HEALERS OF THE HEART MonashHeart Annual Review 2016 – 2017 Benny Cooper 16–year old student School captain, church youth leader, volunteer life guard Cardiac arrest, echocardiography, cardiac CT CONTENTS 4 WHO WE ARE 6 2016 AT A GLANCE 8 DIRECTOR’S MESSAGE 10 ACTIVITY REPORT 12 BENNY’S STORY 14 CLINICAL SERVICE SUB-SPECIALTIES REPORTS 16 ACUTE CARDIAC SERVICES 17 CARDIAC CT SERVICES 18 CARDIAC RHYTHM MANAGEMENT SERVICES 19 INTERVENTIONAL SERVICES 20 NON-INVASIVE IMAGING SERVICES 21 PAEDIATRIC CARDIOLOGY & ADULT CONGENITAL HEART DISEASE SERVICES 22 LUCY’S STORY 24 FUNDRAISING REPORT 25 OUR FINANCES 26 CATHERINE’S STORY 28 MONASH CARDIOVASCULAR RESEARCH CENTRE REPORT 36 MANAGEMENT TEAM 38 KEVIN’S STORY 40 OUR PEOPLE 44 2016 MEDIA HIGHLIGHTS 46 THE VICTORIAN HEART HOSPITAL 2016 was overshadowed by the resignation of the inaugural Director of MonashHeart Professor Ian Meredith AM. Ian’s vision has been the driving force behind the concept of the Victorian Heart Hospital, a specialist cardiac hospital scheduled to open on the Monash University Campus. His leadership and vision will be sorely missed but he leaves behind a unified and well-functioning team strongly committed to high quality patient care, education and research into the future. 2 3 MonashHeart is Victoria’s largest cardiology service WHO WE ARE provider with more than 400 committed multidisciplinary team members operating across three sites, providing over 86,000 episodes of cardiological care to the community each year. We thrive on providing a diversified, leading cardiology healthcare service to patients of all ages, from in-utero and newborns right through to our mature citizens, which seeks to ensure patient and family satisfaction and best experience. We are a part of Monash Health, the largest public health service provider in Victoria, Australia. OUR MISSION OUR VISION To improve community wellbeing through To be the leading cardiovascular healthcare outstanding cardiovascular healthcare provider in Australasia. services and provision of exceptional quality education, training and research We put our vision into action through our: opportunities for healthcare professionals. • Commitment to provide the best possible experience, atmosphere and environment for our patients. • Drive to innovate and continually improve through research and technology development. • Emphasis on real teamwork and authentic relationships. 4 5 2016 AT A GLANCE PATIENT CARE PROCEDURES & TESTS RESEARCH EDUCATION LEADERSHIP ONLINE PRESENCE More than 86,000 episodes of 21,594 ambulatory cardiac rhythm Numerous presentations made at national 11 subspecialty fellowships provided to Dr Arthur Nasis appointed Co-Chair of the Launch of new and refreshed MonashHeart website – a modern, contemporary design cardiological care in 2016 across our three management (CRM) tests performed or international meetings. cardiologists from Australia and overseas. Department of Health and Human Services that is smartphone friendly. service sites. including 12-lead ECGs, exercise stress Victorian Cardiac Clinical Network. 66 publications. PhD candidates. tests, ambulatory blood pressure 6 19,576 private consulting room Professor Richard Harper appointed the 44,464 unique visitors, 58,542 monitoring, Holter and loop monitoring and consultations provided, an increase of 7 per 31 national and international clinical trials Drs Dennis Wong and Yuvaraj Malaiapan Chair of the Australian Government MBS sessions and 143,196 total page views six-minute walk tests. cent in 12 months. hosted. complete their Doctor of Medicine (MD). Review Taskforce, Cardiac Services Clinical to the MonashHeart website. echocardiograms performed for Committee. 7,246 people admitted to inpatient 16,790 3 Robertson Family Research Scholarship Drs Robert Gooley and Om Narayan are Visitors to the website from 141 countries. children and adults, 241 more than 2016. positions created from another very cardiac care beds based at Dandenong awarded their PhD. Professor Ian Meredith is appointed the Hospital and Monash Medical Centre generous donation. Celebrated fifth twitterversary in December 5,979 cardiac catheterisation laboratory Executive Vice President and Global Chief (public and private patients). 3 Deakin University post graduate critical 2016 with 2,798 tweets to date and over Dr Sarah Zaman awarded a Monash Medical Officer for Boston Scientific, the procedures performed in the three cardiac 1,300 followers. University Early Career Practitioner care students and 2 master associates 1,487 children seen in the MonashHeart catheterisation laboratories. world’s second largest medical device Fellowship – a opportunity to continue her specialising in interventional cardiac nursing. paediatric clinics including the general company. Third year of MonashHeart Instagram with cardiac CTs performed, the largest research in the field of cardiology. cardiology clinic and adult and adolescent 3,277 5 advanced cardiology trainees (two third more than 1,660 followers by December congenital heart disease clinic; an increase dedicated cardiac service in Australia. Drs Arthur Nasis, Brian Ko and Dennis Dr Brian Ko won ‘Best Cardiac CT Poster’ year six month rotations) and 2 general 2016. of 7 per cent on 2015. Wong are appointed Associate Professors, at the Congress of European Society of medicine trainees (six month rotations). 2,680 attendances at the device Monash University. 1,413 Facebook followers (December An increase in consultations of 8.6 per Cardiology (ESC) in Italy. surveillance clinics across Clayton, 2016). cent over 12 months at the MonashHeart Dr Hashrul Rashid is awarded joint winner Dandenong and Casey, an increase of 16 Dr Emily Kotschet performs Victoria’s first quaternary specialist clinics, with 3,615 of the Monash Health Excellence in Medical per cent on the previous year. new generation subcutaneous implantable attendances. Education award. cardioverter defibrillator implantation and emergency heart attack (STEMI) is the first female Victorian cardiologist to 402 Live case transmission from the cardiac cases treated in the cardiac catheterisation implant the new Micra leadless pacemaker catheterisation laboratory to national and laboratory, the largest Victorian provider. (just the 2nd to be implanted in a Victorian). international conferences including TCTAP in Seoul, Korea, TAVI Summit in Korea and 300th percutaneous aortic heart valve World–first electrophysiology procedure AICT Conference in Taipei, Taiwan. implantation achieved in 2016 – for atrial fibrillation using the gold-tipped a significant milestone for the structural AI cath force catheter and first-in-human Host to CEPIA first ever live case heart disease program. implant of the MRI compatible heart failure education forum attended on-site by placement with a quadripolar LV pacing cardiac technologists, cardiac nurses and lead. cardiologists specialising in the complex area of cardiac rhythm management. 6 7 DIRECTOR’S MESSAGE Much of our focus in 2017 and beyond will be on ensuring that the Victorian Heart Hospital will be developed as an entity of the highest quality and as an institution that MonashHeart, Monash Health, Monash University, the Victorian Government and the Victorian public can be justly proud. I am honoured to present the MonashHeart As always, education and training remains a Annual Review 2016-17. pivotal activity of MonashHeart. Not only are we responsible for training the cardiologists of the The year 2016 was overshadowed by the future, but with the development of the fourth resignation in December of the inaugural Director cardiac catheterisation laboratory and the future of MonashHeart, Professor Ian Meredith AM, to move to the Victorian Heart Hospital, there is a take up a position as Executive Vice President and compelling need to train more cardiac technicians Global Chief Medical Officer of Boston Scientific and specialised cardiac nursing staff. I am pleased – the world’s second largest medical device to report that innovative training programs are company. Ian has been Professor / Director of being developed within MonashHeart that will MonashHeart since 2005 and during this time result in more cardiac technicians with expertise in has overseen the progression of MonashHeart echocardiography for whom there is a great and to its current position as a premier cardiology ever increasing demand, as well as more cardiac service and a major player on the international catheterisation nursing staff with expertise in scene. Ian’s vision has been the driving force interventional cardiac procedures. behind the concept and successful development of the Victorian Heart Hospital, a specialist cardiac Despite the high demand for cardiac services hospital scheduled to open on the Monash and our intensive in-house education programs University Campus in 2021. His leadership and I am happy to report that under the guidance of vision will be sorely missed but he leaves behind our research head, Professor Jim Cameron, our a unified and well-functioning team strongly research output remains high with a large number committed to high quality patient care, education of important publications in prestigious medical and research. A search is underway both in journals. In particular, as a result of our pioneering Australia and overseas for his replacement. research into improving the clinical utility of CT coronary angiography, we are now recognised as As in previous years our throughput of patient a world authority in this increasingly important cardiac