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Archive for February, 2009

Understanding Vascular’s Hidden Potential

~ This entry was posted on Friday, February 27th, 2009 at 2:47 pm

Posted by John O. Goodman, President

 

In a recent industry survey that was published in the February 2009 issue of HealthLeaders magazine, healthcare leaders were asked, “In your opinion, which service line today has the greatest potential to produce strong revenue growth within the next three years?” Cardiology was at the top ranking at 22%; however, overlooked was Vascular, which only received a vote of 2%. As I travel around the country meeting with hospital administrators and boards of directors, I have found that there is not as good a working knowledge about vascular disease as compared to heart disease. This also means there is a lack of understanding regarding the program-growth opportunities related to the vascular market.

 

The current economic crisis requires a new level of creative thinking and serious examination of all costs as well as opportunities to increase revenues.  Heart disease-related services will continue to increase overall revenue for hospitals. However, as boards, administrators and physicians begin to more fully understand the growing number of people afflicted with vascular disease, they will see how they can increase their revenues 50% to 75% over the next three to five years by providing an appropriate level of vascular care to their communities.

Obama’s Healthcare Reform?

~ This entry was posted on Thursday, February 26th, 2009 at 1:03 pm

Posted by John O. Goodman, President

 

On Tuesday night, February 24, President Obama announced that he was initiating a major healthcare reform initiative and that portions of it are to be completed by the end of this year. As a healthcare consultant, I sincerely question what is going to be reformed when the Obama Administration does not have a cabinet member appointed over Health and Human Resources! In addition to having no leader in place, there are no committees in place and no corresponding Congressional committees in place; therefore, we must fear healthcare reform being conducted in a vacuum!  Finally, I am the first person in line to suggest that we must address healthcare reform and its various components, but it is extremely terrifying to think that a few people who do not work and live in our industry are going to try to significantly affect it. I would welcome all comments, questions, or disagreements with my view.  

Expansion Of Cardiac Intervention - CV Competion Or Community Need

~ This entry was posted on Wednesday, February 18th, 2009 at 3:00 am

j0309397Posted By Carolyn Weaver, Executive Consultant

Depending on your view, the 300 interventional programs can be competition or meeting community need. PCI without surgery on site has been supported and despised across the country. In a market like Nashville, the heart surgery has remained at the large hospitals in Nashville and the community hospitals have been encouraged to develop interventional programs. This has kept the heart surgery and interventional volumes reasonable in all hospitals while delivering care in the community. It has also minimized duplication of services. One the other hand, markets like Chicago and Los Angeles have heart surgery programs on every corner.  Sometimes the interventional programs are several hours from the closest heart surgery program and sometimes the programs are across the street from each other.

It all goes back to the market and your point of view. In general, the programs that we have worked with have been successful and created access in the market, provided the standards can be met. Each market must be evaluated for its own merit. What is your market and what is the population that you serve?

Coronary Intervention Without Surgical Back-Up: Successful Programs

~ This entry was posted on Tuesday, February 17th, 2009 at 3:00 am

stentPosted By Carolyn Weaver, Executive Consultant

There are approximately 300 programs in the country that perform percutaneous coronary intervention without on-site cardiovascular surgery back-up. As technology has improved, so have the outcomes and safety of the procedure.  The key elements that make these program successful include:

  • Understanding the true market opportunity - is there enough volume for success?
  • Support of cardiologists, Board, administration, and community
  • Ability to recruit cardiologist(s) and trained staff
  • Volumes and outcomes that meet ACC (American College of Cardiology:  www.acc.org ) guidelines and standards
  • 24/7 program to gain support of EMS and primary care  physicians (e.g., when are the services available?)

Cardiovascular Bed Planning - ICU or Telemetry?

~ This entry was posted on Monday, February 16th, 2009 at 6:12 pm

Posted By Carolyn Weaver, Executive Consultant

CB052871Looking for beds? Ask yourself, “do I really need ICU beds or do I need telemetry for my heart and vascular patients?”  As I evaluate the efficieincy of cardiovascular programs, there are many ways to address the issue of ICU beds. Most places really need telemetry. So how do you expand the availability of telemetry?

Here are several questions for you to consider:

  1. What is your criteria for ICU? For many hospitals, unless the patient is critical, on multiple drips, or on a ventilator, the patient goes to telemetry or the step-down unit.
  2. Evaluate the reasons for divert or back-up in ICU - are there patients that could be moved to telemetry?
  3. Do you have too many steps in the process (e.g., ED, ICU, Step-Down, PCU, Telemetry)?
  4. Do you have dedicated units/beds for heart and vascular patients?
  5. Are there patients that are not heart and vascular who are occupying the telemetry beds? Should telemetry be expanded to other units or areas?
  6. How can you  involve the medical staff to make it work?

Any other suggestions to share?