Leading Causes: A Podcast by New Century Health

• Episode 7: Underuse In Cardiology Is Under-Appreciated. How Do We Change That?

  Underuse of evidence-based care is rampant in cardiology, with serious impacts on patient outcomes and costs. Yet, it gets much less attention, and prior authorization programs are blind to underuse. They deal only with services that have been requested, not those that have been omitted. This episode of Leading Causes explores examples of underuse, the reasons that high-value services are not used more frequently in cardiovascular care, and strategies to improve appropriate delivery of care. NCH Senior Medical Director of Cardiology, Dr. Fernando Villacian, is joined by Dr. Nihar Desai, Associate Professor of Medicine and Associate Chief of the Section of Cardiovascular Medicine at Yale University School of Medicine, and Medical Director for Value Innovation at the Yale New Haven Health System, and Dr. Ileana Piña, Clinical Professor at Central Michigan University and past chair of the American Heart Association’s Council on Clinical Cardiology.

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  16:09

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• Episode 6: Why Don't More Cardiology Patients Get Optimal Medication Therapy?

  GDMT, or guideline-directed medical therapy, means taking the right medications at the optimal doses to treat cardiovascular problems. There's strong evidence that for many patients, GDMT is equivalent to, or better than, cardiovascular procedures, which are more costly. Yet these medications are chronically underused.In this episode, we delve into this problem, the reasons for it and what might be done to improve the situation. NCH Senior Medical Director of Cardiology, Dr. Fernando Villacian, is joined by Dr. Nihar Desai, Associate Professor of Medicine and Associate Chief of the Section of Cardiovascular Medicine at Yale University School of Medicine, and Medical Director for Value Innovation at the Yale New Haven Health System, and Dr. Ileana Piña, Clinical Professor at Central Michigan University and past chair of the American Heart Association’s Council on Clinical Cardiology.

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• Episode 5: Will COVID-19 Change What Is Considered Appropriate Use in Cardiology?

  Every day, cardiologists make decisions about what is the most appropriate test, therapy, or procedure for their patients. But then COVID-19 came along. And the more we learned about how the virus wreaks havoc on the cardiovascular system, many of us started to wonder: Have the rules of the game changed?In this episode, NCH Senior Medical Director of Cardiology Dr. Fernando Villacian discusses this important topic with two cardiologists who are not only treating individuals, but also reviewing clinical guidelines in response to COVID-19 and developing new policies in their hospitals: Dr. Nihar Desai, Associate Professor of Medicine and Associate Chief of the Section of Cardiovascular Medicine at Yale University School of Medicine and Medical Director for Value Innovation at the Yale New Haven Health System, and Dr. Ileana Piña, Clinical Professor at Central Michigan University and past chair of the American Heart Association’s Council on Clinical Cardiology.

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• Episode 4: Keeping Up in the New Era of Cancer Care

  From cytotoxic chemotherapy to targeted therapy: we’ve entered a new era of cancer care. What is life like as a provider in this new era? How can oncologists keep up with the latest science? Dr. Vinay Prasad, Hematologist-Oncologist; Associate Professor of Medicine, University of California San Francisco; and best-selling author of Malignant: How Bad Policy and Bad Evidence Harm People with Cancer, and Dr. Andrew Hertler, Chief Medical Officer with New Century Health join us to explore this topic.

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• Episode 3: Debunking the Myths Surrounding Palliative Care

  Palliative care—supportive care—is a glaring need in cancer care, but myths, misconceptions and mixed messages create barriers for broader palliative program implementation. Dr. Vinay Prasad, Hematologist-Oncologist; Associate Professor of Medicine, University of California San Francisco; and best-selling author of Malignant: How Bad Policy and Bad Evidence Harm People with Cancer, and Dr. Andrew Hertler, Chief Medical Officer with New Century Health join us to explore this topic.

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