Speaker: Date: Topic
Michael C. Gavin, MD, MPH
Nov. 6, 2013
Cardiac Care: Where the Money's At
Responsibility for Content
The take-away points, powerpoint presentation, and article links were sent by the Medical Library and the CME Committee.
Diane E. Young, Information Specialist
Take-Away Points of the Presentation
1. Diagnostic testing growth is costly and likely overutilized.
2. Decision support tools can be used to better define patients who will benefit from diagnostic testing.
3. Coordination of care between cardiology and primary care can improve value in the care of patients with cardiovascular problems and a Direct Access Cardiac Care Unit may help facilitate this.
Links to Articles Cited in the Presentation
- Andrus BW & Welch HG: Medicare services provided by cardiologists in the United States: 1999-2008. C
- Baicker K & Chandra A: Medicare spending, the physician workforce, and beneficiaries' quality of car
- Bhatia RS et al: An educational intervention reduces the rate of inappropriate echocardiograms on an
- Chan PS et al: Appropriateness of percutaneous coronary intervention. JAMA 2011;306(1):53-61.
- Chernew ME et al: Increased spending on health care: long-term implications for the nation. Health A
- Emanuel EJ: Where are the health care cost savings? JAMA 2012;307(1):39-40.
- Kale MS et al: "Top 5" lists top $5 billion. Arch Intern Med 2011;171(20):1856-8.
- Landon BE & Roberts DH: Reenvisioning specialty care and payment under global payment systems. JAMA
- Landon BE: Keeping score under a global payment system. N Engl J Med 2012;366(5):393-5.
- Lin FY et al: Impact of an automated multimodality point-of-order decision support tool on rates of
- Matulevicius SA et al: Appropriate use and clinical impact of transthoracic echocardiography. JAMA I
- Rahimi AR et al: Trends in outpatient transthoracic echocardiography: impact of appropriateness crit
- Scheuermeyer FX et al: Safety and efficiency of a chest pain diagnostic algorithm with selective out
- Schuur JD & Venkatesh AK: The growing role of emergency departments in hospital admissions. N Engl J
- Smith S et al: Income, insurance, and technology: why does health spending outpace economic growth?
- Storrow AB et al: Emergency department observation of heart failure: preliminary analysis of safety
- Tilburt JC et al: Views of US physicians about controlling health care costs. JAMA 2013;310(4):380-8
- Vashi AA et al: Use of hospital-based acute care among patients recently discharged from the hospita
- Zimetbaum P et al: Impact of a practice guideline for patients with atrial fibrillation on medical r