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

Low-Volume Cardiac Surgery Program "Excellence"


CFA estimates, through our participation in and review of national proprietary hospital database(s) and a review of states that report hospital cardiovascular volumes and outcomes, there are at a minimum of 300 to as many as 500 heart programs with cardiac surgery volumes of less than 120 cases per year.

The National Low Volume Cardiac Surgery Conundrum


As a microcosm of national trends, California data reporting isolated CABG surgeries between 2005 and 2015 documents a similar trend among the state’s 125 hospitals currently licensed to provide this service.

Innovative Pathways of Care Can Reduce Resource Utilization, Enhance Quality


In the continuing effort to foster innovation and cost savings in cardiovascular programs, CFA was reminded of two interrelated clinical pathway issues by recently published research. In looking for ways to improve outcomes and decrease the cost of interventional cardiology procedures...
Cardiovascular consultants - Charles Franc Associates

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