Cardiovascular and Surgical Outcomes | 2016 BayCareHeart.org Clinical Review Committee Dear Colleague, Augustine E. Agocha, MD, PhD Table of Contents We’re pleased to provide this summary of key 2016 cardiovascular national benchmarking along with patient-centered care, assures St. Joseph’s Hospital program highlights. BayCare’s cardiovascular programs are dedicated the best treatment for each patient. In addition to our volume and Mahesh Amin, MD New in 2016 ....................................................... 3 Morton Plant Hospital to providing the highest quality care and services throughout Florida outcomes data, we’re excited to highlight some of our world-class and beyond. Our advanced facilities permit us to care for complex programs including our fast-growing arrhythmia, structural heart Rodrigo Bolaños, MD Why Choose Us? ............................................... 5 Winter Haven Hospital cardiac disease with programs specializing in coronary artery disease, and percutaneous coronary intervention programs. As a system of Cardiovascular Surgery .................................... 7 George Dagher, MD heart failure, structural heart and valve disease, peripheral vascular community hospitals within West Central Florida, we’re committed to Morton Plant North Bay Hospital disease, arrhythmia, pediatric and congenital heart disease and being a leader in providing superior heart care. Advanced Structural Heart and Valve .........13 diseases of the aorta. David Evans, MD We hope you can utilize the information in this outcomes book to help Winter Haven Hospital Arrhythmia ......................................................17 BayCare off ers comprehensive forums for physicians, staff and with patient care and treatment decisions. For more information or to David W. Kohl, MD administrators to share clinical expertise, outcomes data, research and refer a patient to any of our programs, call (844) 344-1990. St. Anthony’s Hospital Percutaneous Coronary Intervention ..........21 translation of best practices. Clinical outcomes management, using Stephen M. Langley, MD St. Joseph’s Children’s Hospital Heart Failure ....................................................25 Kevin Makati, MD St. Joseph’s Hospital Pediatric and Adult Congenital Heart ........27 Leslie Miller, MD Augustine E. Agocha, MD, PhD Mahesh Amin, MD David W. Kohl, MD Cardiac Rehabilitation ...................................31 Clinical Leader, Heart Failure Medical Director Clinical Leader, Percutaneous Coronary Morton Plant Hospital Clinical Leader, General Cardiology BayCare Cardiovascular Services Intervention BayCare Cardiovascular Services BayCare Cardiovascular Services John Ofenloch, MD Medical Director Research and Clinical Trials: Interventional Cardiologist Morton Plant Hospital Medical Director, Cardiac Rehabilitation Morton Plant Mease Cardiovascular Services Currently Enrolling ..................................33 and Preventive Cardiology St. Anthony’s Hospital Jeremy Ringewald, MD St. Joseph’s Hospital St. Joseph’s Children’s Hospital Our Facilities ...................................................39 Joshua Rovin, MD Morton Plant Hospital Medical Terminology and Procedure Review ..............................46 Andrew Sherman, MD Kevin Makati, MD John C. Ofenloch, MD Andrew Sherman, MD Clinical Leader, Arrhythmia Management Clinical Leader, Open-Heart Surgery Clinical Leader, Open-Heart Surgery St. Joseph’s Hospital BayCare Cardiovascular Services Clinical Leader, Structural Heart and Valve Clinical Leader, Structural Heart and Valve BayCare Cardiovascular Services BayCare Cardiovascular Services Co-Director, Department of Electrophysiology St. Joseph’s Hospital Chief, Cardiothoracic Surgery and Medical Chief, Department of Cardiothoracic Surgery Director, Morgan CVICU/OR St. Joseph’s Hospital Morton Plant Hospital New in 2016 Bartow Joins BayCare BayCare Earns Three-Star STS Rating Joining BayCare in 2016, Bartow Regional BayCare has earned a distinguished three- “With the collective experience of over Medical Center is an acute care hospital star rating from the Society of Thoracic 1,000 open-heart surgeries each year and serving South Lakeland, Bartow, Fort Meade, Surgeons (STS). The three-star rating, which the cohesive interaction of sharing best Mulberry, rural south Polk County and denotes the highest category of quality, practices between cardiovascular surgeons northern Hardee County. The interventional places BayCare among the elite in the United across the BayCare network, we’ve been laboratory at Bartow Regional Medical States and Canada. In addition to BayCare able to provide a world-class experience Center operates as a hybrid laboratory, receiving the three-star rating as a system, with superior outcomes for our patients performing both coronary catheterizations each of our three flagship cardiovascular and their families,” according to Dr. David and interventional radiology procedures. facilities—Morton Plant Hospital, St. Joseph’s Evans, director of cardiothoracic surgery Our specialists offer state-of-the-art Hospital and Winter Haven Hospital— at the Bostick Heart Center at Winter cardiovascular care from diagnosis to received three-star ratings. Achieving the Haven Hospital. emergency intervention to the latest highest rating (three stars) from STS places treatments and preventive education, us in the top 10-15 percent of all cardiac including diagnostic cardiac catheterizations, surgery programs nationwide. defibrillator/pacemaker implant and generator change, digital loop/event recorder BayCare submits data to the STS National implantation, cardioversion, transesophageal Database with the goal of improving patient echocardiogram (TEE) and other noninvasive outcomes and patient safety. These open- cardiac diagnostic services including stress heart surgery programs have also elected testing and echocardiogram. to share their results publically since that reporting structure became available in 2010. 3 Why Choose Us? At BayCare, quality is serving the needs Our quality process provides the framework of our customers. Leaders and team for innovation and the creation of new members are responsible for creating services designed to serve the needs of our an environment that allows quality to customers including advanced ablation, Plan flourish. Our quality model, shown here, transcatheter approaches, cardiac-oncology highlights the philosophy, process and and congenital heart. The quality process culture we promote to support quality encompasses planning a system-wide Assess & Improve Report throughout our system. strategy to serve the customer needs and achieve the vision of the organization, Our quality philosophy efforts are aimed taking actions to improve the processes at the customer experience and improving used to deliver products and services, and customer satisfaction with the services continually measuring and reporting how we deliver. The customer experience is well we’re performing. enhanced by improving processes and reducing process variations. BayCare strives to improve clinical safety and outcomes through collaborative and Awarded the highest three-star STS rating rigorous process review. As a network, as a system, BayCare is the largest not-for- BayCare is investing in the community and profit health care system in the area. From future of cardiovascular medicine through our three flagship cardiovascular institution participation in national and international leaders in complex arrhythmias, advanced clinical trials and research. To implement a structural heart and valve and open-heart quality philosophy and process, BayCare has surgery, to the clinically integrated network established a culture where quality behaviors of hospitals, outpatient centers, surgery and expectations are communicated, centers and outpatient imaging facilities, encouraged and rewarded. BayCare physicians and patients have access to experts across the spectrum. In addition, At BayCare, we offer access to clinically through our expansive network footprint, advanced, comprehensive, quality To refer a patient to any patients are able to move easily within the cardiovascular care and treatment for both of our cardiovascular programs system to get the care and clinical expertise simple and complex cardiac disorders. or facilities: (844) 344-1990 they need, regardless of their location. 4 5 Cardiovascular Surgery When it comes to your patients’ care, we For information on BayCare’s management realize that quality, outcome and cost and treatment of pediatric and congenital “ Cardiac surgery is one of the are of the upmost importance. BayCare’s heart disease, please see the Pediatric and cardiovascular and cardiothoracic surgeons Adult Congenital Heart section of this book most scrutinized and data-driven are all members of the Society of Thoracic on page 27. specialties. The fact that BayCare Surgeons (STS) whose mission is to enhance has again been awarded the the ability to provide the highest quality BayCare cardiac surgical procedures include: n patient care. BayCare participates in the STS Aortic aneurysm repair STS’s highest possible distinction National Adult Cardiac Surgery Database n Aortic valve repair and replacement demonstrates our commitment to that includes over 1,200 participating n Carotid endarterectomy and stenting providing the highest quality, most institutions throughout the country. n Coronary artery bypass (CABG) progressive and transparent level Cardiovascular surgery is currently n Endovascular aneurysm repair