Top 10 Lessons from CV Summit 2017

Richard Chazal, MD

Akhil Narang, MD

Firas Al Badarin, MD

10. Patient Satisfaction: More important than ever

• Build a system that sustains results

• Transparency, team work, trainers

• Your results will be visible to all-MACRA!

• Public reporting=High risk

9. New Program Growth-A Priority

• Women's heart center, preventive cardiology

• Cardio oncology, Structural

• Creates new leaders, enhances referrals

• Keeps practices moving, if planned well

8. Build Quality Based improvement plans

• Utilize Data for success-NCDR, Crimson

• Imbed systems for value- AUC, Focus tool

• Creates Part IV for MOC pts-Pinnacle

• Essential part of MACRA

7. Succession planning will sustain your future

• Plan for age, talent distribution

• “Layer” your leaders

• Create incentives for youth

• Mentoring programs

The Typical Employee (CVSL Physician) Profile

Gallup’s 2013 State of the American Workplace report

Engaged

Disruptive

Punching the Clock

6. Value=Team Based Care

• Build efficient, effective systems

• Run financial proformas

• Manage to the degree on all levels

• Prioritize responsibilities

• EPMs

5. Develop Strategic Plan for Value

• Involve all levels of care-Nurses, APPs

• “Growth stock vs. value stock”

• Annual updates, revisions

• Timelines, ownership is important

• Align Compensation Plan

Finance – “When Culture Goes To Pot”

Toxic CEO

New Leadership

“Shared Vision”

“It’s All About Engagement”

4. Cross Boundaries for systems of care

• Build effective partnerships-ER, Hosp.

• Reward success-Publish

• D2B, CHF, Afib, Chest pain-Service Line!

• Need champions AND managers

• Critical for alternative payment models(APMs)

1 2

It Takes a Team……

• Volume Focused

• Practice Based

• Patient Accessing Health Care

• Acute Care Management

• Single Specialty Visits

• Efficiency Focus

• Hospital & Practice

• Health Care Going to Patients

• Complex Care Coordination

• Multidisciplinary Visits

Traditional Future

3. Public reporting is here

• How does your data look?

• Will effect ALL levels of care

• CMS, Consumer sites

• Management must help you here

2. Business Acumen is Essential for survival

• Do you know the penalties, MIPS?

• Is your data in for 2016? 2019 Payment starts now!

• Who is in charge? DYAD Leadership

• Send leaders for training-CV Summit

1. MACRA- The new 4 letter word

• Do you understand MIPS, APMs?

• Set a plan for value transition now

• Know your QRUR?

• Seek professional Help….Soon.

• Build your timeline list

• Have management & physician team in place

When all else fails….

• ACC.org/MACRA

• Come to the CV Summit

Feb 22-24, Las Vegas-Cosmopolitan

• Train leaders at every level

• Consultants can save you.

Thank You

Questions?