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Practice Management


People with HIV and risk factors for heart disease and stroke are less likely to receive prescriptions for statins and aspirin than those without HIV, according to a study in the Journal of the American Heart Association.

During the Transcatheter Cardiovascular Therapeutics (TCT) scientific symposium, Michael J. Rinaldi, MD, showed a survey of 92 health systems in which 52 percent reported an average negative margin on TAVR procedures. In an hour-long session, Rinaldi and other experts agreed shortening hospital stays and reducing the number of days spent in the intensive care unit (ICU) are key aspects in making TAVR more profitable for hospitals.

Interventional cardiologists are exposed to chronic low-dose radiation, which can lead to adverse health conditions. At a Nov. 1 presentation at the Transcatheter Cardiovascular Therapeutics (TCT) scientific symposium in Denver, Wieneke Vlastra, MD, reported a 20 percent decrease in radiation exposure for operators when a lead-free disposable pad was placed on the patient.

William Oetgen, MD, MBA, has been elected chairman of the MedStar Health Board of Directors, the American College of Cardiology (ACC) announced in a release today. He will serve a two-year term.

When Robert Hromas, MD, MS, began working at University of Florida Health seven years ago, he heard a gripe that is likely echoed in academic medical centers across the country.


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Food for thought

Cardiologists know that eating right combats cardiovascular disease—but having the time and knowledge to council patients on nutrition can be challenging. Nursing teams are challenged too. I remember a conversation with a cath lab nurse a couple of years ago when the Affordable Care Act brought a flood of newly insured patients into the system. She and her team were frustrated by the surge of patients, many of lower socioeconomics, whom did not know what eating healthy was.

Is now the time for tort reform? Cardiologists offer potential solutions

These days, the political establishment—in the United States and much of Europe—seems to be a little less established. Amid such upheaval, three prominent cardiologists are asking a simple question, “Is now the time to pursue tort reform?”

Study: Physicians miss early signs of heart disease more often than they should

New research points to evidence that general practitioners could be putting patients at a higher risk for severe cardiovascular outcomes by missing initial signs and symptoms for heart disease that could lead to an early diagnosis.

Shingles virus boosts risk for heart attack by 59% in Seoul study

A large, decade-long study of more than half a million individuals linked a history of shingles with increased risk of stroke and heart attack.

When You Fall into the Data Chasm: How to Defuse Frustrations & Move On

Sometimes the question you’re asked, or the one you heard, isn’t the one to answer—and other lessons learned in the data chasm.

Opting for Outpatient: Specialty Clinics May Emerge as Hubs for Cardiovascular Care

As the U.S. transitions toward new payment models, healthcare organizations are rethinking how specialized postacute care clinics figure into efforts to improve patients’ outcomes and reduce costs.

Adjunctive Diagnostics in the Cath Lab: Will Value-based Economics Tip the Scale?

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?

Scorecard Strategy: Drill Down to Metrics that Matter

As Medicare undergoes big changes, internally generated scorecards are becoming essential tools for physicians and practices to monitor performance and track progress toward goals.  

The Value Proposition: Aligning Compensation with Quality Care

For all the talk of the need to more closely tie physicians’ compensation to quality care and value, productivity continues to dominate payment schemes. Still, some cardiology groups are finding ways to shift from volume toward value using strategies built off their histories and cultures.

Stroke program to launch in China this fall

A new quality improvement program, slated to open this fall in China, will give researchers and doctors essential information to provide better stroke care.