Cardiovascular Enterprise Excellence

Maximizing Performance

Embracing New National Initiatives

Achieving Superior Operations
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For more than two decades, CFA has been a leader in delivering value across the spectrum of cardiovascular service line consulting

Low Volume Cardiac Hospitals Face Tough Decisions

If you are a hospital executive with responsibility for a relatively low volume cardiac surgery service, you may be considering strategic alternatives to continuing this clinical program.  In your decision process, consider these important factors:

  • Medicare's mandated bundled-pricing model effective July 2017 – bundling acute hospitalization through 90-days post-discharge 
  • In the above program, if your program does not meet targeted cost and quality benchmarks, you will end up reimbursing Medicare.
  • Most states now permit elective PCI without surgery-on-site

Evaluate your options by downloading our Low Volume options whitepaper

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What People Are Saying About CFA...


David Grembi

"Every engagement with CFA  took our community hospital Heart & Vascular Center to a higher level of program and clinical development."  (Read More)

David Grembi
Director, Heart & Vascular Center, retired
Sentara Rockingham Memorial Hospital
Harrisonburg, VA

"Having worked with many types of healthcare consulting companies over my 25 years as a CT surgeon, I can say unequivocally I found Charles Franc and Associates to be the most professional, competent and experienced firm I have ever dealt with.”  (Read More)

Jacob Davtyan, MD, FACS
Cardiothoracic Surgeon
Managing Partner
Inland Cardiothoracic Surgical Associates


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"I have known Charles and the Charles Franc & Associates team for more than 16 years and have worked with them at two healthcare organizations in that time."  (Read More)

Michael Barber, R.N.
Former Director, Tyler Heart Institute
Monterey, California

LATEST FROM OUR BLOG

Breaking News: CMS Proposes Cancelling the Cardiac Bundled Payment Model


Pending regulatory review, CMS has proposed cancelling the cardiac and expanded joint replacement bundled payment models. The rule, which was sent to the Office of Management and Budget last week, would cancel the mandatory bundled payment programs for acute MI and coronary bypass graft surgeries.

Cardiac Services Expansion Part 1: An Increasing Appetite for Cardiovascular Program Growth


Recently, CFA has seen an increased interest by hospitals and health systems - operating in a wide variety of markets - to expand existing clinical service capabilities, capture new or out-migrated market share or to pursue first time entry into the cardiovascular services marketplace.

Second in a Series: Low-Volume Cardiac Surgery Programs – Looking “Behind” the Numbers


To analyze the situation and develop strategic options going-forward, hospitals will need to do a thorough analysis of their own internal volumes, local and regional market volumes and the trends within that market; generally reduced to market size and share, with trends over time – in other words, the “numbers.”
Cardiovascular consultants - Charles Franc Associates

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