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CONTENTS Our Mission . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Cardiovascular Institute of the South’s Story . . . . . . . . . . . . . 4 Primary Areas of Focus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 A Comprehensive Heart & Vascular Program . . . . . . . . . . . . 6 Leaders in Cardiovascular Research & Technology . . . . . . . . . 7 Committed to Sharing Our Knowledge . . . . . . . . . . . . . . . . . . . . 8 Advancing Cardiovascular Care . . . . . . . . . . . . . . . . . . . . 10 CIS Virtual Care Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 The CIS Model . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 What CIS Can Do for Your Organization . . . . . . . . . . . . . . . . . . 16 A Continuing Tradition of Quality . . . . . . . . . . . . . . . . . . . . . 21



WITH A 35–YEAR PROVEN TRACK RECORD OF SUCCESS, Cardiovascular Institute of the South (CIS) is expanding upon our mission by offering physician and management services to health systems across the globe. Our vast knowledge, experience and achievement in managing cardiovascular service lines and designing custom solutions serve as the foundation for strategic partnerships that are cooperative and mutually beneficial to all.



OUR MISSION Our mission is to provide our patients the highest quality cardiovascular care available. We pledge ourselves to: TECHNOLOGICAL SUPERIORITY to assure the best means of diagnosis and treatment.

RESEARCH so that our experience and commitment help create the next generation of techniques and technologies.

EDUCATION by our never-ending pursuit of knowledge and our ongoing commitment to share state-of-the-art medical care with present and future leaders in the field of medicine, our community and patients.

COMPASSION to keep forever before us the goal of achieving the best possible medical results with the least possible discomfort.

COMMUNICATION by word and deed, of our respectful appreciation for our patients as fellow beings who have honored us with their trust in our abilities and humanity.



OUR STORY Three Decades of Advancement and Innovation CIS was founded in 1983 by Dr. Craig Walker who first established the company as a one-physician practice in Houma, Louisiana. At that time, the city was experiencing one of the highest cardiovascular disease mortality rates in the nation. With its economy closely tied to offshore oil drilling,

international significance. In 2015, CIS was one of

Houma was suffering the effects of a downturn in

four sites in the U.S. chosen to use the IN.PACT

the petrochemical industry, and the city’s medical

Admiral device. These are just a handful of the

resources were limited. Under Dr. Walker’s guidance,

many “firsts” that our physicians have achieved.

Cardiovascular Institute of the South took on those

Additionally, our research team continues to enroll

challenges, ultimately seeing positive change from

in an average of 30 trials per year, ensuring that our

its efforts.

organization remains at the forefront of technology in order to provide our patients with the most

In the last 35 years, mortality rates due to

advanced and comprehensive care available.

heart disease have significantly decreased in South Louisiana, an improvement due in no

Today, CIS continues to grow and expand to multiple

small part to CIS’s presence in the region, as

locations, striving to make the most advanced

well as Dr. Walker’s ability to recruit highly-skilled

cardiovascular care accessible to a wide spectrum

physicians. Subsequently, CIS has expanded to

of communities across the United States. We believe

other communities and continues to grow today.

that our unwavering dedication to the CIS mission

Over the past three decades, the organization

of providing the highest-quality cardiovascular care

has transformed from a single-physician practice

has truly been the cornerstone of this successful

to a world-renowned institute with more than 55

growth. For us, providing world-class patient care

physicians and 700 team members in 21 cities

is not a skill; it is an attitude – one that motivates

across Louisiana and Mississippi.

us to consistently achieve high levels of patient and employee satisfaction. Our commitment to quality

CIS has earned an international reputation for

has translated to unparalleled expertise throughout

its significant contributions to the advancement

our organization, from the board of directors,

and development of non-surgical treatments for

administrative and management teams, to our

cardiovascular disease. The institute was one of

clinical staff and many other valuable resources.

10 sites chosen to participate in the first coronary

This expertise, once available exclusively in Louisiana,

stent trial in 1989. Advanced research trials have

is now available to health systems around the globe.

routinely been awarded to the institute for many

We would be honored to share the CIS model of

years, including a 2011 selection as a primary

success with your organization.

investigator in a percutaneous valve trial of





Cardiovascular Disease CIS is a global leader in the prevention, detection and treatment of cardiovascular disease with an international reputation for advancing leading-edge technologies and procedures. CIS also has a Structural Heart Program that uses minimally-invasive catheterization procedures to treat lifethreatening structural heart disorders.


17% 11% 6%

Carotid Artery Disease

Cerebrovascular Disease Experts at CIS treat patients with cerebrovascular disease which effects blood vessels in the brain. CIS physicians assess patients to determine the cause of the stroke, and if an artery is blocked, all treatment options are considered.

CIS physicians have pioneered the use of carotid angioplasty and stenting to treat carotid artery disease. This minimally-invasive treatment method is a groundbraking alternative to surgical options that previously prevailed as the only source of treatment. Our physicians evaluate each patient on a case-bycase basis to determine the best course of treatment.

Peripheral Artery Disease Venous Disease Our expert physicians also diagnose and treat venous reflux disease with minimallyinvasive procedures, resulting in less pain and quicker recoveries for patients. The CIS vein centers offer services such as duplex ultrasound, radiofrequency (RF) ablation, endovenous laser therapy, sclerotherapy, and phlebectomy, all of which are performed with a clinic setting.

CIS is globally recognized for high-profile advancements in the development of non-surgical treatments of peripheral artery disease (PAD). Through the use of interventional procedures to eliminate the need for amputations, we are able to save limbs and lives. With the institute positioned on the leading edge of today’s cardiovascular technology, our patients can rest assured that their individual cases will undergo thorough review, and all available treatment options will be considered.



A Comprehensive Heart and Vascular Program CIS provides an extensive roster of cardiovascular services administered by specialized medical professionals trained in nuclear cardiology, electrophysiology, prevention services and lipid management, as well as interventional cardiovascular and peripheral artery disease (PAD) procedures. CIS has made significant contributions to the development of non-surgical treatments for cardiovascular disease and has established a robust Structural Heart Program for the innovative and minimally-invasive treatment of valve disorders and heart defects. CIS’s position as a leader in cardiovascular patient care and our implementation of new technologies assures patients that each case is thoroughly reviewed and all available treatment options are considered.

Diagnostic Services

Interventional Procedures

80-Slice CT Scanning

Abdominal Aortic Aneurysm Repair (EVAR)

Calcium-Score Heart Scan

Automated Internal Cardiac Defibrillator Insertion

Cardiac Computed Tomography

Balloon Angioplasty/Stent

Cardiac Rhythm Monitoring

Balloon Valvuloplasty

Cardiopulmonary Exercise Testing (CPET)

Cardiac Catheterization

Coumadin Care

Carotid Stenting


Coronary Fistula Closure

Laboratory Testing

Coronary Atherectomy

Nuclear and Stress Testing

Electrophysiology Studies

Pacemaker Testing

Fenestrated Endovascular Aortic Repair (FEVAR)

Positron Emission Tomography (PET) Scanning

Inferior Vena Cava Filters

Transesophageal Echocardiogram (TEE)

Intracoronary Ultrasound

Vascular Ultrasound

Invasive Interventional Procedures

Vein Ablation

Laser Atherectomy

Vein Phlebectomy

Left Atrial Appendage Closure Ligation Left Ventricular Support (Impella and ECMO) Mitral Valve Repair (MitraClip) Pacemaker Insertion Patent Foramen Ovale (PFO) Peripheral Arterial Interventions Radio Frequency Ablation Thoracic Endovascular Aortic Repair (TEVAR) Thrombolysis Transcatheter Aortic Valve Repair (TAVR) Transcatheter Paravalvular Leak Closure



Leaders in Cardiovascular Research and Technology CIS has not only earned an international reputation for providing state-of-the-art heart and vascular care, but has also received international acclaim as a leader of research and development in the field, participating in a growing number of research trials. CIS physicians serve as clinical investigators for many new and innovative medical devices, often sharing their knowledge by lecturing around the country about the latest methods of treating both cardiac and peripheral artery disease.

Since its inception, CIS has been at the forefront of interventional cardiovascular research. We strive to provide patients with the best clinical outcomes possible, utilizing the most advanced technology available. In line with this mission, the institute offers minimally-invasive options for high-risk heart disease patients – providing them with hope that their condition can be treated.

CIS is currently participating in more than 30 research trials relating to the following conditions and technologies:

Arrhythmias Coronary Artery Disease Carotid Artery Disease Cholesterol Closure/Catheter Device Cardiovascular Disease Drug-Coated Balloons Heart Failure Hypertension Peripheral Artery Disease Permanent Pacemakers & Implantable Cardioverter Defibrillators Valves



Committed to Sharing Our Knowledge New Cardiovascular Horizons (NCVH) At CIS, we place great emphasis on sharing our expertise and knowledge with our peers. CIS is an accredited provider of continuing medical education services for cardiovascular physicians. CIS President Dr. Craig Walker is the co-founder and chairman for New Cardiovascular Horizons, a multi-disciplinary peripheral artery disease (PAD) conference focusing on critical limb ischemia (CLI). NCVH has become the largest peripheral intervention conference in the U.S. with events in 14 different U.S. cities and conferences in China, Costa Rica, Colombia, and Mexico, educating approximately 5,000 medical professionals annually. The conference is as assembly of world-renowned experts in the field of peripheral artery disease and educates and trains medical professionals from around the globe on the latest techniques to treat coronary and peripheral artery disease.

NCVH features presentations infused with live satellite broadcasts displaying real-time interventional procedures transmitted from locations around the world. This state-of-the-art technology enriches the learning experience by allowing attendees to explore and discuss strategies as they are being executed in real-time. NCVH highlights the most recent advancements in the field of revascularization, providing actionable clinical insights in the areas of leading-edge intervention techniques, technology and education to support optimal outcomes for patients with PAD and CLI. Didactic lectures on the scope of PAD, diagnostic screening tools, device selection and access approaches are reinforced with hands-on opportunities at workshop stations led by industry representatives. All NCVH programs encourage course directors and internationally-acclaimed faculty to develop innovative, contemporary content that fosters interaction among attendees.

Horizons International Peripheral Group (HIPG) CIS Founder Dr. Craig Walker also founded Horizons International Peripheral Group (HIPG) to provide information to the medical community and the public about peripheral interventions and amputation prevention. The HIPG group, made up of physicians representing a blend of U.S. and international experts, works together with a focus on PAD methods of detection and advanced treatment alternatives. HIPG provides its members with access to clinical trials and research, speaking engagements, committee assignments and conference management services.



Fellowship Program CIS has an established fellowship program for cardiology fellows who have completed interventional training and is poised to develop a fellowship program internationally to accommodate the ever-expanding needs of the industry abroad. With the establishment of one-year fellowships focused on PAD diagnosis and treatment, CIS is meeting its mission to educate the PAD experts of the future.

Academic Affiliations CIS maintains strong academic affiliations with Louisiana State University Health Science Center (LSUHSC) as well as Tulane University School of Medicine. We also direct the cardiology fellowship program for LSUHSC at University Hospital and Clinics in Lafayette, Louisiana. CIS physicians work with residents on a routine basis to share the latest medical terminology and provide hands-on guidance to medical leaders in the field of medicine. As part of our commitment to advancing the treatment of PAD, CIS hosts a gloves-on PAD training program where physicians work directly with CIS physicians to learn the latest techniques to effectively treat PAD and expand the minimally-invasive, non-surgical, endovascular treatment of PAD nationwide. Dr. Craig Walker has trained more than 2,000 physicians as part of the gloves-on training program that is focused on PAD interventions.



Advancing Cardiovascular Care Through Innovative Solutions CIS provides physician and hospital organizations with products and services designed to help improve efficiencies and elevate our quality of patient care. From utilizing software applications for cardiovascular diagnostics and information management to implementing chest pain observation units and telecardiology services, we are dedicated to helping our partners achieve the same high-level of quality cardiovascular care that CIS has built a worldwide reputation on.

Cardiology-Specific EHR Contemporary software solutions servicing cardiovascular product lines lack the ability to provide a comprehensive view of contextual patient data to aid clinical practice. In response, CIS interventional cardiologist Dr. Vinod Nair developed a proprietary electronic health record, Objective Medical Systems (OMS), which is tailored to the unique needs of cardiovascular specialists. With its current suite of markettested products and deep clinical expertise, OMS is uniquely positioned to be the leader in cardiovascular information management in the U.S. by bringing forth a truly integrated platform spanning across EHRs, diagnostic test reporting, remote monitoring, chronic disease management and analytics.

CIS Patient Portal and Mobile App The CIS CardioConnect Patient Portal and Mobile App allow patients convenient, secure access to their health record, including lab results and the ability to request medication refills and appointments. The CIS CardioConnect mobile app can be downloaded from the Apple App Store. It is currently only available on Apple mobile devices.



CIS Virtual Care Center Advancing Cardiovascular Care Through Innovative Technology The CIS Virtual Care Center staffs a 24/7 nurse practitioner and nursing support team to offer increased access to care for patients. This team refills prescriptions, as well as addresses symptoms, patient concerns and follow-up care. The CIS Virtual Care Center also enhances care options for our patients by providing unique programs such as Telecardiology, Cardio@Home remote patient monitoring, and more. These programs feature state-of-the-art technology, increasing access to care, improving outcomes and enhancing communication between the patient and the provider.



CIS Virtual Care Center Programs CIS Telecardiology CIS offers telecardiology services to remotely-located hospitals, allowing patients to receive world class cardiology care without leaving their community. CIS telecardiologists provide consultations in the emergengy room and on the department floor, improving access to care and reducing hospital costs. By partnering with CIS, hospitals can enhance patient and physician satisfaction and improve continuity of care, subsequently leading to better patient outcomes. Success is measured by response time in the ER, patient satisfaction and the positive financial impact on the hospital.

CIS Cardio@Home Cardio@Home utilizes state-of-the-art technology to remotely monitor patients at home, providing consistent, continual care when needed. The Cardio@Home care team features physicians, nurses and hospital case management employees that all work together toward the common goal of improving patients’ health and well-being. Family members are also integrated into the care plan to provide extra support. This remote patient monitoring program reduces risk of readmissions and improves quality of life for patients, who can have peace of mind knowing that their care is consistently being monitored when leaving a hospital.



Rhythm Management Remote monitoring has become the national standard of care for patients receiving cardiac rhythm management devices. It allows us to constantly monitor patients and ensure that they are receiving the very best care. Studies show that remote monitoring increases survival rates and reduces ER visits, re-hospitalization, length of hospital stay and office visits.

Coumadin Remote Patient Monitoring Our Coumadin monitoring system offers patients the capability to have their Coumadin checked in the comfort of their own home. This saves time, provides consistency and frequency of reporting and offers easy integration with technology and electronic health records.

Chronic Care Management OMS C3 allows a CIS provider to connect with patients via non-face to face visits such as phone calls, emails, text messages and videos to help patients monitor their chronic conditions. OMS C3 is a way to increase interactions with our patients to improve their overall care. In addition, more frequent patient/provider interactions lower the cost of care, mortality rates and hospital readmissions, while increasing patient compliance, enhancing documentation and medication reconciliation, and improving patients’ quality of life overall.



The CIS Model: A Key Component of our Success The CIS model begins with an understanding of physician practice and hospital cultures. It is critical that both entities are respectful of each other’s cultures and that we never lose focus of our mission to offer the best care possible to our patients. An integral part of CIS’s success has been our ability to attract exceptional talent. Once we identify and employ team members, they are integrated into the CIS culture by spending a substantial amount of time with our corporate team and with our experienced hospital partners. We believe that hiring the best people, immersing them into a patient-centered culture and then focusing on the tasks at hand invariably leads to lasting success.

As the healthcare community begins to assimilate data and create long-term strategies for addressing population health management, a crucial nexus will come with the alignment of physicians and hospitals. The CIS co-management model has an added benefit of appealing to today’s new generation of physicians who are trained in, and also believe in, the hospitalphysician alignment model. By becoming part of this model, these physicians get to participate in hospital projects, committee meetings, strategic planning and other hospitalbased events with a feeling of inclusion and ownership. In the long term, these activities build lasting relationships that benefit the patients, the hospital and the community.

In creating a successful co-management model, all parties have to agree to devote their time and expertise in the development of common goals, objectives and metrics. The vision of all parties must be aligned in order to facilitate the development of meaningful metrics. CIS’s many agreements often have very similar metrics in place, as most hospitals currently have consistent goals to achieve. Quality is always paramount to our hospital partners, closely followed by supply cost control and efficiencies.



WHAT CIS CAN DO FOR YOUR ORGANIZATION Partnerships Centered on Excellence in Cardiovascular Care

CIS brings experience, expertise and a proven record of success to your organization’s cardiovascular program. From the moment a patient walks through your doors, we look after all their needs, both inside your facility and in an outpatient setting. Our expert team is trained to provide care in both settings and extend education to your staff to ensure confidence, competence and compassion. In short, CIS becomes your partner and a part of your organization. CIS’s experience allows us to identify the unique needs of health systems and their communities, regardless of bed count or population size. Our seasoned executive team works closely with an in-house project analyst to complete a comprehensive assessment based on your current market, patient volume, payer mix, environmental demographics and other factors specific to your organization. CIS is dedicated to working with your administration to design a delivery-of-care model that is suitable for your environment and establish your reputation as a leader in cardiovascular excellence.


“Lane Regional Medical Center has partnered with CIS since August of 2006. It has been a pleasure working with them to bring first-class cardiovascular services to the Zachary region. Together we save lives and improve health, which is a win for everyone.” –Randall M. Olson, former CEO Lane Regional Medical Center Zachary, Louisiana


“Terrebonne General Medical Center (TGMC) has a longstanding partnership with CIS. We are proud to be their flagship hospital for over thirty years and appreciate the ingenuity and talent that CIS Physicians and TGMC staff provide by bringing worldclass cardiovascular care to our community, residents of the U.S. and patients in countries throughout the world.” –Phyllis Peoples, President/CEO Terrebonne General Medical Center Houma, Louisiana




“Our partnership with CIS has transformed cardiac care at Lafayette General. It truly is a ‘partnership’ with a shared vision and focus on excellence. Our inpatient cardiac service has improved well beyond our expectations in both quality and cost efficiency.” –David L. Callecod, FACHE, President/former CEO Lafayette General Medical Center Lafayette, Louisiana

CIS Provides a Diverse Range of Services

Cardiovascular Service Line Management Having consistent alignment with our goals requires leadership on the ground. In smaller hospitals, this individual can often be the cath lab director. In larger hospitals, a cardiovascular administrator is needed. This person has overall responsibility for the program and is well-versed in cardiology, hospital operations, budgeting, financial analysis and human resource management.

Whether your facility is enhancing its existing

Cath Lab Management The key to an efficiently-managed cath lab is having it staffed by a cath lab

cardiovascular service line or

director that understands the clinical needs of the patients, the expectations

implementing a new program,

of the cardiologists and the support needs of the staff. CIS cath lab directors

a partnership arrangement

work under the guidance of the physicians and the cardiovascular administrator.

with CIS provides a diverse

Clinical Nurse Support

range of services to fulfill

CIS registered nurses and nurse practitioners are present on the hospital

your needs, including:

floors in addition to the hospital’s nursing staff.

Clinical research CIS will partner with affiliate hospitals as a host site for device trials, drug trials and data collection studies for major pharmaceutical and device companies.

Continuing Medical Education (CME) for Hospital Staff As an accredited provider of continuing medical education, CIS cardiologists, nurse practitioners and cath lab directors will prepare and present educational activities to the hospital staff.

Comprehensive Cardiovascular Practice Whether your community is in need of a new cardiovascular practice or if there is a need for a consolidation of practices, CIS will build a practice and cardiology program to meet your specific needs, including recruiting and staffing physicians.

Development of Clinical Pathways Based on clinical guidelines, CIS team members will design a tool detailing processes of care that will standardize patient care and reduce resource utilization.

Facility Design and Technology Improvement CIS leadership will guide your administrative team in the development or renovation of cardiology diagnostic centers, hybrid surgical suites and cardiac cath labs.

Physician Extenders CIS is a strong proponent of utilizing nurse practitioners and registered nurses as extenders of care to our patients. Our NPs and RNs work with the cardiologists to assure that patients in the hospital are provided the highest-quality care while physician time is utilized effectively.

Professional Interpretations for Diagnostics CIS physicians will be responsible for interpreting and reporting results for cardiac-related testing.

24/7 Physician/Nurse Practitioner Call Coverage The cardiovascular administrator ensures that a “call team” is always scheduled and he/she will consistently measure door-to-balloon time. On-call cardiologists and nurse practitioners assure that every hospital and physician request is answered 24 hours per day, every day.



Implementation Strategy The CIS implementation strategy is a phased-in approach designed to establish a new methodology of cardiovascular care for our hospital and physician partners. The typical objectives may include the following: Implementation of a cardiovascular service line organizational structure that bridges all sites of care Promoting cultural and operational integration of new cardiovascular partners Identifying opportunities for standardizing operations and clinical protocols across care sites to ensure consistent cost and quality performance Seeking opportunities to provide cost-effective care by exploring clinical regionalization Identifying physician champions and utilizing them as facilitators of change Identifying high-risk patients before discharge and coordinating their care through the transitional care team Improving collaboration between departments by use of CIS physician extenders to better treat patients with multiple co-morbidities Improving referring physician alignment with CIS hospital partners by streamlining the referral process and by ensuring a follow-up system Working collaboratively with CIS hospital partners to effectively market cardiovascular services Collaborating with the New Cardiovascular Horizons (NCVH) conference to effectively create an education mechanism for physicians and all healthcare providers in the community



You Evaluate Our Performance CIS pledges to deliver an outstanding cardiovascular program that is sensitive to your organization’s budgetary goals. This is validated through yearly performance evaluations sanctioned in our contracts that will detail the standards we have developed to confirm our promise of managing your operating expenses.

Performance benchmarks are established for:






Improving Patient Outcomes

Creating Excellent Patient Experiences

Ensuring Financial Profitability

Promoting Staff Development

Improving Throughput of Patient Care

Quality performance outcomes are analyzed with hospital administration, physicians and staff for improvement of care.

We utilize hospital and clinician and Group Consumer Assessment of Healthcare Providers and Systems to monitor and interpret patients’ perception of their experience.

We strive to increase efficiencies in all processes to reduce cost.

Education is provided to improve cardiovascular care expertise for all staff.

We design a physician rounding schedule that is made for optimal patient care delivery.

Productivity that Exceeds Expectations Cardiology continues to be one of the most profitable service lines for health systems

2017 Work Relative Value Units per Calculated CV Physician for All Practices 19,000

worldwide. With this fact in mind, CIS is dedicated to continuously monitoring the


productivity of our physicians and working 75% = 11,860 50% = 10,299

with our partner hospital administrators to achieve financial goals. CIS regularly reports


25% = 8,293

financial and procedural metrics to MedAxiom, a cardiology-specific, subscription-based resource


that performs customized benchmarking and trending analyses comparing our performance with thousands of cardiologists. Our physicians consistently score above the 75th percentile,

0 17,243 (CIS)

reaching as high as the 98th percentile for productivity in the year 2017.



Cardiovascular Solutions Designed to Help Health Systems Thrive

CIS offers solutions in alignment with your health system’s strategic goals for cardiovascular services. For hospitals worldwide, cardiovascular programs represent a cornerstone of financial well-being. Cardiology services alone can be responsible for more than 40 percent of a facility’s contribution margin. However, it can be difficult for health systems to offer superior patient care and to recruit and retain physicians in competitive markets while operating under strict budget requirements. Adding to the problem is the fact that there is a growing shortage of cardiologists worldwide. How can hospitals continue to thrive while facing these challenges? CIS recognizes the traditional strengths of hospitals and the modern challenges they face, and we can help your organization launch and maintain a cardiology practice, develop a cardiovascular service line or invigorate its existing program. We offer customizable management solutions designed to meet the needs of your facility, addressing various aspects of your cardiovascular program, from managing costs and evaluating opportunities, program growth and development, to exceeding all cardiology core measures.



225 Dunn Street 225 Dunn Street Houma, 70360 Houma, LALA 70360 Toll Free: (800) 445-9676 Toll Free: (800) 445-9676 (985) 876-0300 Ph:Ph: (985) 876-0300 CARDIO.COM CARDIO.COM

Cardiovascular Institute of the South Management Services  
Cardiovascular Institute of the South Management Services