Volume 12 - Issue 11 - November, 2004
Creating and Sustaining an Engaged Workforce in Healthcare
- Thu, 6/19/08 - 1:59pm
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The workforce shortage in healthcare, and specifically, hospitals today, is a burning issue on the minds of many healthcare leaders. Currently, many people are not entering into a career in healthcare or are leaving the healthcare industry. The most frequently cited reasons people give for leaving healthcare are: the work is too demanding, feeling undervalued, and issues with compensation. Nursing retention surveys show that only 36% of nurses who are planning to leave their job are planning to look for their next position in another hospital. While there are many approaches to retention strat
Drug-Eluting Stent Solution: Late Loss
- Thu, 6/19/08 - 1:59pm
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Some current clinical trials use late loss as a key data point. Can you help us understand what late loss is?
Late loss is the difference in millimeters between the diameter of a stented segment post-procedure compared with the follow-up angiogram at six or nine months. We expect some in-growth of tissue or neointima, and that number is going to be variable. Obviously, we want some growth to cover the stent struts, but enough suppression so that we significantly reduce restenosis. For bare stents, late loss is probably between 0.8 mm and 1 mm. For effective drug-eluting stents (DES),
Percutaneous Aortic Valve Replacement with a Self-Expanding Stent: The CoreValve ReValving Procedure
- Thu, 6/19/08 - 1:59pm
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As a result, in 1999, I began developing what is now the ReValving system stent. After developing the initial steps of this concept, I decided to stop surgery and devote all my time to CoreValve, because I knew that if we could achieve a successful percutaneous procedure, we could change the face of how patients were treated. I felt myself to be more useful in developing this system than operating on patients everyday.
Can you describe the design of the device and its various components?
When I started all this, I knew definitely that surgeons would not be using the device, cons
Letter from the President/Fellowship in the SICP/Letter to the Editor
- Thu, 6/19/08 - 1:59pm
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Letter from the President
Dear Members and Friends,
As summer winds down and we head into the fall, I would again like to take a couple of moments to catch up with you all. I hope this letter finds you all well and ready for the season’s change.
The past few months have been very busy for the SICP. As previously reported, we transitioned to a new management company early this year and the staff has been very busy completing the transition as well as motivating us to move forward. This has entailed so many unspoken hours of the Board and of our management company,
The Mayo Clinic
- Thu, 6/19/08 - 1:59pm
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What is the size of your cath lab facility and number of staff members?
Our cath lab facility consists of two separate entities on the Mayo Medical Center campus. We have five adult procedure rooms, one pediatric procedure room and one EECP room at Saint Mary's Hospital. The Gonda Cath Lab facility consists of two adult procedure rooms that primarily support our outpatient practice. Each particular site operates its daily practice independently; however, there is also an intra-campus shuttle that runs every 7 minutes for easy personal interaction between St. Mary's Hospital, Mayo
The 10-Minute Interview with Jason Money, RN, RCIS
- Thu, 6/19/08 - 1:59pm
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Why did you choose to work in the invasive cardiology field?
I guess I would have to say the profession chose me, or another way to say it might be that I was "raised by wolves.” I grew up in the cath lab, and have gone from transporting patients at age 18 to developing entire educational programs in the same lab as a full-fledged professional. I have always had an affinity for radiology, and started out working weekends as a transporter/secretary during high school. At the time (1986-1990), the cath lab was still a part of radiology at my hospital in Springdale, Arkansas as it wa
New CMS Rule on Reimbursement for Myocardial Fractional Flow Reserve
- Thu, 6/19/08 - 1:59pm
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With this large body of scientific literature, it is no surprise that the leading interventional cardiology professional organizations have endorsed this method as a standard of care:
ACC/AHA guidelines recognize the usefulness of fractional flow measurements in determining whether intervention is needed:
Coronary pressure or Doppler velocimetry may also be useful as an alternative to performing noninvasive functional testing (e.g., when the functional study is absent or ambiguous) to determine whether an intervention is warranted.5
The Society for Cardiovascular A
New IVUS Codes from CMS: A Win for Hospitals, Physicians, Patients and Medicare
- Thu, 6/19/08 - 1:59pm
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New IVUS Codes Were Adopted October 1
On October 1, 2004, Medicare adopted new intravascular ultrasound (IVUS) inpatient ICD-9-CM procedure codes to more accurately reflect the use of IVUS in hospitals. The new coding was developed through the joint efforts of the Society for Coronary Angiography and Interventions (SCAI) and Boston Scientific Corporation.
The new Medicare ultrasound subcategory, Intravascular Vessel Imaging (seven 00.2 codes from 00.21-00.29), now enables separate tracking of IVUS procedures as differentiated from other types of ultrasound. With this new subcate
Cardiology Information Systems Enhance Care and Workflow at Saint Louis University Hospital
- Thu, 6/19/08 - 1:59pm
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In the J. Gerard Mudd Cardiac Catheterization Laboratory, we perform a wide range of diagnostic and interventional procedures, including right and left heart catheterization (PTCA), atherectomy, aortic and mitral valvuloplasty, coronary and peripheral thrombolytic therapy, intravascular stents, peripheral and renal vascular angioplasty, and laser angioplasty. In three cath lab suites, we perform approximately 1500 diagnostic angiograms and between 400-450 interventional procedures annually. Our staff consists of five registered nurses, five cardiovascular technologists, one manager, one invent
A New Cardiovascular Center for Improved Patient Care: Kanbar Cardiac Center
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Questions for...Richard J. Gray, MD, FACC, Medical Director, Sutter Pacific Heart Centers
San Francisco, California
How has your role evolved as the center was being built and then opened to patients?
My background is that of a clinical cardiologist. Up until coming to Sutter Health and Sutter Pacific Heart Centers, I’ve been in academic medicine, most recently as the Director of Cardiology at Regions Hospital in St. Paul, Minnesota, and Director of Cardiovascular Services at HealthPartners, a managed care organization. I’ve been with Sutter Health since February 200
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