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Sensing Savvy

Roger DeLong, CP, PE, MBA

Roger DeLong is an engineer who also has over 20 years of experience as a certified clinical perfusionist. In his current role at Transonic Systems, he taps his expertise in both fields to design and create surgical measurement devices.

Recent Posts

4 Noteworthy Advances in Medical Technology in 2017

Posted by Roger DeLong, CP, PE, MBA on Mar 1, 2017 7:00:00 AM

The beginning of a new year is often a time of reflection and looking to the future, and the world of medicine is no different. In the past year, we have seen how new technologies have impacted cardiothoracic surgery as well as how technology influences interactions between patients and physicians.

Here, we look at more technology advances that can impact medicine in 2017.

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Topics: technology trends

Do Adult ECMO Outcomes Depend on Institutional Volume?

Posted by Roger DeLong, CP, PE, MBA on Feb 20, 2017 6:30:00 AM

Extracorporeal membrane oxygenation (ECMO) was instituted in 1972 as a last ditch effort to save children experiencing cardiac and or respiratory failure. During the first decades of ECMO therapy, it was not widely used in adults because studies had not shown benefits for the adult population. However, within the last decade with better ECMO technology, patient management and the H1N1 swine flu epidemic of 2007-2008 that left patients with adult respiratory distress syndrome (ARDS), there has been a significant increase in adult ECMO.

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Topics: Cardiovascular, cardiac care

What to Know About CMS' Hospital Payments Final Rule

Posted by Roger DeLong, CP, PE, MBA on Jan 3, 2017 7:00:00 AM

Since October, growth in rural physician practices owned by hospitals has increased by 102 percent, and the number of urban physician practices owned by hospitals increased by 77 percent.

The Centers for Medicare & Medicaid Services (CMS) wants to slow the trend of hospitals purchasing physician practices and highlight the broader health care reform changes that were adopted by President Obama and Congress.

In early November, CMS released its finalized updated payment rates and policy changes for the 2017 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System.

Here is what hospital leaders should know about CMS’s hospital payments final rule:

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Topics: Hospital Administration

What You Need to Know About the MACRA Final Rule

Posted by Roger DeLong, CP, PE, MBA on Dec 19, 2016 6:30:00 AM

In mid-October, CMS released the Medicare Access and CHIP Reauthorization Act final rule. As a refresher, healthcare delivery is shifting from a fee-for-service model to a value-based model, which means physicians will be reimbursed differently.

The legislation will take effect January 1, 2017. Here’s what you need to know about the MACRA final rule.

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Executives Speak Out About Preparing for Value-Based Care

Posted by Roger DeLong, CP, PE, MBA on Oct 24, 2016 7:00:00 AM

Providers are anxiously awaiting the Medicare Access and CHIP Reauthorization Act (MACRA) final rule that will be handed down this fall. Starting in January, data on the quality and efficacy of a physician’s care will be collected.

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Topics: Hospital Administration

What Hospital Administrators Should Know About Medical Tourism

Posted by Roger DeLong, CP, PE, MBA on Oct 17, 2016 7:00:00 AM

When David Dupray faced a $35,000 bill for a recommended stent placement for a left iliac artery stenosis, he was forced to consider his options. Instead of comparing procedures at hospitals in his area or even state, he left the country.

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Topics: Hospital Administration

How the CMS Cardiac Bundle Could Affect Your Hospital

Posted by Roger DeLong, CP, PE, MBA on Sep 28, 2016 6:30:00 AM

In late July, the Centers for Medicare and Medicaid Services (CMS) proposed a bundled payment program for cardiac procedures involving heart attacks and bypass surgeries.

This is part of the agency’s initiative to shift payment from quantity to quality incentives, which means hospitals will be accountable for the quality of care a patient received during their stay and for 90 days after their discharge.

Hospitals will be paid a fixed price for each round of care they provide. If a hospital hits higher quality targets while providing that care, it will be qualify for a higher payment.

Here is how the proposed CMS cardiac bundle could affect your hospital.

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Topics: Hospital Administration

How Surgeon Specialization Impacts Patient Outcomes

Posted by Roger DeLong, CP, PE, MBA on Sep 19, 2016 7:00:00 AM

The phrase “practice makes perfect” has never been more true than in surgery. Research shows that better outcomes are associated with an increased procedure volume. While practicing and completing procedures can affect patient outcomes, the British Medical Journal (BMJ) has found that specializing in a specific procedure may be just as important as the number of times you perform it.

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Topics: Clinical Trends, Cardiothoracic

How Design Thinking Can Improve Patient Experience

Posted by Roger DeLong, CP, PE, MBA on Aug 8, 2016 6:30:00 AM

An electronic mannequin is splayed on a stretcher in a fictional emergency department, shouting in pain. Nearby, an actor portraying that mannequin’s brother is frantic with worry. This isn’t a scene from a play. Rather, it’s a scene playing out in many top hospitals—an exercise in design thinking.

Exercises in design thinking put actual doctors and nurses at the bedside of fictitious patients where they interact with fictitious family members, all in an effort to improve patient experience.

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Topics: Hospital Administration

Do You Really Know Your Pump Flow?

Posted by Roger DeLong, CP, PE, MBA on Jul 13, 2016 6:30:00 AM

Adequately delivered blood flow is necessary for effective hemodialysis, which according to a 2008 national Japanese survey, was on average 197 ± 31 ml/min. With this in mind, a group of Japanese clinicians sought to find the discrepancies between actual delivered flow and the pump flow reported by the dialysis machine.

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Topics: Dialysis Delivered Blood Flow, Hemodialysis