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VOL. 2 | OFFICIAL 2018 YEAR IN REVIEW 04 | REFLECTION 06 | BOARD OF DIRECTORS 08 | MEDICAL STAFF 12 | QUALITY 14 | SPOTLIGHTS BREAKING GROUND IN BRYANT A NEW APPROACH TO INTERVENTIONS PQ BYPASS PREMIERES AT AHH CARDIAC REHAB BRANCHES OUT CONFRONTING CHILDHOOD OBESITY ERASING ARRYTHMIAS WITH ABLATIONS A DECADE OF HEALING HONORING A LIFESAVING LEGACY FEATURES 30 A CUT ABOVE THE REST INSIDE THE OPERATING ROOM WITH OUR AWARD-WINNING CARDIOVASCULAR SURGEONS. 40 FARM-TO-HOSPITAL REVERSING THE STIGMA OF HOSPITAL FOOD: AN INSIDE LOOK AT AHH CULINARY SERVICES. 50 PIONEERS OF PREHAB BUILDING STRENGTH FOR SURGICAL SUCCESS: MEET SOME OF OUR FIRST RESILIENT HEARTS PREHABILITATION PATIENTS. 58 THE FUTURE IS NOW HOW EMERGING TECHNOLOGY IS HELPING PATIENTS AT ARKANSAS HEART HOSPITAL. REFLECTION | EXPANDING OUR VISION WELCOME to Arkansas Heart Hospital’s 2018 Year in Review. Dear Arkansans, We are pleased to write a review of what the many teams at Arkansas Heart Hospital accomplished in 2018. This small book is meant to highlight a few of our proudest and favorite moments. You will note it is not just a rendition of the number of procedures, patients seen or lives touched, but a display of what it’s like to be in our culture. Culture is a commonly over- used word; what I really mean is our family. We prize our family approach to medicine, life and doing the right thing for everyone we encounter. Arkansas Heart Hospital also values a community approach which is ev- ident with our various events each year. The major ones are the fabulous Cardiac Classic bike ride, the unbelievably exciting Heart Summit and our sponsorship of the Festival of Wines. We're also proud of our employee fo- cused events such as our spring picnic at Dickey-Stephens Park and the fun, playful and inspiring Arkansas Heart Hospital Christmas party. Our list of disruptions in medicine continues. The biggest stars for 2018 are our new cardiac center and intensive cardiac rehab clinic in Russellville and breaking ground on our new hospital in Bryant, Encore Medical Center (currently under construction). Other favorites include our new Arkansas Heart Hospital garden and master gardener, our food truck and our contin- ued emphasis on the focus of exercise and food as medicine. Our values haven’t changed and our mission is the same. However, our vision is expanding into new products for our family of patients, broader availability to our core abilities and an increase in our coverage of reach in Arkansas and beyond. Thanks goes to the brilliant physicians and staff who continue to imple- ment use of their vast talents and make Arkansas a healthier place to be. All my best, Bruce E. Murphy, MD, PhD, FACC Chief Executive Officer 4 | 2018 YEAR IN REVIEW ARKANSAS HEART HOSPITAL | 5 THE BOARD OF DIRECTORS | 2018 BOARD OF DIRECTORS FRONT ROW FROM LEFT Chris Dent and Kim Leverett BACK ROW FROM LEFT Dr. Scott Beau, Jim Guy Tucker, Charlie Smith, Dr. CD Williams, Bob J. Nash, Dr. James Kane and Dr. Bruce Murphy 6 | 2018 YEAR IN REVIEW ARKANSAS HEART HOSPITAL | 7 MEDICAL STAFF | PHYSICIANS Scott Archer Brian Baird Scott L. Beau Greg Bledsoe Sam Bledsoe Jim Box Bruce Burton Peyton Card Ian M. Cawich Mehmet Cilingiroglu MD MD MD, FACC MD MD, FACS, FASMBS MD MD MD MD MD, FSCAI, FACC, FESC ER Physician ER Physician Medical Director ER Physician Bariatric Surgery ER Physician Internal Medicine Strong Hearts Rehab Center Interventional Cardiology Interventional Cardiology Electrophysiology Internal Medicine Scott Darnell Loretta DePalo Jerry Dixon Earl Feurtado Patrick J. Flaherty III Joe Forney Kristofer Freeland JD Fuller D. Andrew Henry Michael David Huber MD MD MD MD DO, FACC MD, FACC MD MD MD, FACC MD, FACC ER Physician Hyperbaric / Wound Care / General Surgery Hyperbaric / Wound Care Interventional Cardiology General Cardiology Cardiothoracic Surgery Bariatric Surgery Interventional Cardiology General Cardiology ER Physician James J. Kane Jr. Carl Leding Irina Lendel Vasili Lendel Monica Lo Greg Loyd David Mego Mark Myers Gary Nash Michael T. Nolen MD, FACC MD, FACC MD MD, FACC MD, FACC, FHRS MD MD, FACC, FACP, FSCAI MD MD MD General Cardiology Interventional Cardiology Endocrinology Interventional Cardiology Electrophysiology Strong Hearts Rehab Center Interventional Cardiology Hyperbaric / Wound Care Interventional Cardiology Cardiothoracic Surgery Andre Paixao David Pennywell Dan Pritchett Vijay Raja Paulo A. Ribeiro William Rollefson Daniel Sherbet Dylan Thaxton Sudarone Thihalolipavan James Thomas MD MD MD MD MD, Ph.D., FACC, FESC MD, FACC MD MD MD MD Interventional Cardiology Cardiothoracic Surgery ER Physician Interventional Cardiology Interventional Cardiology Interventional Cardiology Interventional Cardiology General Practice Electrophysiology Neurology NOT PICTURED Carter Dalton MD, ER Physician OUR VISION STATEMENT Gary McCallum MD, ER Physician TO BE A GLOBAL INNOVATOR THAT IMPROVES THE HEALTHCARE LANDSCAPE Amy Pittman MD, ER Physician AND DELIVERY FOR THE GOOD OF OUR PATIENTS, FAMILY AND FRIENDS. Justin White CD Williams Wilson Wong MD MD MD, FACC ER Physician Cardiothoracic Surgery Electrophysiology 8 | 2018 YEAR IN REVIEW ARKANSAS HEART HOSPITAL | 9 MEDICAL STAFF | APRNs & PAs Rose Alfano Eric Bain Sarah Baker Marissa Boggs Karli Bradley Lindsay Chalmers Beth Crowder Donna Davis Callie Davidson Cassidy Estes APRN APRN APRN APRN PA-C DNP, APRN Ph.D., APRN APRN APRN DNP, APRN Jessica Fite Susan Griffeth Bernard (Barry) Hall Kelly Hall Annabeth Hazlewood Susan Hernandez Lisa Ivy Sarah Jones Cassandra Love Hannah Mitchell PA-C APRN PA-C APRN APRN APRN APRN APRN APRN APRN Sydnie Moix Amanda Mullins Shea Oxford Krysten Pilkington Julia Ponder Janine Rutherford Angela Simmons Shelbi Sloan Patrick Stage Sara Thompson APRN APRN APRN APRN APRN APRN APRN APRN APRN APRN NOT PICTURED WE ARE A FAMILY HOSPITAL Giny Draper APRN Lauren McBride APRN ARKANSAS HEART HOSPITAL IS A WORLD-CLASS FACILITY BUILT FOR Crystal Mizere APRN PATIENT-FOCUSED CARE. WE ARE A FAMILY OF PROFESSIONALS WHO TREAT EACH OTHER – AND OUR PATIENTS – AS FAMILY. Brandi Tucker Jared Umland Dee White Rebecca Young APRN PA-C DNP, APRN APRN 10 | 2018 YEAR IN REVIEW ARKANSAS HEART HOSPITAL | 11 QUALITY | OUTCOMES & HIGHLIGHTS BY AHH AT A GLANCE 2018 THE NUMBERS NEWS & NOTES FROM AROUND THE HEART We are accustomed to monitoring vitals. But it’s also important to check our own numbers from time to time. So, are we a healthy hospital? Yes! This year marked continued progress in areas ranging from visits to valves, with a double-digit increase in the number of new patients we welcome through our CARDIAC CLASSIC KEEPS ROLLING we make doors. It all points to the trusted, world-class care our professionals provide every day. The 2018 Cardiac Classic was a huge success, cardiology thanks to the riders who participated from Arkansas and surrounding states. convenient WE TREATED PATIENTS FROM We're the only hospital WE HAD 340 TOTAL RIDERS AND RAISED in the state dedicated OVER $22,000 FOR CHAMPIONS FOR HEALTH. to cardiac care. But 40 STATES we know convenience AT OUR HOSPITAL & CLINICS matters, too! That’s BARIATRIC BELIEVERS AHH introduced “At why we have 30 clinics the Heart,” our weekly The Bariatric & Metabolic Institute in local communities podcast devoted to heart WE’RE SERVING MORE HEART at Arkansas Heart Hospital has seen health, featuring interviews throughout Arkansas extensive progress in 2018 and and discussions with AHH experts. – making the best in PATIENTS THAN EVER BEFORE. welcomed Dr. JD Fuller to the team. heart health easier on bariatric surgeries up 214% LISTEN OR SUBSCRIBE TODAY you. NEW AHH PROGRAM is DEDICATED TO heart summit OVER 116,000 OFFICE VISITS diabetes management & education gETS hi-tech At Arkansas Heart Hospital, we believe successfully managing a chronic The 2018 Heart Summit was all about the future of disease begins with education. Our new Diabetes & Endocrinology STRUCTURAL health care, with special UP 18% HEART CASES program, which opened in August, uses quality education to empower guests Dr. Shafi Ahmed and UP 28% individuals with diabetes, helping them become dedicated, encouraged Dr. Daniel Kraft speaking on VALVES and accountable to – and for – themselves. topics like 5G, virtual reality, augmented reality and exponential medicine. UP 10% COMPLEX ABLATIONS ER VISITS UP 14% UP 6% NEW PATIENT ADMITS & DISCHARGES BETH CROWDER, PH.D., APRN | IRINA LENDEL, MD | MARISSA BOGGS, APRN | SHELBY PIERCEALL, MS, RDN, LD DR. DANIEL KRAFT 11% GROWTH 12 | 2018 YEAR IN REVIEW ARKANSAS HEART HOSPITAL | 13 SPOTLIGHT | ENCORE MEDICAL CENTER GROUDBREAKING BREAKING GROUND IN BRYANT AHH BEGINS CONSTRUCTION ON NEW HOSPITAL IN SALINE COUNTY. NOVEMBER 13, 2018 AHH administrators, physicians and special guests break ground on the Encore Medical Center in Bryant. ll hospitals are built to help people who have disease. Our goal is to serve patients whose prob- illness, and giving patients a second chance lems are not solved with medications and give A – or sometimes a third or fourth chance – is them a second chance. An encore, so to speak. why many doctors and nurses go into medicine in On November 13, AHH officially broke ground on the first place. Patients need those second chanc- the Encore Medical Center in Bryant, Arkansas. es now more than ever. In Arkansas, multiple This new medical center will include a full-service diseases are at near-epidemic proportions. The emergency department, state-of-the-art imaging Arkansas Heart Hospital Encore Medical Center and an attached medical facility with multiple spe- was conceived to focus on two conditions: adult cialties. Construction is underway with a project- obesity with diabetes and severe peripheral vessel ed opening date in the latter part of 2020. 14 | 2018 YEAR IN REVIEW ARKANSAS HEART HOSPITAL | 15 SPOTLIGHT | RADIAL ACCESS FOR PERIPHERAL VASCULAR PROCEDURES adial access for coronary A NEW APPROACH cases is one of our special- R ties. In fact, 2018 marked the 10-year anniversary for radi- TO INTERVENTIONS al access for coronary cases.