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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

Cardiovascular Strategic Planning: When Was The Last Time You Updated It?

~ This entry was posted on Tuesday, March 31st, 2009 at 3:00 am

conf-callPosted By Carolyn Weaver, Executive Consultant

Several contact calls that John Goodman and I have taken lately from hospitals revolve around updating the cardiovascular business plan or revitalizing the cardiovascular program effort due to the following issues: volumes have fallen flat, there are few new physicians entering the program, things are just stale. Well, take the business plan off the shelf, blow off the dust, and really take a hard look at where you are and where you are going. Many business plans today are geared to the fiscal year and are more initiatives and action items than a real strategic plan. How do you know if you have a comprenhensive strategic plan and if it is up to date?:

  • Do you have a formal cardiovascular program vision or goal?
  • Are the physicians engaged with you for implmenetation?
  • Does the plan address the whole spectrum of care including vascular?
  • Do your vascular volumes exceed your cardiac volumes?
  • How have you addressed organization including service line, access to program and physicians, outreach development, screening (not taking blood pressures or checking glucose, but real screening), etc.?

If you want to talk about your program at no cost or obligation, give us a call:  1-800-542-5435.

Marketing Your Vascular Program - Patient Understanding

~ This entry was posted on Wednesday, February 11th, 2009 at 3:00 am

Posted By Carolyn Weaver, Executive Consultant

Every time I am in a meeting with non-clinical people I ask them “What is a vascular disease?” Usually they demonstrate  a lack of understanding. The group may start talking about things related to vascular disease such as  ”bad circulation”, leg pain, stroke, TIA (transient ischemic attack), John Ritter and his ruptured aortic aneurysm, dialysis, stroke centers, and the list goes on. This sets the stage for educating people about vascular disease - it is a 5-prong approach that should include an explanation of the following components:

  1. Circulation and the vascular system
  2. Hypertension and renal disease
  3. Stroke, TIAs, and carotid disease
  4. Abdominal aortic aneurysm
  5. PAD (peripheral arterial disease) or leg pain

I always recommend that you first educate the public about  stroke, TIA, and aortic aneurysm because these are the most life-threatening. Once the public begins to understand the vascular system and the seriousness of vascular disease, you are better prepared to market your screening programs and patient access to your facility. Yes, this is a lot of marketing, but the results can not be equaled for your program and the impact on the quality of life in your community.

See the January 19 post in vascular for resources.

Designing The Vascular And Stroke Patient Brochure

~ This entry was posted on Thursday, January 29th, 2009 at 12:59 pm

 Posted By Carolyn Weaver, Executive Consultant

As I have discussed in the 42-15765388past, since physicians do not always understand when to refer vascular disease to the specialist, patients or the general public, particularly the older population, present an especially unique challenge to understand vascular disease and stroke. As many of you have experienced, patient arrive too late in the Emergency Department to qualify for emergent stroke care. As you put together the patient brochure, think about these questions:

  • What is . . .
  • Hypertension (high blood pressure)?
  • Renal disease?
  • Stroke/carotid disease?
  • Abdominal aortic aneurysm?
  • PAD (peripheral artery disease)?
  • What are the symptoms of . . . ?
  • What causes . . . ?
  • What are the treatment options of . . . ?
  • When do I call my doctor about . . .?
  • Glossary of medical terms about . . .?
  • Questions to ask my doctor about . . . ?

Your Vascular Volumes Should Exceed Cardiac Volumes

~ This entry was posted on Thursday, January 22nd, 2009 at 3:00 am

Posted By Carolyn Weaverj0435880, Executive Consultant

Heart disease is generally well understood relative to the pathology, causes, and treatment. Recently,  I was in a meeting with a hospital administrative team and the question was posed to the group:  “What is vascular disease?” Approximately 50% of the hospital team knew what I was talking about. A few pictures of stent grafts, and before and after treatment pictures  sparked everyone’s interest. This scenario has been repeated over and over. Once the terminology and the general disease process are understand, the vascular market opportunities and the potential impact upon the hospital, community, and individuals becomes very apparent.

Approximately 75% of the 81 million persons with cardiovascular disease (www.americanheart.org) have vascular disease of some type (e.g., hypertension;  stroke;  carotid, aortic, or peripheral arterial disease). Typically, every human being has the following vessels: two carotid arteries, one aorta, and two legs and arms that contain many vessels, any of which can be affected by vascular disease. Compare this  to the three vessels of the heart. This logic brings one to the conclusion that vascular volumes  should exceed cardiac volumes as treatments continues to evolve. If you want to grow your heart program, consider the opportunities that the the vascular market presents.