Home

Archive for the ‘Market Impact’ Category

Chronic Venous Insufficiency - An UnTapped Vascular Market

~ This entry was posted on Thursday, April 2nd, 2009 at 3:00 am

arteryPosted By Carolyn Weaver, Executive Consultant

When we talk with primary care physicians, there is always the question of when to refer patients to vascular surgeons. One area that is overlooked for treatment is CVI. What is CVI? When your leg veins cannot pump enough blood back to your heart, you have chronic venous insufficiency (CVI). CVI is also sometimes called chronic venous disease (CVD). Avoid getting CVI while at your desk or when traveling in airplanes by routinely getting up and moving around to let the muscles in your legs pump the blood back up to your heart.

The venous market can be equivalent to your current invasive vascular market. In doing recent readings on recommended treatement by primary care physicians, the old standard of compression is the treatment of choice without consideration of the options for the more serious cases of CVI which may be treated with injections, called sclerotherapy, or with surgical procedures. Fewer than 10 percent of people with CVI require surgery to correct the problem. Surgical treatments include ablation, vein stripping, bypass surgery, valve repair, and angioplasty or stenting of a vein.

Resource:  http://www.vascularweb.org/patients/NorthPoint/Chronic_Venous_Insufficiency.html

ABI (Ankle Brachial Index) Predicts Heart Attack Risk

~ This entry was posted on Tuesday, March 24th, 2009 at 8:04 am

abiPosted By Carolyn Weaver, Executive Consultant

In case you missed it, presented at The Society Of Interventional Radiology 34th Annual Scientific Meeting is a NHANES (National Health And Nutrition Examination Survey) study that shows including an ABI with the Framingham Risk Score increased the ability to identify those at high risk for heart attack. Here’s to adding ABI to annual physicals and all screening programs. For more info: http://www.eurekalert.org/pub_releases/2009-03/soir-sth022709.php 

Need equipment? We do not have a specific system that we recommend, but your vendors or looking under ABI equipment can steer you in the right direction.

The Changing Face Of Heart And Vascular Services

~ This entry was posted on Monday, February 9th, 2009 at 3:00 am

Posted By Carolyn Weaver, Executive Consultant

Tony Chen’s FierceHealthcare blog of January 6, 2009, “Predictions For  Healthcare” (www.hospitalimpact.org/index.php/leadership/2009/01/06/2009_predictions_in_health_care) caused me to pause and think about how some of the points apply to heart and vascular services.

CB0300811. The number of uninsured and underinsured will increase dramatically. Traditionally, heart and vascular services have had a much lower uninsured and underinsured population. This is still the case and is another reason for hospitals to focus on growing heart and vascular services. In a market where the overall hospital’s uninsured and underinsured equates to 25% to 30%, heart and vascular will be less than 10%, and usually less than 5%. This has increased slightly in the past couple of years, but heart and vascular services still remain strong with a higher volume of Medicare driving the overall percentage down.

2. Strong hospitals get stronger, weak hospitals get weaker and/or die. Heart hospitals and programs that exhibit the qualities of heart hospitals are driving patients and payers. You can no longer ignore the public data and the image that your program projects. Programs that are doing well are keeping their heads above water, others are starting to drown. We will probably start to see some programs closing in the near future because they can not keep up with competitors.

3. Hospitals will diversify further down the health care continuum. I always say, today you have to go out and get the patients. No longer will patients just arrive at your doorstep because you offer services. Screening, education, fitness, wellness, enhanced relationships with physicians (primary care and specialists), along with speciality follow-up will create early access and overall patient and physician loyalty to keep your program healthy. 

4. Hospitals will focus  on physician integration. This is currently a hot topic and includes employment of specialists or creating a commitment and common direction that will keep a program healthy.

Comments?

Impact Of Cardiovascular Payment Bundling For Hospitals And Physicians

~ This entry was posted on Tuesday, January 6th, 2009 at 8:22 am

By Carolyn Weaver, Executive Consultant

 

Hospitals and physicians must align themselves today in order to position themselves for integrated participation in services delivery for the future. Collaboration for efficiencies and quality will be the driving force in cardiac services delivery for the future. Each hospital or system and the physicians must design an integrative approach that meets the unique market and individual needs.

(more…)

Every Hospital Delivers Cardiovascular Care: What Is Your Delivery Model?

~ This entry was posted on Thursday, January 1st, 2009 at 8:16 pm

By Carolyn Weaver, Executive Consultant

 

Until we find a cure, everybody is in the heart and vascular business. The challenge to all hospital administrators is to identify the critical elements to make the services successful in an extremely competitive and challenging healthcare market. The top administrative questions to be answered are:

 

  1. What is the vision for the heart and vascular services?
  2. How do I integrate with the physician providers to enhance delivery?
  3. Is there a plan to achieve the vision?
  4. Who are the program leaders?
  5. How do we implement the plan?

  (more…)