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About CCA: History
The concept for CCA emerged originally from the Vanderbilt University Medical Center and Renal Care Group, Inc., where co-founders Harry Jacobson, M.D., Sam Brooks, and John Dayani, Sr., Ph.D. started CCA to transfer their vision for providing premier quality outpatient services in partnership with cardiologists into the private, for-profit sector.
About CCA: Model
CCA acquires, develops, and operates outpatient cath labs and CT angiography suites in partnership with cardiology groups. By partnering with cardiology practices to develop outpatient facility-based services, CCA helps expand the volume of patients treated, deliver cardiovascular services more efficiently, and improve patient outcomes. As a result, CCA enables its cardiologist partners to capture ancillary revenue streams previously ceded to hospitals and other specialists.
Unlike other specialists, cardiologists have not benefited significantly from an ancillary services partner to assist them in capitalizing on the technology- and reimbursement-driven migration of procedures from the inpatient to the outpatient setting. The CCA model, which includes ownership and management of outpatient cath labs, is designed to improve the operating efficiency of cardiology groups, increase patient satisfaction, and increase practice revenue. Just as surgeons and nephrologists have realized the need for professional management of their outpatient surgery facilities and dialysis centers, cardiologists benefit from CCA’s management of established or newly-developed facilities.
 Our practice-based outpatient facilities are licensed Independent Diagnostic and Testing Facilities equipped for diagnostic coronary and peripheral arterial catheterizations, peripheral interventions, and CT angiography. The size of our typical cath lab is approximately 6,000 square feet including the lab, 6 pre- and post-procedure patient rooms, and areas for reception and administration. The size of a typical CT suite is approximately 1,000 square feet.
Our cost structure allows us to charge less for our services than a hospital, due to lower development costs, more efficient scheduling, more cost-effective use of space and personnel, and a narrower range of procedures performed.
Our facilities are operated as a partnership between cardiology groups and CCA. Our physician partners focus on providing clinical care. CCA staffs clinical support personnel and provides billing, collections, financial reporting, accreditation, administrative management, and oversight of clinical services. Each outpatient lab is governed by a local Board with equal representation by the cardiology group and CCA. The Board meets quarterly to review clinical and financial performance.
CCA’s Medical Advisory Board is comprised of physician partners. The Board’s mandate is to optimize quality of care delivered in our facilities and to advise the company on clinical issues. The Board establishes quality indicators and sets goals; defines, measures and tracks process and clinical outcomes; implements continuous quality improvement programs; analyzes expected and observed outcomes and reports these to the facilities; uses data to improve practice and patient outcomes; and shares lessons from affiliated practices. The Board has quarterly calls and meets annually.
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