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Hospital/Health System Services - Grow the Business!

CV programs face a number of challenges as they attempt to grow their business in the face of changing reimbursement and increased competition.

To maintain a growth focus requires thoughtful strategic and business plans that can be revisited in the face of day-to-day operational pressures.


Market Analysis

Planning & Development


Strategic, Business, and Market Assessment/Planning

  • Designed to mitigate competitive threats; take advantage of opportunities; and identify key success factors, clinical services development opportunities, and program additions
  • Based on market/environmental assessment; local, regional, and national trends; regional medical community support evaluation; technological trends/projections
  • Includes vision refinement/development; detailed demand forecasting; preliminary financial forecasts; competitor impact analysis; SWOT analysis; marketing strategy, tactic development, and marketing budget

 New Service Feasibility/Implementation

  • Comprehensive Feasibility Assessment, from multiple perspectives: Strategic, Clinical, Operational, Financial and Political
  • Includes market/environmental assessment; local, regional and national trends; technological trends/projections; detailed demand forecasting; competitor impact analysis; alternative technology scenarios; facilities and equipment requirements; capital budget; and financial proformas
  • Certificate of Need, licensure and certification support; strategic defense to competitor arguments; state hearing preparation and support; expert testimony
  • Implementation planning, coordination and oversight, including policies and procedures, job descriptions, physician and staff recruitment
  • Range of Programs/Services: Cardiac and Thoracic Surgery; Hybrid OR/TAVR Program/Valve Clinic; Vascular and Endovascular Services; Interventional Cardiology and Vascular Laboratory; PCI without surgery-on-site; Cardiac Rhythm Management/Electrophysiology/Arrhythmia Program; Adult Congenital Heart Disease; CHF Programs and Clinics; Women’s Heart Services; Sports Cardiology; Adult and Pediatric Programs; Screening, Early Detection and Prevention Programs; Advanced Imaging

 Heart Hospital Development

  • Organization development, strategy formulation, direction/facilitation for multiple constituencies, and public/private offering documentation
  • Detailed Market and Feasibility Assessments, Financial Proformas; Business and Marketing Plans
  • Architectural assistance, space programming and equipment planning
  • Project implementation management; interim and long-term facility management

 Mergers, Acquisitions, Joint-Ventures, Consolidation

  • Development of business structures and joint ventures within regulatory guidelines; coordination with legal counsel
  • “Right-sizing” or consolidation of programs and services across systems

Performance-Based COE

  • Designed to enhance clinical quality, physician engagement, and patient experience; reduce costs; and optimize organizational performance
  • Includes service line assessment comparing your program to performance-based COE criteria
  • Incorporates benchmarking, best practices, standardization, micro-costing, improved clinical data management, organization and management optimization

 Physician/Staff Recruitment

  • Identification of required new positions; position descriptions, job specifications and postings; compensation surveys and recommendations
  • Candidate evaluation, including telephone and on site interviews; background and reference checks
  • Recruitment process management/oversight; selection process assistance and recommendations
  • Professional contracts and agreements

 Interim Service Line Management

  • CFA provides on or off site program management on a full-time or part-time basis; short and long term

 Organizational/Managerial Structure

  • Designed to serve the overall goals and objectives of the enterprise, foster high levels of communication, promote managerial excellence, foster optimized performance, promote efficiency and effectiveness, enable timely consensus-based decision making, empower stakeholders, and provide a structural framework for developing opportunities
  • Incorporates strategic, organizational, operational and financial elements
  • Heart and Vascular Center, Cardiovascular Center of Excellence (COE), freestanding Cardiac Diagnostic Center, affiliation strategies

 Technology, Equipment and Facilities Planning

  • Facility designs that ensure reasonable service provision, match volume of services, support patient and physician satisfaction, promote efficiency and flexibility of operation, and anticipate changes in technology
  • Initial layout and schematic design; construction document development; technology assessment and planning; equipment specifications
  • Remodels and new construction; inpatient and outpatient

 Population Health/Accountable Care and Managed Care

  • Operational, protocol-based assistance designed to reduce costs and enhance price competitiveness
  • Request for Proposal (RFP) responses; bundled or packaged pricing
  • Specialist/PCP collaboration and partnerships

Licensure, Certification, Certificate-of-Need (CON)

  • Market and Feasibility Assessments; Strategic and Business Plans; Implementation Plans
  • Documentation preparation; hearing attendance/leadership; specialty certification/licensure applications and support; licensure/certification site visit support
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