Stents not effective? Study sparks debate pt. 1

U.K. PCI study sparks U.S. debate

On Wednesday, November 1, results from the Objective Randomized Blinded Investigation with Optimal Medical Therapy of Angioplasty in Stable Angina (ORBITA) study were published in The Lancet.

The next day, this article was published in the New York Times:

"A procedure used to relieve chest pain in hundreds of thousands of heart patients each year is useless for many of them," it began... "The new study, published in the Lancet, stunned leading cardiologists by countering decades of clinical experience. The findings raise questions about whether stents should be used so often—or at all—to treat chest pain."

Without further knowledge, the debate may start right here—the New York Times article had little in the way of medical detail to satisfy invasive cardiovascular professionals and may have further generalized results in a misleading manner.

But let's hold off on reacting, look at the debate surrounding this particular study and also place the findings in a wider context (part two). Note: this isn't the first time it has been suggested that stents are overused.

Continue reading Stents not effective? Study sparks debate pt. 1

Taylor Swift in the Cath Lab? Music in the Cath Lab Debate

Does music play during procedures in your lab? Who chooses the music?

A recent study published in the Aesthetic Surgery Journal found that "when plastic surgeons listen to music they prefer, their surgical technique and efficiency when closing incisions is improved," says a University of Texas Medical Branch press release.

While many studies have been conducted supporting the idea that music reduces stress and promotes efficiency for operating room staff, this study adds to a more limited evidence base that suggests music can improve technical performance and speed of a procedure.

Why does it matter? Reducing the time of a procedure can lead to significant cost savings, of course, and in cardiac emergencies where "time is muscle," promoting procedure efficiency is key to providing quality care.

But should the cardiologist control music in the cath lab?

Continue reading Taylor Swift in the Cath Lab? Music in the Cath Lab Debate

Let’s Make a List: Time-Saving STEMI Practices

We need YOU to weigh-in. What are some time-saving STEMI practices you've discovered in your practice?

We've updated our comment system on ACVP Blog to hopefully make it easier and more interactive to comment. So add your idea---it doesn't have to be a best practice, maybe just a little thing you overlooked---and vote on the best, most-interesting ideas from other ACVP members!

Our profile of the Sentara RMH cardiac team (see part one and part two) has started us off with some great ideas for time-saving STEMI practices, so we'll add those below. Meet us in the comments!

Weigh In: Can the Non-Profit Hospital Model Survive?

Earlier this week, Healthcare DIVE presented some food for thought about the general trend towards non-profit hospitals closing, being bought out by for-profit organizations, or simply converting to for-profit models.

Also in the news are new IRS rules for non-profit hospitals that crack down on how non-profit hospitals can collect payments and how they can manage patient debt.

The current debt and regulatory climate could be a perfect storm for the non-profit hospital model.

We wanted to ask you, our members, what do you think? Can the non-profit model survive? Is the trend towards for-profit hospitals a positive or a negative? Continue reading to find the survey below.

Continue reading Weigh In: Can the Non-Profit Hospital Model Survive?