THE CONTINUING CHALLENGE TO THE CARDIOVASCULAR SERVICE LINE.

Hospitals and physicians responsible for the ongoing success of the Cardiovascular Service Line will need to address a set of critical issues and overarching strategic choices driven by major trends.  These include:

• As technology advances, the continuing rapid conversion of inpatient/invasive procedures with outpatient/non-invasive and outpatient interventional procedures.
  
  
• The rise of competing facilities within a market region, specifically the multispecialty and/or cardiovascular-specific ambulatory surgery center, with the potential for a given hospital to suddenly lose a significant portion of its elective/outpatient and “free-market” cardiovascular business.
  
  
• The continuing decline of cardiac surgery volume, raising the need to consider alternative scenarios of growth, divestiture or consolidation.

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