Kicking off CV Transforum Spring’21 Virtual with welcome remarks from MedAxiom President and CEO Dr. Jerry Blackwell, MedAxiom Executive Vice President of Membership and Operations Lori Walsh, ACC President Dr. Dipti Itchhaporia and President and CEO of Cardiovascular Management of Illinois, Cathie Biga.
The clinical strategy of a cardiovascular organization is essential for embracing future innovations. COVID-19 and the quickly changing healthcare landscape have challenged traditional strategies that are in place. View an panel discussion where experts from four programs share insights on the current and future state of clinical strategy. This session will cover topics such as imaging, arrythmia management and telemedicine. From program consolidation to digital transformation, experts share overall strategies, priorities and tactics for success.
Cardiology is at the cutting edge of artificial intelligence (AI) in medicine. By analyzing large amounts of data quickly and accurately, AI can be applied in ways that improve decision-making, diagnosis and treatment. Experts review AI’s strengths and applications that, when partnered with clinical practice, can result in better care.
Enrolling patients and coaching them to completion of a cardiac rehabilitation (CR) program can reduce the risk of death from future cardiac events and all-cause mortality. It can also improve risk factors, functional status, quality of life and mood and keep patients out of the hospital. Review best practices for implementing a successful CR program and provide solutions for increasing participation.
This presentation will offer a review of the MedAxcess Annual Survey data including trends in CV physician compensation and production. In addition, key cardiovascular service metrics and other interesting data will be reviewed.
E/M guidelines for office and outpatient services are revised and in effect. How are these changes impacting your program? Experts dlve into key takeaways and review potential revenue impacts.
Larry Sobal, CEO of the Heart and Vascular Institute of Wisconsin, provides a status update on how the practice is doing 2 years post dis-integration. Mr. Sobal will delve into lessons learned and advice for practices considering a similar path.
MedAxiom has been engaged by an industry partner to conduct an assessment of the current cardiology environment, in particular the differences in ownership models. As part of this project we’d love to get your opinions and some data around your practice/group. MedAxiom does not have an agenda or take a position with respect to the model in which physicians practice. The survey is merely intended to capture the current state in the community.
In this session, experts discuss significant barriers to innovation in healthcare delivery, including financial misalignment of Fee for Service reimbursement, outdated fraud and abuse laws, and lack of meaningful data. Medicare's new Direct Contracting (DC) program, run by the Center for Medicare and Medicaid Innovation, addresses all three. DC is the Innovation Center's first value-based care model that dismantles the FFS underpinning and offers unparalleled financial incentives, benefit enhancements and beneficiary engagement incentives. This session reviews the basic mechanics of the prospective capitation model and how it creates a platform for innovation.
Since the beginning of the COVID-19 crisis, telehealth has become wildly popular. The use of virtual platforms has assisted many cardiovascular organizations in continuing to provide care while navigating the unknown. As we look forward to a future Post-COVID, organizations must evaluate the question: is telehealth here to stay? This session features insight from programs that have successfully adopted and implemented virtual health strategies. Experts review virtual platforms, care models for success, lessons learned and programs for the future.
The development of an ambulatory surgery center (ASC) can be a great addition to a practice. An ASC can impact the quality of patient care while improving the patient and clinician experience. This session features a panel discussion around moving procedures to an ASC. Experts focus on clinical, financial and operational strategy as from the perspectives of an administrator, a clinician, and a member of industry.
Foothill Cardiology, a longtime Geneva Health Solutions customer, is a progressive healthcare clinic and leader in implementing new healthcare technologies that improve outcomes and lower costs. An early adopter of the 2015 HRS standard of care for remote monitoring, Foothill Cardiology experienced early challenges in the implementation of the standard, such as lack of resources to manage the data and inefficient workflow processes. Learn how Foothill Cardiology was able to bring Geneva Health Solutions into their practice to effectively overcome these challenges. Understand how they were able to streamline workflow processes, address the data management burden, free up time so staff could focus on clinical care and increase their revenue.
St. Elizabeth Healthcare is on a journey to create a nationally recognized heart and vascular program. As part of their evolution, they assembled an expert advanced heart failure team, but quickly realized their cardiology compensation model would temper support – not just of the nascent heart failure program, but in its overall quest to advance the program. Hear from its leadership about how St. Elizabeth modernized its cardiology compensation plan and moved rapidly from individual productivity to a team model with heavy emphasis on program value.
Sharecare is a digital health company partnering with hospitals and physicians to implement innovative programs collectively to empower patients' health and well-being. Through HIPAA compliant technology, licensed rehab professionals can create and administer individualized care plans for virtual cardiac rehab and patient monitoring. For patients, having the option to participate in onsite or virtual programs increases participation and improves outcomes.
This is personalized, affordable, and convenient care. In this spotlight, you will learn how to: Increase enrollment and completion rates, generate new revenue through reimbursable programs, provide safe, effective patient care through real-time virtual models, and deliver individualized medication interventions.
This presentation features insights from a leading cardiovascular practice on the development of an ASC strategy. Learn how the ASC setting plays into your long-term strategy, the patient conditions to consider moving to this space and how to operationalize your facility to be a successful extension of your cardiovascular care delivery model.
Joel Sauer and Ginger Biesbrock review how to develop an economic alignment model that encourages team-based care delivery in a shared care model by both physician and advanced practice providers. This session will not only review the economic barriers but explore solutions to improve your program's outcomes. Explore both physician and advanced practice provider compensation models that will encourage effective team-based care delivery.
COVID-19 has provided a host of tangible data points on our current delivery system and through the reaction organizations have implemented in response. Together these insights provide a starting point for us to imagine the cardiovascular world we want post-pandemic, which can become the roadmap on how to create it – through leadership, advocacy and sharing. This session features interviews with thought leaders from across the health care spectrum who share their perspectives on the future of the cardiovascular industry and a panel discussion with cardiovascular leaders to imagine our new normal.
As the care delivery model has evolved due to COVID, two programs share their experiences utilizing a team-based care model to include challenges, successes both pre-COVID and lessons learned due to COVID.
This session reviews both the impact of COVID-19 on outpatient imaging programs and best practices for reemergence. Results of a member survey on the impact of COVID-19 on imaging procedures and predictions for recovery will also be shared. In addition, experts review the obstacles and risks, share how they define “safety” in the ambulatory space, and more.
This session focuses on tips and challenges related to operationalizing telehealth during the COVID public health emergency (PHE) and the forecast/strategic plans for telehealth in CV organizations post-COVID. Representatives from CV programs in different regions will share their telehealth experiences during the PHE and what they see for the future.
Biome Analytics clients have leveraged its cardiovascular analytic solution to develop data driven insights for the purpose of navigating through the COVID-19 national emergency and to plan for the future. With guidelines and recommendations changing by the hour, the speed by which hospitals are making decisions requires significant amounts of data, and a response time that isn’t normally accommodated internally.
In this interview, Biome provides the details of how they are helping their clients navigate through 4 Phases of the national pandemic by making informed decisions around deferred procedures, resource allocation, financial impacts, backlogged patient prioritization, and retrospective financial and clinical analysis.
Chris Romeo, EVP of MedAxiom Ventures, speaks with Terry A. Colip and Dr. Veronica Covalesky about Cell>Point’s breakthrough cardiology ischemia agent, Oncardia®. As the first functional “hot spot” imaging agent delivered in a single “shake and shoot” vial, Oncardia® provides many clinical, economic and patient convenience benefits, including improved sensitivity and specificity, elimination of the stress test, lower radiation exposure and improved economics for the practice.
Too many low-risk patients, who complain of chest pain, get sent home but inevitably end up back in the ED. With just one click, HEART TRACKS can help prevent this scenario, says Elizabeth Huenefeldt, APRN and Gabe Soto, MD of SoutheastHEALTH. In this interview, they share their journey of developing HEART TRACKS, a transitional care pathway focused on seamlessly transferring low-risk ED patients to their cardiovascular teams for appropriate care.
Hear from the American College of Cardiology (ACC) Foundation’s CEO about the recent merger with MedAxiom. He will share how this acquisition will allow ACC to expand its offerings as the professional home for the entire cardiovascular team to include services and education in non-clinical domains such as interpersonal and organizational leadership, strategic design, operational and performance management, improvement and technological infrastructure.
This presentation will offer a sneak preview of the 2019 MedAxiom Provider Compensation & Productivity Survey data including trends in CV physician compensation and production. In addition, key cardiovascular service metrics and other interesting data will be reviewed.
With many different variables to consider, determining costs as your organization moves from volume to value-based care can be difficult. Attend this session to hear from members that have developed an outline of cost per case and created a transparent way to manage it.
Artificial Intelligence continues to improve and offer new ways for us to test, manage and track our cardiovascular patients. As we work to incorporate these new capabilities into our programs we also recognize the potential for disruptions. Join this session to hear from our speaker as he discusses the topics below to address where we are today and how to identify key barriers for success with AI applications in CV care.
We have been talking about the transition to a value-based economy in healthcare for nearly a decade, yet in 2019 the vast majority of revenue is still derived from volume. At the same time, cardiology has become deeply sub-specialized with new focus areas like structural heart and heart failure, challenging reward systems built on work Relative Value Units (wRVUs). For best patient care this complex cardiovascular system must act like a unified team. So in this sometimes polarized environment what is the best method for compensating physicians? Two MedAxiom member programs will highlight their respective answers to this question, showcasing unique compensation models for cardiology in these challenging times. Aspects that work well and challenges will be discussed in a panel-style format that will include audience participation.
Cardiology Advocacy Alliance (CAA) represents cardiologists in Washington to ensure our voices are heard as the Value Agenda is updated. This session will review the latest developments in Washington, both regulatory and legal, that impact the CV health care community.
One of the main goals of team-based care is to ensure each patient receives the most efficient, effective and evidence-based care available. Join this session to hear from two programs that have implemented this as part of their strategy to manage the care of their population of patients with this collaborative approach to providing valuable healthcare.
This talk will explore what it really means to provide patient centric care. A review of foundational elements will be provided along with review of several best practices around accessibility, understanding the patient perspective, use of patient experience data and performance management will be included.
As MIPS enters its third year, understanding how to access your data, interpret it, and create meaningful action plans becomes challenging. This session will review the Quality, Promoting interoperability, and Improvement activities scoring and how it looks on the QPP web site. We will also do a deep dive on the newest category – cost. Finding the episode data that is in use for calculating the 2019 data as well as looking forward to 2020 and understanding how to interpret it will be the focus of this important session.
Get insight into an innovative compensation model from a large program that promotes value, team and strategy. Experts will discuss different approaches to measuring individual physician work, advancing the utilization of APPs, connecting with surgical programs and rewarding non-revenue producing or low-yield compensation activities.
Hear from advanced practice provider (APP) leaders Ginger Biesbrock and Jerry Blackwell as they review their leadership journeys and provide insight into their leadership styles. This dynamic session will also include an “Ask the Expert” roundtable where APP leaders will share knowledge directly through a Q&A.
During this session Nicole Knight shares cost and staffing insights for managing authorizations to optimize the revenue cycle. We also share successes from a program that has utilized an authorization platform to facilitate automation within their processes and hear best practices.
The world of intensive cardiac rehab (ICR) was shaken by the COVID-19 pandemic. Programs were forced to shut down and have now reopened using appropriate social distancing measures and cleaning protocols. In the midst of the shutdown, it became important to find a virtual solution to meet the needs of the patient population. Those strategies continue to provide a holistic realm of options for patients that aren’t able to attend traditional ICR programs. The importance of ICR and virtual CR strategies will be explored during this session that will provide real perspectives from the field.
Since January 1, 2020, CMS reimburses for PCI in an ambulatory surgery center (ASC) setting, expanding on the ability to receive CMS reimbursement for diagnostic catheterizations, which was approved as of January 1, 2019. Being able to provide diagnosis and treatment in the ASC setting coupled with a lower cost of care for a payer has resulted in ASC development being a key strategy in the drive to deliver value-based care. Hear from programs who have experience with an ASC as an owner/provider, and explore the start-up of the ASC from a clinical, financial and operational perspective.
CMS E/M guidelines for office and outpatient services are revised and proposed to take effect in January 2021. How will these changes impact your program? Experts will delve into key takeaways to help you plan for 2021 and potential revenue impacts.
The Heart Team multidisciplinary shared decision-making strategy is a class IA recommendation for ischemic patients. In addition, shared decision making is a requirement for TAVR and PMVR procedures. As programs have developed high performing strategies around this, challenges have been managed, processes have been created and relationships have been built. Learn from a group that has developed their processes as a formal strategy to advance their programs.
See one program's journey into systematically linking service lines together, beginning with CV and oncology, sleep medicine and beyond.
Learn more about Pritikin ICR’s dynamic, home-based patient engagement tools. The platform allows your staff to engage, direct, and monitor your patients at home, as well as extend the combined resources of your facility and Pritikin to them in a convenient, easy-to-use manner. While absolutely essential during this COVID crisis, we are confident that this virtual model will remain a powerful solution at your practice indefinitely.
Care team utilization has become even more important for programs to maintain effective access strategies, create nimble delivery models and manage high-risk patient populations in a multi-disciplinary fashion. Hear from a program as they provide insight into their journey to high performing care team models.
The opportunity and need to modernize a cardiac device clinic has never been greater. Several innovative technologies can enable more care with efficiency that is unrivaled. Making the decision to upgrade your clinic is a multi-step process, but if done properly, can lead to clinical operations that are faster, more profitable and more insightful than ever before. This presentation explores best practices in managing the change to modern device workflow and benchmark approaches to monitoring the success of this modernization.
Hospitals frequently report large financial losses on their employed physician workforce. Cardiovascular physicians often bristle under the perceived yolk of employment, but also recognize there are synergies in integration. Is there a better approach? In this session, experts will explore some re-imagined models that consider integration from both important perspectives.
As programs adapt to the new normal, best practices for pandemic recovery may not be obvious. Hear detailed and specific plans from a few programs who have engineered safe, effective and comprehensive recovery strategies within their respective institutions.
Social distancing measures have resulted in the need for a patient throughput strategy that either minimizes or eliminates the use of a waiting room. These changes in flow will require front office and clinic workflows. Learn from a program that has successfully developed and implemented these strategies.
Hear from two programs who are successfully using analytics to improve cost and quality, while leveraging platforms to accelerate their path towards operational and financial improvement.
The ACC’s Innovation Team and MedAxiom have teamed up to bring you two incredibly powerful tools that have recently been launched into the market. Heartbeat Health is a telemedicine platform designed for cardiologists, by cardiologists. This platform is under expansion to become the home of connected care for cardiovascular care teams. Cleerly is designed to assist with diagnosis and treatment of CAD. The platform’s ability to identify plaque location and plaque type are unparalleled. Tools for the cardiologist, the PCP, and the patient are embedded in this complete solution. The presentation will focus on the science and utilization of these two breakthroughs.
COVID-19 continues to take a heavy toll on America’s healthcare infrastructure. How will this continue to impact our financial outlook for 2021? In this session, hear from two MedAxiom programs about impacts of volume, potential decreased revenue, increased costs and how to plan for 2021.
Kicking off the CV Transforum Fall’20 Virtual Conference with opening remarks from MedAxiom and the ACC leaders, who provide an industry outlook, membership updates, conference information and more.
The COVID-19 global pandemic has permanently changed healthcare and challenged traditional thinking around strategy. Hear from experts, representing different program models, as they share their unique perspectives on how to prioritize and think strategically in a post-COVID world.
Many of us have utilized telehealth services as a part of our pandemic care strategy, but have you developed a virtual care strategy that incorporates non-traditional face-to-face care delivery into your care models? This session will review the multiple options for virtual care delivery and how to develop a strategy that will focus on your high-risk patient populations.
JIM DANIEL, DIRECTOR, HANCOCK, DANIEL, JOHNSON & NAGEL, PC; RICHMOND, VA
As hospitals and physicians continue to consolidate and realign in the modern healthcare market, some are questioning what the impact will be on total health spending. While hospitals defend their contracting and referral processes as a way to provide specialized care to their patients, others feel it allows them to dominate the market. Efforts to attract particular specialists are facing scrutiny under federal anti-kickback laws. The rise in mergers and acquisitions raises some concerns about the absence of clear federal guidelines. In this session, we hear a legal perspective on this and what we can expect as the Federal Trade Commission and Justice Department review and rewrite outdated vertical merger guidelines.
JOEL SAUER, MBA, EXECUTIVE VICE PRESIDENT, MEDAXIOM CONSULTING; FORT WAYNE, IN
MICHAEL STOVER, CPA, ABV, CFF, PRINCIPAL, SOMERSET CPAS AND ADVISORS; INDIANAPOLIS, IN
Cardiology is a team sport and as it becomes even more deeply sub-specialized, compensation models are recognizing team over the individual with significant sharing components and other strategies. However, often compliance testing can focus on individual physicians, either at the total compensation level or looking at compensation per wRVU, which can cause problems for groups that want a largely shared plan. This session explores the data around cardiology compensation and provide insights from a fair market value perspective.
KHURRAM NASIR, MD, MPH, MSc, CHIEF CARDIOVASCULAR PREVENTION AND WELLNESS, CO-DIRECTOR CENTER FOR OUTCOMES RESEARCH, HOUSTON METHODIST; HOUSTON, TX
Cardiovascular Disease (CVD) continues to be a severe and costly program for healthcare organizations that affects quality, outcomes and costs. One of the major causes is the nonexistence of a data supported infrastructure or tools for stakeholders to guide and implement best practices across the continuum of ASCVD care. As we focus on strengthening big data architecture for value-based healthcare delivery under the framework of population health management (PHM), we must leverage digital solutions and learnings from artificial intelligence to help inform and guide decisions. In this presentation, we discuss how to maximize data and digital capacities to accelerate paradigm shift in current siloed management approaches to one that optimally moves the needle on CVD population health goals.
PAT HOLLOWAY, CPA, CHIEF OPERATION OFFICER, OKLAHOMA HEART HOSPITAL PHYSICIANS AND PRESIDENT, CAA; OKLAHOMA CITY, OK
NICK MORSE, DIVISION VICE PRESIDENT, ADVOCACY & GOVERNMENT AFFAIRS, AMERICAN COLLEGE OF CARDIOLOGY; WASHINGTON, D.C.
Cardiology Advocacy Alliance (CAA) represents cardiologists in Washington to ensure our voices are heard as the Value Agenda is updated. This session reviews the latest developments in Washington, both regulatory and legal, that impact the CV health care community.
JOHN RUMSFELD, MD, PH.D., FACC, AMERICAN COLLEGE OF CARDIOLOGY; WASHINGTON D.C.
Most sectors of the economy have undergone some form of digital transformation, yielding efficiency and value. Healthcare, while in dire need of more efficiency and value, has been slow to embrace – much less achieve – digital transformation. There have been massive investments in digital health technologies over the last 5-10 years, but little of this has translated into changes in the way CV care is delivered.
This talk delves into:
ELIZABETH HUENEFELDT, ARNP, FNP-C, CARDIOVASCULAR CONSULTANTS OF CAPE GIRARDEAU, INC.; CAPE GIRARDEAU, MO
GABE SOTO, MD, PHD, MHCDS, FACC, FHRS, MEDICAL DIRECTOR, CARDIOVASCULAR AND ELECTROPHYSIOLOGY SERVICES, INTERIM CHIEF MEDICAL OFFICER, SOUTHEAST HEALTH; CAPE GIRARDEAU, MO
In this session, we hear from SoutheastHEALTH, a regional healthcare system serving southeast Missouri as well as parts of southern Illinois, western Kentucky, and northern Arkansas. SoutheastHEALTH’s flagship hospital, Southeast Missouri Hospital, provides care to over 10,000 inpatients and nearly 120,000 outpatients annually.
In 2016, Southeast Missouri Hospital implemented a transitional care pathway for patients who presented to the Emergency Department (ED) with a cardiac-related complaint, utilizing standardized risk measures to identify low-risk patients suitable for early discharge. They discuss the design and implementation of the program, as well as the impact it had on 12-month ED discharges, cardiac-related and all-cause 30-day revisits and admissions, safety outcomes, and institutional revenues.
ALLEN BAUM, MD, PRESIDENT, CARDIOLOGY CLINIC OF SAN ANTONIO; SAN ANTONIO, TX
EDMUND COYNE, MD, CARDIOVASCULAR MEDICINE, PC; DAVENPORT, IA
KRIS ZELLER, CMPE, MSHSA, PRACTICE ADMINISTRATOR, CARDIOVASCULAR, MEDICINE, PC; DAVENPORT, IA
MODERATOR: JERRY BLACKWELL, MD, MBA, FACC, PRESIDENT, MEDAXIOM; KINGSPORT, TN
In this session, two programs share learnings from their experiences developing a hospitalist program and lessons learned. Hear what effects each program made on mortality, morbidity, LOS and cost per case. They also provide before and after statistics to show the impact within their CV divisions.
LEE LEWIS, AREA VICE PRESIDENT, ARTHUR J. GALLAGHER & CO.; DALLAS, TX
DUTCH ROJAS, CEO, SANO SURGERY; SCOTTSDALE, AZ
In this session, we hear different perspectives on the direct to employer contracting process. We learn from Lee Lewis, one of the nation’s top benefits consultants who works with the many of our country’s best known employers as to why employers prefer direct contracting and the needs and goals of each stakeholder involved in the process.
We also hear from Dutch Rojas, the CEO of Sano Surgery, as to how the process works for employers, patients, and providers. Mr. Rojas provides an overview of how the processes work and put an operational framework to the concepts discussed.
We conclude the session with Joe Sasson providing a summation of how CV programs can get involved with employers for direct contracting, without having to negotiate with these employers individually, and how these programs can create more equity in the healthcare arena.
Hear how the Medically Home care model allows patients with select medical diagnoses that would traditionally require hospitalization to be cared for at home. Using uniquely-composed technology, patients have full access to their care team with the push of a button. Their platform is designed to track vital signs, medications and procedures to create up-to-date, actionable data the whole team shares, while providing online access for families to securely view their loved one's health status.
Hear from MedAxiom’s CEO and President as they discuss how changes in healthcare have impacted cardiovascular services in regards to the strategic movement from inpatient to outpatient, program consolidation, and balancing the management of cost and quality while providing value to our patients. The discussion includes transformative opportunities and offers ideas for navigating the current landscape as we continue to advance cardiovascular care.