{"title":"Feasibility to the sixth power.","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 5","pages":"8-9"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24779924","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":"Working with your local Medicare contractor to shape patient care.","authors":"Tom Meskan, Deb Lorenz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>When hospitals pursue appropriate Medicare coverage by interacting effectively with their local Medicare contractor, they have an opportunity to provide their patients with greater access to care and help their hospital meet important revenue objectives. This is especially true when ensuring Medicare coverage of appropriate cardiovascular services. Local contractors are private entities that administer national Medicare policies regionally and interpret the \"gray areas\" of coverage. This article will examine the local Medicare network; the way local contractors make Medicare policy; and how hospitals like yours can influence Medicare policy, with the ultimate goal of appropriately improving beneficiaries' access to care.</p>","PeriodicalId":79743,"journal":{"name":"The Journal of cardiovascular management : the official journal of the American College of Cardiovascular Administrators","volume":"15 4","pages":"23-7"},"PeriodicalIF":0.0,"publicationDate":"2004-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24639361","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":"Peripheral vascular care: should you have a \"vascular center\"?","authors":"Barbara Sallo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cardiovascular care is big business for hospitals. Although a lot of attention and resources are directed to care and treatment of the coronary arteries, peripheral vascular disease (PVD) care has gained momentum. Even though the dollars spent on PVD care are significantly less than for cardiac, the patients are the same, and PVD care is an essential component of full-service cardiovascular care. Hospitals are researching the needs of their communities and determining whether they should have a focus on peripheral vascular care and what it should look like. Due diligence and business-model planning will lead to the most appropriate answers. The outlook for potential patients is promising.</p>","PeriodicalId":79743,"journal":{"name":"The Journal of cardiovascular management : the official journal of the American College of Cardiovascular Administrators","volume":"15 4","pages":"18-22"},"PeriodicalIF":0.0,"publicationDate":"2004-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24640600","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":"Improved clinical outcomes with compliance in routine use of standard medical therapy in patients with acute coronary syndrome.","authors":"Ambika Sharma, Sreedevidevi GangiReddy, Kenneth Judson, Janice McAndrews, Brahma Sharma","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Acute coronary syndrome is a major public health problem. It is a leading cause of morbidity and mortality in patients with cardiovascular disease. Despite multiple guidelines, the standard medical therapies are not optimally utilized for prevention of adverse events in this population. In this article, we show that, on an institutional basis, improved compliance with the use of standard preventive medical therapies can decrease adverse outcomes in this patient population. These findings can provide further impetus to practice evidence-based therapies in a cost-effective manner, which may have very important clinical, economic, and health policy implications in this current environment.</p>","PeriodicalId":79743,"journal":{"name":"The Journal of cardiovascular management : the official journal of the American College of Cardiovascular Administrators","volume":"15 4","pages":"14-7"},"PeriodicalIF":0.0,"publicationDate":"2004-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24640631","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 nuclear medicine.","authors":"Cindy C Parman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Documentation of the specific nuclear medicine procedure performed should include whether the test represents the following: Perfusion or blood pool study. Planar or SPECT images. First pass or gated equilibrium (multiple-gated acquisition). Single or multiple studies. Criteria for the performance of add-on procedure codes. This will ensure that the correct procedure codes are reported and result in appropriate reimbursement.</p>","PeriodicalId":79743,"journal":{"name":"The Journal of cardiovascular management : the official journal of the American College of Cardiovascular Administrators","volume":"15 4","pages":"12-3"},"PeriodicalIF":0.0,"publicationDate":"2004-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24640630","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":"The product line executive of the future, Part II: Charting your course.","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 4","pages":"8-11"},"PeriodicalIF":0.0,"publicationDate":"2004-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24640629","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}
Linda Hatfield, Suzanne Mulvey, Avis Marleau-Webb, Laura Bower, Rosemary C Polomano
{"title":"Evidence-based practice strategies for cardiovascular care.","authors":"Linda Hatfield, Suzanne Mulvey, Avis Marleau-Webb, Laura Bower, Rosemary C Polomano","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Evidence-based practice (EBP) is a problem-solving approach utilizing the best available information to support clinical decisions. The cardiovascular literature sufficiently supports the adoption of EBP to reduce practice variations and improve patient outcomes. However, the ability to appraise evidence and determine the best ways to implement evidence into practice remains a challenge for most clinicians and administrators. Our discussion assesses the quality of evidence and the benefits of evidence-based approaches to care, but also frames the distinctions among research-based, evidence-based, and best practice. Organizational infrastructure is key to developing EBP approaches and sustaining high quality of care.</p>","PeriodicalId":79743,"journal":{"name":"The Journal of cardiovascular management : the official journal of the American College of Cardiovascular Administrators","volume":"15 3","pages":"10-9"},"PeriodicalIF":0.0,"publicationDate":"2004-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24581272","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":"The product line manager of the future, Part I: The winds of change.","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 3","pages":"7-9"},"PeriodicalIF":0.0,"publicationDate":"2004-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24581270","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}
Faye LeBlanc, Sandy McLauglin, John Freedman, Rosalie Sager, Marie Weissman
{"title":"A six sigma approach to maximizing productivity in the cardiac cath lab.","authors":"Faye LeBlanc, Sandy McLauglin, John Freedman, Rosalie Sager, Marie Weissman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cardiac catheterization laboratories represent one of the most significant capital investments for hospitals. Historically, hospitals could achieve an economic return fairly rapidly on this capital investment because of the relatively high contribution margin on many of the procedures performed in the department. However, recent changes in DRG assignments, declines in Medicare reimbursement, and the advent of new technologies, such as drug-coated stents, pose a threat to achieving planned economic return. In response, many hospitals are pursuing strategies to improve throughput in the cardiac cath lab and maximize the number of procedures performed. The case example in this article describes how a busy cardiac catheterization lab in the southeastern United States successfully applied the Six Sigma methodology to improving productivity and increasing available capacity.</p>","PeriodicalId":79743,"journal":{"name":"The Journal of cardiovascular management : the official journal of the American College of Cardiovascular Administrators","volume":"15 2","pages":"19-24"},"PeriodicalIF":0.0,"publicationDate":"2004-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24554795","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}
Lawrence Michaelis, Joanne Vaul, Kathleen Chumer, Maureen Faul, Lisa Sheehan, Jack DeCerce
{"title":"Disruptive technology: new medical advances are troublesome for even the most successful health systems and innovator health companies.","authors":"Lawrence Michaelis, Joanne Vaul, Kathleen Chumer, Maureen Faul, Lisa Sheehan, Jack DeCerce","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An independent expert panel conducted a multi-year research/education/advocacy initiative on the impact of the new drug-eluting stent technology. They conclude that this technology represents a \"tipping point\" in a series of transformative drugs and medical devices, often used in combination, and recommend that healthcare decision makers develop careful, data-based strategies to avoid the disruptiveness of these medical advances.</p>","PeriodicalId":79743,"journal":{"name":"The Journal of cardiovascular management : the official journal of the American College of Cardiovascular Administrators","volume":"15 2","pages":"9-12"},"PeriodicalIF":0.0,"publicationDate":"2004-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24554789","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}