In this Issue. Collaboration between Primary Care Veterinarians and board certified veterinary cardiologists leads to longer, healthier life for pets

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In this Issue COVER Collaboration between Primary Care Veterinarians and Board Certified Veterinary Cardiologists. Page 4 New Residents Spring Survey Winner Collaboration between Primary Care Veterinarians and board certified veterinary cardiologists leads to longer, Published in JAVMA, July 2016 Opening October 2016 New Columbia, MD Location CVCA Cardiac Care for Pets in Chesapeake Veterinary Referral Center 10000 Old Columbia Road Columbia, MD 21046 healthier life for pets By: Bonnie Lefbom, DVM, Diplomate, ACVIM (Cardiology) and Neal Peckens, DVM, Diplomate, ACVIM (Cardiology) Page 5 Page 6 Fairfax, VA Frederick, MD Richmond, VA Breakfast & Learns and Lunch & Learns Page 7 Client Handouts & Supply Request Forms Email: info@cvcavets.com Veterinary medicine has benefited from a societal shift in the perception of the companion animal, with family pets increasingly being considered a member of the family. This evolving attitude concerning our pets increases the demand for state-of-the art medicine and specialized care. In our industry we have seen a proliferation of 24-hour care emergency/specialty hospitals that have delivered the opportunity to provide our patients with exceptional health care. Valid questions remain regarding which patients benefit from referral to a specialist and to what extent specialty care provides measurable benefits with regard to outcomes or quality of life. Logically, the expectation is that the specialized breadth of study and cumulative focused clinical experience of the specialist should result in improved diagnostic accuracy, optimal treatment plans, and improved outcomes, but there is little objective evidence of this within veterinary medicine. Additionally, there is a concern among some veterinarians that referral medicine will lead to a loss of in-house revenue which can influence the decision of referral recommendation. cont d on page 2 1

cont d on front page: Collaboration between Primary Care Veterinarians. We decided to explore the dynamics of referral medicine with a retrospective study looking at both the survival time of canine congestive heart failure patients and the primary care veterinarian s revenue during that time period. We grouped them based on patients referred with ongoing collaborative care with CVCA and compared their outcomes to patients managed within the primary hospital. We reviewed the records of four referring hospitals over five years and identified 107 potential patients, but due to strict exclusion criteria we were only able to include 26 patients. However, what we found was of interest and statistically significant. Patients referred for a consultation with CVCA had a 75% increase in their survival time compared to patients managed in-hospital which was statistically significant (254 days vs. 146 days; P=0.012). Additionally, there was a statistically significant correlation between survival time and the revenue of the primary care veterinarian (P <0.001) with a 22% increase in revenue per patient referred. In short, better medicine can translate to better business and profitability. cont d on page 3 2

cont d on front page 3: Collaboration between Primary Care Veterinarians. The relationship between the specialist and primary care practitioner, in veterinary medicine as in human medicine, is one of support and partnership in order to deliver optimal care and improve the survival times and quality of life of each patient. Collaboration and communication between the specialist, primary care veterinarian and owner is paramount in veterinary medicine. This triad of care will not only provide for the best clinical outcome for our patients but also an enhanced business model for your practice. Questions, feel free to email CVCA at denise.kessler@cvcavets.com. # # # 3

Meet Julie Andrie and Kendra LaFauci, our newest residents! Meet Julie Andrie Julie Andrie graduated from the University of Pittsburgh with a Bachelor s degree. She then went on to attend Ross University for Veterinary School and completed her clinical year at Oklahoma State. After graduation from Oklahoma State, she went on to do her rotating internship at Kansas State University. Dr. Andrie loves spending time with her two German Shepherds, Jackson and Cooper, and her two cats, Weezy and Kira. Meet Kendra LaFauci Kendra LaFauci, graduated from Tufts University with a Bachelor s degree in Biology. She worked in various medical environments including the New England Aquarium, a small veterinary practice and a large human medical hospital in Boston. After a few years, she was fortunate enough to be able to return to Tufts veterinary school where she earned her Doctorate of Veterinary Medicine. After graduation, she went on to complete a rotating internship in small animal medicine and surgery at VCA Alameda East in Denver, CO. Thank You! Thank you to all of the primary care veterinarians who took the time to provide us feedback by filling out the Primary Care Veterinary Survey in May 2016. We encourage you to continue providing us feedback on a daily basis at any time by visiting at www.cvcavets.com and clicking on the Feedback button at the top of our home page. The winner of the Spring 2016 Starbucks Gift Card giveaway is: ST. FRANCIS ANIMAL HOSPITAL, FREDERICKSBURG, VA Dr. LaFauci s interests include hiking, traveling and trying new restaurants and breweries. She loves spending time with family and friends and is the proud best friend of a grumpy orange cat names TRex, stepmom to an oversized lap dog named Vince and sibling to a Newfoundland puppy named Seamus. # # # 4

Open 5 Days a Week Richmond Location Now open 4 days a week! Fairfax in VCA Southpaws Dogwood Veterinary Emergency & Specialty Center Phone: 804-497-8940 Fax: 804-497-8941 Email: cvcarichmond@cvcavets.com Web: www.cvcavets.com VCA Southpaws Veterinary Specialists and Emergency Center Phone: 571-348-3888 Fax: 571-395-8434 Email: cvcafairfax@cvcavets.com Web: www.cvcavets.com Frederick in CARE CARE Veterinary Center Phone: 240-457-4387 Fax: 240-457-4387 Email: cvcafrederick@cvcavets.com Web: www.cvcavets.com 5

Breakfast & Learns and Lunch & Learns Did you know CVCA offers morning or midday CE education opportunities at your practice (we bring the food too!). Lectures are AAVSB RACE approved so you can earn CE credits from your own hospital. How to request a morning or midday in house CE: Visit our website at: www.cvcavets.com Click on For Veterinarians and the Lunch n Learn Link Fill out the request form letting us know the topics you are interested in and the best day of the week for you. Click submit and someone from CVCA will be in touch with you. Questions, feel free to reach out to CVCA at denise.kessler@cvcavets.com. 6

Do you have a Supply Request Form and Client Education Binder? Request them on our website at: www.cvcavets.com/request-supply-form.asp Online Referral Forms Supply Request Forms Order client handouts, business cards, magnets, and more FREE of charge to you Questions, feel free to email Denise at: denise.kessler@cvcavets.com 7