Practice Management Columns

The Surgeon’s Role in Building Reliable and High-Functioning Surgical Teams
STS News, Fall 2018 -- Having very challenging surgical cases is nothing new for cardiothoracic surgeons. We recently had one such case. I say “we” because most surgeons understand that surgery is a team sport. Teamwork is at the core of high performance and consistency. Good teams function as a whole—its members helping out where needed and stepping up when required. In our specialty, this behavior can save lives.


Making the Switch to an EHR System
STS News, Summer 2018 -- Most cardiothoracic surgical practices have converted, are converting, or will convert from paper medical records to electronic health records (EHRs). The benefits of an EHR system include transparency, improved documentation and communication, reduced omissions, improved reporting, remote access to records, and increased collections.


Take Advantage of Practice Resources on STS.org
STS News, Spring 2018 -- Your technical skills in the operating room are, of course, essential to developing a thriving cardiothoracic surgical career. But understanding how your procedures should be coded, navigating contract negotiations, and finding a good mentor also are important elements in ensuring your success. To assist cardiothoracic surgeons with all aspects of practice management, the Society offers a wealth of tools on its website.


Can Physician Leadership Cure the Burnout Epidemic?
STS News, Winter 2018 -- Recent surveys have shown that physician professional and personal dissatisfaction and burnout rates are at all-time highs. Increasing financial pressures, as well as the rapidly accelerating rate of technological change in medicine, have taken their toll on physicians of all specialties, including ours.


Working with Cardiologists: From Heresy to Dogma
STS News, Fall 2017 -- After completing my cardiothoracic surgery training in 1992, I joined a private practice cardiac surgery group in Pennsylvania. As the 90s progressed, the challenges to private practice began to mount.


Timely Extubation in Cardiac Surgery: A Team Sport?
STS News, Summer 2017 -- With recent efforts by the Centers for Medicare & Medicaid Services to bundle payments for cardiac surgical services, alternative payment models (APMs) are now front and center in health care reform. An emphasis has been placed on coordination of care and stakeholder collaboration. Payer demand for value is here to stay.


How Cardiothoracic Surgeons Can Excel in an Employment Model Environment
STS News, Spring 2017 -- Proposed changes in health care finance and delivery have stimulated renewed interest in securing our specialty’s place in this new order. At the 2017 Practice Management Summit, several experts shared how cardiothoracic surgeons can best function in this evolving environment.


Bundled Payments for CABG: What CT Surgeons Need to Know
STS News, Winter 2017 -- Since the passage of the Affordable Care Act, CMS has been seeking to promote cooperative, value-based care. Alternative payment models are one way CMS is attempting to drive quality and value.


The Importance of the Cardiovascular Service Line in the Shift to Value
STS News, Fall 2016 -- As health care reimbursement continues to shift from fee-for-service to a value-based model, organizations must continually evolve to ensure their success. Providing care in a value-based framework essentially requires delivering evidence-based, high-quality care in an efficient, cost-effective manner and being transparent about outcomes.


Shift from Volume to Value Drives Hospital Employment, Changes Compensation Models
STS News, Summer 2016 -- The increasing emphasis on quality over quantity is driving a number of changes in cardiothoracic surgical practice, and cardiothoracic surgeons are well-positioned to take advantage of these opportunities.