BUILDING A HEART TEAM Paul J. Corso, M.D., FACS, FACC Chief, Cardiac Surgery, Washington Hospital Center Board Chair, MedStar Heart Institute
Paul J. Corso, MD I have no real or apparent conflicts of interest to report.
Washington Hospital Center Heart Team Working relationship Communication Personal Personal Technology Outcome Database Clinical Research Expertise Volumes
Why Build a Heart Team Provide comprehensive care If all you have is a hammer If all you have is a screwdriver Maximum utilization of resources Healthcare policy - ACOs
Impediment to Building a Heart Team Competition Economics
Building an Effective Heart Team Transcatheter Valve Program Members Cardiac surgeon Interventionalgists Echo cardiologists Vascular Surgeon Anesthesiologist Cath lab nurses & techs Cardiac surgery OR nurses and assistants Perfusion team Industry
Building Effective Heart Team Keys to Success Planning - routine & disaster Training & cross training – simulation Communication Review - - before & after Facilities Each member needs to be an expert at what he or she does
Hybrid Cath Lab/OR
Rigorous Physician Training Edwards THV Training Simulator Site preparation and staff training Didactic and case review sessions Complication planning Live case observations Patient screening oversite Case proctoring Critical scrutiny of clinical outcomes Clean this up…if pictures can’t be made same size, align middle Larger font for title versus handouts Add column lines? 13
Building Effective Heart Team Problem or Opportunity Heart care is changing Health policy is changing Payment is changing Modern heart teams must include all stake holders including the institution