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Randy Young
 - cover-story-main2

After decades of steady progress pushing back the leading cause of death and disability, cardiologists are striving to achieve the Quadruple Aim as they prepare for a tidal wave of aging patients with multiple chronic conditions. Bellwether hospitals are rethinking old systems and carving out new pathways for managing “Chronic America.”

 - Physician-Burnout

Physician burnout has been called a “silent epidemic” that not only overwhelms physicians but can impact the care they deliver to patients. A number of programs are starting to confront the problem head on—giving doctors hope that someone is listening.

 - cost-minded-hospitals

Questions have swirled around the value of percutaneous coronary intervention (PCI) for patients whose quality of life has suffered from chronic total occlusion (CTO). Inevitably, another issue has arisen: which cath labs and operators should be undertaking these difficult and costly procedures?

 - Adjunctive-Diagnostics

Why has the uptake of adjunctive diagnostic procedures like FFR, IVUS and OCT been slow? On the other hand, is there really a need for interventionalists to move beyond angiographic guidance?

 - G-Rose

Physicians in fields like cardiology have traditionally looked to clinical practice guidelines to help articulate the best evidence-based care for patients. The rapidly growing movement to value-based care is prompting clinicians—including echocardiographers—to carefully weigh a more focused and integrative approach to delivering consistent, quality medicine: care pathways.

 - house-calls

Among sweeping changes underway in U.S. healthcare is a brighter spotlight on patients’ transitions from hospital to home. What can be done to reduce readmissions during these vulnerable periods and possibly save billions of dollars in the process? Increasingly, an answer lies with mobile integrated teams of providers, often led by paramedics, who take healthcare right into patients’ homes.

 - palliative-care

As a growing body of evidence links palliative care to improved quality of life and better healthcare utilization for patients with heart failure, some in the medical community are advocating a shift from the traditionalist, acute care model to one more in tune with the psychological and physical needs of people with advanced cardiovascular disease.

 - doctor and woman

As the healthcare landscape continues its tectonic shifts, the old pillars—siloed organizations, unchallenged leadership, see-through accountability—are starting to totter. In their place new models are emerging, like the dyad, which pairs a respected physician leader with an accomplished administrative head to enable hospital systems and medical practices to more effectively manage their complex operations and, as importantly, stay ahead of change.

 - chain

Legislation that would allow advanced practice providers (APPs) to supervise cardiac rehabilitation under Medicare has been bottled up in Congress for several years. But for many in the healthcare field, the larger issue is how to optimize the skills and talents of APPs across the cardiovascular service line given the changes unfolding in the delivery of patient care.

 - plug

Despite their well-documented benefits, statins are often discontinued by patients because of their equally acknowledged side effects. This has continued to fuel heated debate over how widespread—or even legitimate—these adverse events are, whether physicians give up too easily on patients who are statin intolerant and what other options exist for patients who could gain by taking their cholesterol-lowering medicine?