Exploring the Spectrum of Cardiovascular Care

This supplement is the first of two reports that are based on the 2004 Medical Director Colloquy, an interactive forum between top medical managers and an expert faculty comprising medical and business professionals. Managed care decision makers seek to address the performance gap that exists in translating recent treatment advances in cardiovascular disease to common practice in ambulatory settings. This supplement allows readers to benefit from the exchange of ideas that occurred at the 2004 Medical Director Colloquy, including an overview of unwarranted practice variation, emerging therapies in anticoagulation, and advances in treating systolic heart failure that are aimed at disrupting the neurohormonal cascade.


  • Quality of care and geographic variations in rates of health care utilization
  • Available anticoagulants and anticoagulant management services
  • Rationale behind warfarin clinics
  • Heart failure and why it is often misdiagnosed
  • Effective care, preference-sensitive care, and supply-sensitive care