure management: an integrative review.","authors":"Mary Louise Osevala","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The number of patients with heart failure (HF) is predicted to escalate into the next decade, whereas the number of cardiac specialists who are skilled in evidence-based recommendations in HF practice will struggle to provide available, quality care. The advance-practice nurse, whose focus is HF management, may be an important key to improving access to this growing aggregate. This integrative review indicates the positive cost-to-benefit ratio for the advance-practice nurse's collaboration in HF management. Other measurable nursing outcomes have yet to scratch the surface, thereby inviting studies into areas that will promote the patient's quality of life.</p>","PeriodicalId":79743,"journal":{"name":"The Journal of cardiovascular management : the official journal of the American College of Cardiovascular Administrators","volume":"16 3","pages":"19-23"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25591018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Do volumes matter? Clinical, operational, and financial implications.","authors":"Karen Hartman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79743,"journal":{"name":"The Journal of cardiovascular management : the official journal of the American College of Cardiovascular Administrators","volume":"16 4","pages":"16-20"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25891876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Successfully developing a cardiovascular research program in a community hospital.","authors":"Carol Moore, Susan Goldberg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hoag Memorial Hospital, located in Newport Beach, Calif, is a not-for-profit community medical center. Within 2 years, our cardiovascular (CV) research program had enrolled more than 150 patients in 13 industry-sponsored clinical trials. This article highlights the best practices that have allowed us to create a foundation for success.</p>","PeriodicalId":79743,"journal":{"name":"The Journal of cardiovascular management : the official journal of the American College of Cardiovascular Administrators","volume":"15 6","pages":"13-9"},"PeriodicalIF":0.0,"publicationDate":"2004-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24852089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gregory J Dehmer, MaryAnne Elma, Kathleen Hewitt, Ralph G Brindis
{"title":"Bringing measurement and management science to the cath laboratory: the National Cardiovascular Data Registry (ACC-NCDR) and the Cardiac Catheterization Laboratory Continuous Quality Improvement Toolkit (ACC-CathKIT).","authors":"Gregory J Dehmer, MaryAnne Elma, Kathleen Hewitt, Ralph G Brindis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Diagnostic cardiac catheterization and percutaneous coronary interventions are widely performed for the evaluation and treatment of patients with cardiac disease. Because of high utilization, cost, and complication rates, invasive cardiac procedures are closely monitored and frequently measured using national benchmark databases and public reports. Before decision makers can accept these data and reports as accurate, it is necessary that the measurement process be performed correctly. However, collecting and measuring data is only the first step and does not automatically lead to improvements in quality. For an improvement to occur, a continuous quality improvement effort must exist to transform data into improved outcomes for patients. Recognizing the need to supply healthcare providers with methods and standards for measurement reporting and tools to assist facilities in the development of effective continuous quality improvement efforts, the American College of Cardiology developed the National Cardiovascular Data Registry (ACC-NCDR). Subsequently, the American College of Cardiology Foundation, in cooperation with the Society for Cardiovascular Angiography and Interventions, the American College of Cardiovascular Administrators, and several other professional organizations, developed the ACC-Cardiac Catheterization Laboratory Continuous Quality Improvement Toolkit (ACC-CathKIT). The development and usefulness of these products is described in this paper.</p>","PeriodicalId":79743,"journal":{"name":"The Journal of cardiovascular management : the official journal of the American College of Cardiovascular Administrators","volume":"15 6","pages":"20-6"},"PeriodicalIF":0.0,"publicationDate":"2004-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24852028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Why physicians can make a real difference.","authors":"Philip L Ronning","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79743,"journal":{"name":"The Journal of cardiovascular management : the official journal of the American College of Cardiovascular Administrators","volume":"15 6","pages":"9-10"},"PeriodicalIF":0.0,"publicationDate":"2004-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24852175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cardiac telemetry coding.","authors":"Cindy C Parman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In summary, documentation of the procedure performed and individual insurance payor guidelines will determine the procedure code billed for telemetry services. Because codes accepted for these services and reimbursement guidelines may vary, it may be necessary to obtain specific guidance before claim submission.</p>","PeriodicalId":79743,"journal":{"name":"The Journal of cardiovascular management : the official journal of the American College of Cardiovascular Administrators","volume":"15 6","pages":"11-2"},"PeriodicalIF":0.0,"publicationDate":"2004-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24852087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"And still more new codes.","authors":"Cindy C Parman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Before reporting the new Category III CPT codes, contact payors to determine both acceptance of these temporary codes and reimbursement allowances. Documentation must clearly support all services performed, and the requirements for an online medical evaluation should be followed, with the encounter recorded in the individual patient medical record. Hospitals should also review the quarterly changes to OPPS codes and descriptors and ensure that Charge Description Masters are updated as new codes become effective.</p>","PeriodicalId":79743,"journal":{"name":"The Journal of cardiovascular management : the official journal of the American College of Cardiovascular Administrators","volume":"15 5","pages":"10-1"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24779926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Campaign sounds call to action to reduce delay and increase survival for heart attacks.","authors":"Diane L Carroll, Mary M Hand","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79743,"journal":{"name":"The Journal of cardiovascular management : the official journal of the American College of Cardiovascular Administrators","volume":"15 5","pages":"16-8"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24779851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Robert K Keast, Frank Pelosi, Fred Morady, Linda R Larin, Julie Goldstein-Dunn, Douglas Cox, Catherine Gage Michalak, Stephen Fetyko, T Anthony Denton, Kim A Eagle
{"title":"Shelf price agreements: a novel approach to competitive bidding for arrhythmia therapy devices.","authors":"Robert K Keast, Frank Pelosi, Fred Morady, Linda R Larin, Julie Goldstein-Dunn, Douglas Cox, Catherine Gage Michalak, Stephen Fetyko, T Anthony Denton, Kim A Eagle","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Over the past decade, the financial pressures from variations in reimbursement and payer mix, combined with rapidly evolving technology, has forced healthcare institutions in the United States to seek out further options for cost savings. In the arena of interventional cardiology, the ability to successfully negotiate the lowest possible cost for a relatively small number of high-cost devices can result in significant savings. Historically, competitive bidding with market-share guarantee to a preferred vendor or two initially resulted in moderate cost savings. However, in 2003 our institution embarked on a novel approach in which we defined the price to be paid, and we challenged our vendors to meet that price. Early results of this aggressive strategy suggest that it is a successful technique in reducing supply costs and maintaining collaborative relationships with vendors while remaining fair and competitive.</p>","PeriodicalId":79743,"journal":{"name":"The Journal of cardiovascular management : the official journal of the American College of Cardiovascular Administrators","volume":"15 5","pages":"12-5"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24779852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}