Management

This page includes content on healthcare management, including health system, hospital, department and clinic business management and administration. Areas of focus are on cardiology and radiology department business administration. Subcategories covered in this section include healthcare economics, reimbursement, leadership, mergers and acquisitions, policy and regulations, practice management, quality, staffing, and supply chain.

ACC: Going for-profit doesn’t reduce hospital quality

SAN FRANCISCO—Quality of care does not diminish when hospitals convert from a non-profit to a for-profit structure, according to a poster presentation March 9 at the American College of Cardiology (ACC) scientific session. An analysis of acute MI measures found converting hospitals compared with controls maintained standards, including access to care for disadvantaged patients.

ACC: Putting voice of the doc into healthcare reform debate

SAN FRANCISCO—“Will physicians' input be included in the healthcare delivery reform movement? If that’s just a dream, how can we as physicians turn it into a reality?” Thomas Lewandowski, MD, of Appleton Cardiology ThedaCare in Appleton, Wis., asked these questions at a March 9 session at the American College of Cardiology (ACC) scientific session.

Commission: Drop SGR, transition to fixed-pay models

A national commission convened to examine physician pay recommended abolishing the sustainable growth formula (SGR) and replacing the fee-for-service payment model with a system that rewards quality and value-based care.

Fast-tracking simple CHD surgery offers huge cost savings, safety

Day-of-surgery admissions, early extubation and mobilization in pediatric surgeries to correct congenital heart defects (CHDs) reduce costs of admissions by a third, with no increase in morbidity and mortality, according to a study published online Feb. 26 in Circulation: Cardiovascular Quality and Outcomes.

CRT: U.S. gov’t should reinvest some of med device tax into start-ups

WASHINGTON, D.C.—“I’m afraid we are slowly losing the [medical device] innovation pipeline unless we address it very quickly,” Yuval Binur, PhD, a venture capitalist and managing partner of Orchestra Medical Ventures, said Feb. 26 at the Cardiovascular Research Technologies (CRT) annual meeting.

Standard care beats counseling for cost-effective risk management

Standard guideline-directed management of patients’ cardiovascular risk factors is more cost-effective than regular care plus counseling, according to a randomized controlled trial. But results in the Dutch study suggested women might benefit the most from the intervention.

No relationship between HF medication adherence, Part D spending

Researchers have found significant regional variation in Medicare Part D spending for heart failure (HF) medications, as well as significant regional variation in medication adherence among HF patients. But they have not found an association between the two. The findings appeared online Feb. 11 as a research letter in the JAMA Internal Medicine.

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ISC: Surgery plus t-PA saves $44K in stroke care costs

An experimental procedure that combines minimally invasive surgery and recombinant tissue plasminogen activator (t-PA) to treat patients with intracerebral hemorrhages (ICH) saves more than $44,000 in medical care costs, researchers reported Feb. 7 at the American Stroke Association’s International Stroke Conference 2013 in Honolulu.

Around the web

Ron Blankstein, MD, professor of radiology, Harvard Medical School, explains the use of artificial intelligence to detect heart disease in non-cardiac CT exams.

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

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