ECG Management Consultants


At the heart of our cardiovascular (CV) services expertise is an understanding of the competencies needed to differentiate top-performing CV service lines. We have had the pleasure of working with premier CV programs, helping them build and develop service line strategies and structures. In addition, we have conducted industry-leading research to understand the mechanics of the best-in-class programs.

It is our fundamental belief that physicians are the foundation of any cardiac or cardiovascular program and are vital to program development and success, no matter the initiative being undertaken. Whether for program planning, a joint venture, operations improvement or new service development, we help cement partnerships between hospitals and physicians, leading to more successful CV programs over the long term.

Areas in which we routinely work with hospitals focusing on their cardiovascular programs include:

  • Service Line Development
  • Hospital/Physician Relationship Building
  • Strategic Planning
  • Physician Employment
  • Operations Improvement
  • Performance Measurement

Strategies for Superior Cardiovascular Service Line Performance

Published by HealthLeaders Media and written by cardiovascular service line and healthcare management experts within ECG, Strategies for Superior Cardiovascular Service Line Performance delivers sound strategy and business guidance for driving excellence in cardiovascular service line development and management.
Learn more.

Selected Projects

Developing a system-wide cardiac service line. Expand Minimize

ECG assisted a Midwest hospital system in developing a series of strategies designed to create a system-wide cardiac service line. While the system had developed a cardiac service line at its main campus, the four affiliated hospitals had not been integrated into the product offering. Over the course of the project, we created a management structure spanning the five hospitals, designed to ensure the system’s continued growth. In particular, the strategies focused on strengthening the system’s cardiac surgery offerings while ensuring that patients from outlying hospitals are routed to the main campus for tertiary cardiac care. Key to this was creating structures that aligned the goals of the CV providers with those of the hospitals and the health system as a whole. The end result was a comprehensive implementation plan, outlining key strategies and tactics, including a management dashboard used to monitor key performance indicators.

Designing the optimal hospital employment arrangement for a cardiology practice. Expand Minimize

ECG assisted a large, southern community hospital in developing an employment relationship with one of its largest cardiology practices. In the face of growing reimbursement risk and recruitment challenges, the cardiology group wished to pursue an employment arrangement with the hospital. We worked with both the hospital and cardiology group to understand their goals for an employment relationship, then created a term sheet which included compensation arrangements and employment constructs designed to meet the objectives of both parties, while creating a viable longterm relationship. Part of this assistance entailed analyzing the historical performance of the group, then creating a robust financial model to detail how the group could expect to perform under a hospital employment construct. The process resulted in the execution of the employment agreement and the creation of an optimized physician organization structure to ensure the continued growth of the CV service line.

Assessing cardiology referral patterns and crafting plans for a heart institute. Expand Minimize

ECG conducted a substantial cardiology planning engagement in which we evaluated the feasibility of developing a heart institute at a tertiary medical center. This process required coordination with both affiliated and non-affiliated cardiologists to develop buy-in for significantly changing referral patterns, expanding cardiologist rotations, and improving referral communications between cardiologists and community primary care physicians. Once a structure was developed, we provided interim management of the newly-formed heart institute until a permanent executive director was selected.

Assisting an academic medical center in developing a heart institute. Expand Minimize

ECG played an integral role working with senior leadership and the boards of the respective institutions to develop a heart institute at an AMC in the Southeast. This heart institute is now, an internationally recognized multidisciplinary center and represents a fully integrated service line across two separate entities – the clinical, research, and academic programs at the school of medicine and its faculty, and the resources of its affiliated teaching hospital a 900-bed regional tertiary referral center. Among other investments, the institute includes $225 million of new facilities, including an inpatient heart tower and separate outpatient care, research, and teaching complex. The institute builds upon a well established cardiovascular program that was started by the institute’s current director, a nationally renowned CV surgeon. ECG helped with all facets of this broad initiative, including initial model selection, business plan development, and implementation. As part of this initiative, we took a lead role in designing, developing, and implementing the country’s first fully consolidated academic department of cardiovascular sciences, which included the establishment of nontraditional divisions and a contemporary curriculum to teach and train cardiovascular specialists using today’s modern technology and techniques.