First Person: Business Sense

Welcome to the first issue of Cardiovascular Business—the business magazine for cardiovascular medicine. So why a business magazine for cardiovascular health? Because excellent cardiac care depends on the fiscal health and business intelligence of your cardiovascular practice. Climbing to the top and staying there hinge on the right business decisions—assessing, acquiring, integrating and operating leading-edge technologies, improving operational efficiencies and growing market share. From imaging, interventional and information technologies to pharmaceuticals, surgical and related products like stents and catheters, every decision counts—and is counted.

This month we’re taking a deep dive into cardiac CT. Sixty-four slice CT technology made the mainstream with Oprah; it’s a must-have technology. But is it a good investment? For some facilities and groups, absolutely, but get ready to justify the numbers—predicting procedure volumes and mixes, estimating staff expenses, digging into local reimbursement and considering the learning curve (and expense) toward CT reading proficiency. Advanced visualization software and a marketing budget are musts on the business plan, too.

We’re also taking a closer look at how cardiac PET/CT’s sensitivity, specificity and efficiency in myocardial perfusion imaging capabilities (and CMS reimbursement) are pushing it into the clinical mainstream, with deployments reaching beyond the academic world to community hospitals and imaging centers. A word from the wise: Make sure contracts with private payors include rubidium. The cardiac cath lab is changing too, with EP and peripheral vascular procedures on the rise and keen managers negotiating to consign pricey ablation catheters and even drug-eluting stents, and tightly managing inventory and staff. A digital lab is a must.

Cardiovascular information systems are the means to keep patient data, reports and images secure and retrievable, and the essential tool to bill effectively, mine valuable outcomes data and simplify accreditation. Enterprises beating the clock on door-to-balloon times show how it’s done—well. Also, check out the first year report card on the ICD National Registry. You’ll be proud.

As a companion, we’ve also launched CVB News—the weekly news digest for cardiovascular business. (Subscribe at subs.cardiovascularbusiness.com)

Once again, welcome—and thank you for joining us.

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Mary C. Tierney, MS, Vice President & Chief Content Officer, TriMed Media Group

Mary joined TriMed Media in 2003. She was the founding editor and editorial director of Health Imaging, Cardiovascular Business, Molecular Imaging Insight and CMIO, now known as Clinical Innovation + Technology. Prior to TriMed, Mary was the editorial director of HealthTech Publishing Company, where she had worked since 1991. While there, she oversaw four magazines and related online media, and piloted the launch of two magazines and websites. Mary holds a master’s in journalism from Syracuse University. She lives in East Greenwich, R.I., and when not working, she is usually running around after her family, taking photos or cooking.

Around the web

Eleven medical societies have signed on to a consensus statement aimed at standardizing imaging for suspected cardiovascular infections.

Kate Hanneman, MD, explains why many vendors and hospitals want to lower radiology's impact on the environment. "Taking steps to reduce the carbon footprint in healthcare isn’t just an opportunity," she said. "It’s also a responsibility."

Philips introduced a new CT system at ECR aimed at the rapidly growing cardiac CT market, incorporating numerous AI features to optimize workflow and image quality.

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