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November/December 2017

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.”

Some eight years ago, the leaders of Banner Heart Hospital in Mesa, Ariz., saw the opportunity to create a new model of care for people with heart failure. They would disrupt the all-too-familiar cycle of treating these patients in the hospital and returning them home only to see them reappear in the ER days or weeks later. An apt goal, given that the healthcare community was abuzz about the Triple Aim, with policymakers determined to engineer...

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Ask cardiologists to name the big advances of the past decade, and many point to transcatheter aortic valve replacement (TAVR) and other breakthroughs that are allowing cardiologists to treat...
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Due to advances in medical, surgical and transcatheter therapies, there are now more adults living with congenital heart disease (CHD) than children. Development of accessible integrated transition...
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The recently reported CANTOS trial represents an enormously important development in cardiovascular medicine. For the first time, an anti-inflammatory drug (canakinumab) given by injection every...
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While the WannaCry cyberattack against hospitals, clinics and device makers was largely unsuccessful, future hacks might be used to imperil patients. Experts worry the U.S system is still too...
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This has been such an exciting time in cardiology—although the lens we use is often cloudy. Why? Because the pace of change is truly unparalleled. From massive changes in the physician fee schedule...
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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...
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With physicians and administrators ever more focused on high-quality medicine and the financial bottom line, what trends and strategies are shaping the future of the cardiovascular service line? Let...
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As president of a community hospital in suburban Boston, and a practicing vascular medicine specialist myself, I am terribly worried about the deterioration in the morale of my physician colleagues...
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As risk-sharing agreements become more common, hospitals and physicians are focusing on teamwork and attention to metrics.  
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The game has changed, the rules are evolving and winning has been redefined. Adopt a gaming mindset to get to the next level.
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Are enough resources available to treat the growing population of adults with congenital heart disease?   
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To my grandchildren, I would say…Are you insecure? Healthcare is recession proof and unlikely to be outsourced offshore.Are you financially worried? Healthcare jobs pay well, in some cases...
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It would have to be providing basic universal healthcare for all. There is no other way to address healthcare in the U.S. short of this, as evidenced by the political reality in Washington D.C. Even...
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Cardiology fellow Haider Warraich, MD, hopes his book about death will change how we live.