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January/February 2017

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.

When three cardiovascular practices joined forces nine years ago to become Piedmont Heart Institute, leaders knew their success would lie in getting the structure right. “We realized we wanted to be a physician-led organization,” recalls Katie Lund, RN, MBA, senior director of clinical integration for Piedmont Healthcare, which...

Features
The approval of two new Current Procedural Terminology (CPT) codes acknowledges echocardiographic myocardial strain imaging and myocardial contrast perfusion echocardiography as emerging technologies...
Features
In the last two years, 89 percent of healthcare organizations suffered at least one data breach involving the loss or theft of patient data. The question, experts say, is not if a hospital will be...
Features
We are living in a data-rich, information-poor era of healthcare, with what feels like a chasm between where we are and where we aim to be with patients’ outcomes, quality improvement and practice...
Features
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...
Features
Between the release of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) final rule and the election of a president who has promised to repeal the law that laid the groundwork for...
Features
Black people with atrial fibrillation (AF) experience vastly higher rates of serious coronary events, so it’s not surprising that a growing number of clinical studies are aggressively tackling the...
Editorial
Many medical practices aren’t leveraging the full potential of their physician assistants (PAs) and nurse practitioners (NPs) and aren’t capitalizing on reimbursement for their services. As a result...
Features
4D flow magnetic resonance imaging (MRI) offers striking visuals of blood flow in the heart and vessels but as yet has not found a foothold in clinical practice. Congenital heart disease, and in...
Features
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...
Special Section
Tectonic shifts in healthcare delivery demand a broad collective skillset measured out among cardiologists, nurses, cardiology service line directors and practice administrators. Priorities need to...