Cardiovascular Medicine at Reading Hospital: Update May 2018
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1 Cardiovascular Medicine at Reading Hospital: Update May 2018 Eric Elgin, MD, FSCAI, FACC Cardiology Section Chief Department of Medicine Reading Hospital Tower Health System
2 Nothing to disclose Disclosures
3 Outline Quality awards Value based cardiovascular care Research in the Cardiology section Update on where are we going
4 The Gold Seal of Approval is a symbol of quality that reflects an organization s commitment to providing safe and effective patient care. Regionally Ranked Hospital #7 in Pennsylvania
5
6
7 Value Based Care
8 Value based care Lean redesign process of the Cardiovascular service line Inpatient procedural areas Invasive and non-invasive testing programs Outpatient clinical areas Acute myocardial infarction bundled payment program Integration of the care of the heart attack patient across the care continuum Standardized work flows Outpatient care navigation Outcome and quality based performance metrics
9 Structural heart program TAVR Cerebral protection Intermediate risk patients FDA approved ASD closure PFO Closure Cryptogenic stroke patients Watchman- left atrial appendage occlusion Patients with increased bleeding risks associated with anticoagulant therapy for Atrial fibrillation
10 EP: Hybrid procedures Hybrid Ex-maze- RFA ablation for Atrial Fibrillation Epicardial ablation Left atrial appendage ligation with AtriaClip Traditional endocardial ablation
11 Non-invasive Cardiology 3D TEE Interventional TEE support Increased use of hybrid imaging for Transcatheter procedures ASD/PFO Closures Watchman left atrial appendage closures
12 3D TEE Guidance for Transcatheter Procedures
13 Cardiology collaboration Structural heart disease: Cardiothoracic surgery Valve Center Left atrial appendage closure program Coronary artery disease: Cardiothoracic surgery Hybrid revascularization strategies Heart failure: Hospitalists-Heart Failure Clinic-Primary Care Physicians Continuum Drug titration protocols Communication tools in Epic to drive successful transitions of care Pulmonary Hypertension: Pulmonary HTN Center Dr. Smith, Dr. Mirani, Dr. Hope Cryptogenic Stroke: Vascular Neurology Service Dr. Hoerst, Jody Kilpatrick, CRNP Anticoagulation Clinic: Pharmacy-Hospitalists-Primary Care Physicians
14 Research in the Cardiology Section REHAB-HF: Rehabilitation Heart Failure Study: Dr. Green, Dr. Crozier, Dr. Mercogiliano Actively enrolling FDI-116 Fujirebio Diagnostics, Inc Dr. Green Evaluate new cut-off value for BNP in patients with ADHF
15 Research in the Cardiology Section Guide- HF: Hemodynamic Guided Management of Heart Failure Dr. Green, Dr. Elgin, Dr. Mirrani, Dr. Chandler and Dr. Mochon Evaluate benefits of ambulatory PA monitoring with CardioMems device in patients with Class 2-4 chronic heart failure Enrolling patients
16 Research in the Cardiology Section HYBRID Trial: Randomized trial of hybrid coronary revascularization vs. multivessel PCI with DES NHLBI sponsored multi-center trial Dr. Elgin, Dr. Hope, Dr. Nolan, Dr. Koslow Dr. McCarty Actively pre-screening patients
17 Research in the Cardiology Section MICORE: Myocardial Infarction Combined device Recovery Enhancement Study Using the apple watch to assess patient compliance with medications and readmissions with a proprietary ap for patients after a heart attack Dr. Elgin, Dr. Basnet Dr. Seth Myers, Johns Hopkins Cardiology
18 Research in the Cardiology Section MRI Study: document safety of legacy pacemakers and ICDs in clinically indicated MR imaging Dr. Scollan, Dr. Finneran, Dr. Latif, Dr. Ahmad In start up phase Johns Hopkins Research Collaborative
19 Big City Cardiology In Your Backyard THANK YOU TO ALL THE MEMBERS OF THE CARDIOVASCULAR TEAM!
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