state of the heart update - uk healthcare cecentral as… · •objective – explain how the gill...
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State of the Heart Update: UK Gill Heart and Vascular Institute CV Academic Service Line Update
Susan Smyth, MD, PhD Chief, Cardiovascular Medicine
Director, UK Gill Heart and Vascular Institute
• I have nothing to disclose
ECMO Transport Team
Disclosure
• Objective – Explain how the Gill Heart and Vascular Institute is leading the
fight against cardiovascular disease and stroke in Kentucky through advancements in wellness, patient-centered care, research, education, and collaboration.
• Educational Need/Practice Gap/Outcomes – To inform our affiliate community of the advanced therapies and
burgeoning technologies offered at the University of Kentucky so that together, we can broaden access to advanced care for patients across the Commonwealth.
Presentation Overview
Copyright © 2015 Deloitte Development LLC. All rights reserved.
UK Gill Heart and Vascular Institute The Gill Goal
Our vision is to improve the nation’s heart health
Enable the education of all stakeholders
Leverage clinical innovation &
discovery research
Expand the GHVI Network
Develop a Gill standard
Create an integrated service line platform
• Our mission is to provide: – Seamless, high-quality, and comprehensive care
– Value to those we serve
– Cutting-edge innovation and discovery research
– Leadership in education
• 400th Heart Transplantation – 1-year survival 98% – 3-year survival 91% – 34 VADs implanted in 2018 to date – Dual organ transplants
• ECMO Transport – Performed 91 runs in CY 2017 – Travel up to 4 hours – ELSO gold level Center of Excellence
ECMO Transport Team
Advancing Care for Heart Failure
• Tremendous program growth (over 800 visits for 2018) • Patient support group established • Research protocols
KACH Director, Dr. Andrew Leventhal,
meets with Priscilla Riley, recipient of Sapien 3
transcatheter heart valve
KACH – Kentucky Adult Congenital Heart Program
• Focus Areas – Microvascular Disease – Cardio-oncology – Cardiac and Pregnancy Disease – Prevention – Research
Whitney Stevenson
Women’s Heart Health
Volcano ComboMap testing identified coronary microvascular disease as the cause of sporadic chest pain and shortness of breath that plagued Whitney Stevenson for over seven years
• Atrial Fibrillation Program • Cutting-edge Clinical Trials to improve qualify of life
– BeatHF Device Resets autonomic balance by carotid stimulation
– FIX-HF-5CA Device Improves heart contractility by increasing calcium
Electrophysiological Services – Changing Lives through Technology
Aaron Hesselson, MD Director of Electrophysiologic Services
• Over 200% growth in procedures • Vascular Collaborative and Quality Initiative
• Supervised Exercise Program for patients with PAD
Vascular Surgery – Making Strides
Jacob Stone, MSEP, CSCS, Cardiopulmonary Rehab Program
Supervisor, and Dr. Nathan Orr present a webinar on supervised exercise therapy for patients with
peripheral arterial disease.
• Over 700 procedures in 2017 • Developed quality improvement
plan and protocol to reduce variations in care
• Observed-to-expected mortality ratio of 0.66
• Participating in BPCI for CABG
CT Surgery – A Heartening Rise in Quality
Michael Sekela, MD, Surgical Director of Heart
Transplant Chief, CT Surgery
OVERALL AMI performance composite
Defect-free care
98.8% 92.8% of our patients met eligible opportunities of performance measure opportunities – the US average for hospitals is 96.7%
of our patients received "perfect care" based upon eligibility for each performance measure – the US average for hospitals is 81.3%
STEMI Performance Composite 98.8%
Gill – by the Numbers
• Precision Medicine and CV Genetics – Screening for syndromes – Genetic risk score (e.g. for CAD and AF) – Identify gene – environment interactions
• Virtual Heart Program – NIH funding
• Aortopathy Center – AHA funding • CV Biorepository – philanthropic funding
Innovation and Research
• Developing a multicomponent, Multilevel Implementation Strategy for Syncope OptimalCare through Engagement
• Goal to increase adherence to guideline recommendations and reduce variations in care
• Collaboration between UK, Norton, Georgetown, ARH
Project MISSION
Partnership with Center for Health Services Research
Questions? Thank you!