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 Surgery Programs 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:

  • Low-volume services frequently struggle to produce high quality and competitive cost outcomes.

  • Nationally, CABG cases are declining and cardiac valve cases are shifting to higher-volume providers in many markets.

  • Low surgical volumes do not necessarily correlate directly with the volume of other cardiac procedures such as diagnostic cath, PCI, interventional vascular and CRM device implants.

  • Hospitals with and without cardiac surgery services can achieve "excellence" status and build thriving programs.  There are options.

Evaluate your options by downloading our Low-Volume Cardiac Surgery 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

Low-Volume Cardiac Surgery Programs: Cardiac Valve Surgery Trends and Implications


Hospital cardiac surgery programs will need to consider both their overall ability to serve valve patients and the potential impact on the volume of total cases represented.

The Importance of Effective Hospital-Physician Negotiation - Part I


Recent numbers continue to affirm, and we believe, the environment for cardiovascular physicians to negotiate more advantageous operating positions is favorable.

Rethinking Ambulatory Cardiovascular Strategy: Part One – The Big Picture


As inpatients convert to outpatients, regulatory and reimbursement pressures have continued to mount to negatively impact reimbursement and utilization. We are not suggesting that hospitals have neglected an appropriate ambulatory strategy – the majority have not! But the pressure keeps mounting and the options that once worked need rethinking.
Cardiovascular consultants - Charles Franc Associates

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