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BAPTIST HEART & VASCULAR INSTITUTE

ANNUAL

REPORT

17

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CONTENTS

Chairman’s Letter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Our Mission and Values. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Providers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Comprehensive Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Locations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Cardiovascular Imaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Interventional Cardiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Structural Heart Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Electrophysiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Cardiovascular Thoracic Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Extracorporeal Membrane Oxygenation Program . . . . . . . . . . 24 Vascular Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Cardiopulmonary Rehab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Cardiovascular Education and Outreach . . . . . . . . . . . . . . . . . . . 27 Patient Experience. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Cardiovascular Research . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30


Dear friend, I would like to extend a heartfelt welcome to the readers of Baptist Heart & Vascular Institute’s (BHVI) 2017 Annual Report. Our Vision is to be the trusted partner for comprehensive cardiovascular care and to help our patients throughout life’s journey. We have achieved many milestones by continually ensuring that our patients’ interests come first. By living this vision, BHVI has become one of the preeminent cardiovascular programs in the Southeast region. We are devoted to providing the highest quality of care and are meticulous in measuring and monitoring numerous quality and safety indicators. Last year, we exceeded many quality benchmarks and received national recognitions and awards. BHVI was the first in the nation to receive combined Intersocietal Accreditation Commission in electrophysiology, cardiac catheterization, vascular, echocardiography and nuclear cardiology. In addition, we received the American College of Cardiology’s Action Registry Silver Performance Achievement as well as American Heart Association’s (AHA) Mission: Lifeline® Bronze Quality Achievement award, a true testament to the exceptional care we provide for patients with myocardial infarction. Our philosophy is to provide leading edge cardiovascular care locally and we have introduced many innovative lifesaving services and medical firsts to the Florida Panhandle region over the last 50 years. In 2017, Baptist Hospital was the first to launch an Extracorporeal Membrane Oxygenation (ECMO) program and also to successfully implant the newly approved leadless pacemaker (Micra), the world’s smallest pacemaker. Our comprehensive structural heart program is the only regional program to provide combined Transcatheter Aortic Valve Replacement (TAVR), MitraClip® and Watchman® procedures. In addition, we are an active clinical research site and are currently participating in multiple ongoing national trials in myocardial infarction, atrial fibrillation, lipids and others. Working alongside Victor Hall, vice president of cardiovascular services, and under the visionary leadership of Mark Faulkner, president and CEO of Baptist Health Care, and Scott Raynes, president of Baptist Hospital, Inc., our team has achieved many milestones. Many thanks to the strong collaboration of our talented physicians, dedicated nurses and professional staff. We want to sincerely thank you for your support, and we invite you to join us as we continue to heal, innovate and deliver world-class cardiovascular care. Sincerely, Safwan Jaalouk, M.D., FACC, FSCAI Chairman, Baptist Heart & Vascular Institute

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OVERVIEW Baptist Heart & Vascular Institute is the area’s most established, comprehensive program for heart health. Our program is one of the largest in Northwest Florida and South Alabama, providing patients with everything they need in quality care. We have the largest and most experienced physician team in the region. Collectively the group has introduced almost every new innovation in heart care to our area.

OUR LEADING APPROACH TO HEART & VASCULAR CARE BHVI is renowned for its dedication to pioneering innovative techniques and advancing the level of heart and vascular care available in our region. In fact, we’ve brought many medical firsts to our area. Here are just a few of the innovations and accomplishments of our program and why thousands of patients throughout the region choose us for their care.

REGIONAL MEDICAL FIRSTS • • • • • • • • • • • • • • • •

First to perform Extra Corporeal Membrane Oxygenation (ECMO) First to offer the Watchman® procedure for AFib patients First and only cath lab team to achieve 100 percent upper-level certification First and only to offer transcatheter mitral valve repair (TMVR) using MitraClip® First to offer transcatheter aortic valve replacement (TAVR) First to place smallest leadless pacemaker First to offer procedure for coronary chronic occlusions, an alternative to bypass surgery First to offer minimally invasive heart valve surgery First electrophysiology laboratory in Gulf Breeze, Florida First Heart Rhythm Center in region First and only to offer minimally invasive robotic lung surgery First transmyocardial revascularization (TMR) laser procedure First use of laser for heart revascularization First off-pump bypass operation First coronary care unit in the Southeast First balloon angioplasty

45.0% 40.0% 35.0% 30.0% 25.0% 20.0% 15.0% 15.0% 5.0% 0.0%

INPATIENT CARDIOVASCULAR MARKETSHARE 11 11 11 11 12 12 12 12 13 13 13 13 14 14 14 14 15 15 15 15 16 16 16 Mar Jun Sep Dec Mar Jun Sep Dec Mar Jun Sep Dec Mar Jun Sep Dec Mar Jun Sep Dec Mar Jun Sep

BHVI

PROVIDER A

PROVIDER B

PROVIDER C

5


6


OURMISSION Helping people throughout life’s journey.

OURVISION To be the trusted partner for improving the quality of life in the communities we serve.

OURVALUES Guided by Christian values, we commit to the following:

OWNERSHIP accountable, engaged, stewardship, responsive, committed

INTEGRITY honest, principled, trustworthy, transparent

COMPASSION empathetic, merciful, sensitive, kind, giving, forgiving, hopeful

EXCELLENCE safety, quality, distinguished, learning, improving

SERVICE welcoming, attentive, humble, respectful, exceeds expectations, collaborative 7


PROVIDERS Cardiology

Our experienced cardiology team is committed to providing the highest quality of care to people who have disorders of the heart, arteries, veins and lymphatic vessels (cardiovascular diseases). With specialized training, our cardiologists diagnose and treat diseases or conditions of the cardiovascular system including congenital heart defects, coronary artery disease, heart failure and valvular heart disease.

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RAMON AYCOCK, M.D., FACC

PELBRETON C. BALFOUR JR., M.D., SC.M.

STEVEN EILEN, M.D., FACC

ANDREW KEES, D.O., FACC

HENRY LANGHORNE, III, M.D., FACC

ELIAS SKOUFIS, M.D., FACC

BENJAMIN LLOYD, M.D., FACC

BRIAN PAYNE, M.D., FACC

HANI RAZEK, M.D., FACC

BRENT VIDEAU, M.D., FACC, FASE

TOINETTA COOLIE, MSN, R.N., FNP-BC

KRISTY CROWLEY, ARNP-C

HEATHER DEAN, ARNP-C

MICHELLE DONOVAN, AGPCNP-C

LACY MICHELLE KUSY, ARNP-C

ASHTON SORRELLS, ARNP-C


Cardiothoracic Surgery

Our cardiaothoracic surgical team has specialized training in diagnosing and surgically treating diseases of the heart, lung, chest, esophagus, diaphragm and blood vessels (cardiac and thoracic diseases). We offer a full spectrum of advanced cardiothoracic surgical services, including minimally invasive robotic-assisted surgery, “off-pump bypass” heart procedures and minimally invasive heart valve procedures.

WILLIAM F. BAILEY, M.D., FACS

JAMES L. LONQUIST, M.D., FACS

JAMES L. NIELSEN, M.D., FACS

TANYA DUFFEY WARNER, DNP, FNP-C

KENDRA LAMB, ARNP

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Interventional Cardiology

Leaders in their field, our interventional cardiology team has advanced education and training in diagnosing and treating cardiovascular disease and structural heart conditions through the most innovative catheter-based procedures including Watchman®, transcatheter mitral valve repair (TMVR) using mitraclip® and transcatheter aortic valve replacement (TAVR).

LUTHER CARTER, M.D., FACC, FSCAI

F. JAMES FLEISCHHAUER, M.D., FACC

MUHAMMAD GHUMMAN, M.D., FACC

SAFWAN JAALOUK, M.D, FACC, FSCAI

SHELIA BENNETT, ARNP-C

KRISTIN LEONARD, ARNP-C

TERESA YATES, ARNP-C

This allows interventionalists to treat many forms of cardiac disease in a minimally invasive way, and in many cases, allow patients to return home the same day of their procedure.

Electrophysiology

Our experienced electrophysiology team at the Baptist Heart Rhythm Center is exclusively dedicated to the diagnosis and treatment of disorders of the heart rate and rhythm.

THABET ALSHEIKH, M.D., FACC, FHRS

EVAN GIEDRIMAS, M.D.

SUMIT VERMA, M.D., FACC

DOUGLAS BAKER, PA-C

WILLIAM WATSON, PA-C

ELIZABETH BERG, ARNP-C

Due to their expertise and quality outcomes, patients are referred to their care throughout the region for a variety of complex arrhythmia needs. CHRISTOPHER ANDERSON, PA-C

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COMPREHENSIVE SERVICES INTERVENTIONAL CARDIOLOGY

ELECTROPHYSIOLOGY

CARDIOTHORACIC SURGERY

STRUCTURAL HEART

COMMUNITY OUTREACH

NON-INVASIVE CARDIOLOGY

CARDIOVASCULAR REHAB

CARDIOVASCULAR RESEARCH

EDUCATION AND SUPPORT

WORKING TOGETHER FOR A COMMON GOAL With offices throughout the region, our goal is to reach patients with heart issues who may not otherwise seek treatment because the distance is too great. Our commitment is to provide the best care closer to home.

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LOCATIONS BHVI is the largest and most comprehensive cardiovascular care center in the region. From diagnosis to leading-edge treatments, our nationally recognized program focuses on providing you with the utmost in quality care and personal service in multiple convenient locations. For more information, call 850.484.6500.

ALABAMA FLORIDA

9 5 12 6

3 7 8

4

10

1. Baptist Medical Towers 1717 North E St., Suite 331 Pensacola, FL 32501

2. Baptist Medical Towers Heart Rhythm Center 1717 North E St., Suite 434 Pensacola, FL 32501

3. Baptist Medical Park – Airport 5100 North 12th Ave., Suite 202 Pensacola, FL 32504

4. Baptist Medical Park – Navarre 8888 Navarre Parkway Navarre, FL 32566

5. Baptist Medical Park – Nine Mile 9400 University Parkway Pensacola, FL 32514

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6. Foley Office 1600 North McKenzie St., Suite 202 Foley, AL 36535

7. Fort Walton Office 922 Mar Walt Drive, Suite 100 Fort Walton Beach, FL 32547

8. Gulf Breeze – Medical Office Building 1118 Gulf Breeze Parkway, Suite 102 Gulf Breeze, FL 32561

9. Milton Office 5907 Berryhill Road Milton, FL 32570

10. Perdido Office 12601 Sorrento Road, Suite B Pensacola, FL 32507


CARDIOVASCULAR IMAGING

BHVI’s Cardiac Imaging labs are accredited by the Intersocietal Accreditation Commission (IAC) in echocardiography, vascular and nuclear studies. Our accredited labs require both physicians and cardiac sonographers to be adequately trained in performing exams and physicians experienced in interpretations. The cardiac sonographers are 100 percent dual registered in echocardiogram and vascular through either ARDMS or CCI registries. Non-invasive studies performed include but are not limited to, echocardiography (2-D and 3-D), tilt table testing, event/Holter monitors and AV optimization. Other studies performed are advanced imaging for cardiac MRI, cardiac CT, and cardiac nuclear stress testing, and transesophageal echocardiogram (2-D and 3-D TEE). These complex studies may eliminate the need for invasive measurements. Echocardiography team members assist with guidance during complex structural heart disease interventions in the catheterization/EP laboratories including but not limited to TAVR®, Mitral Clip, Watchman®, advanced catheter ablations, as well as during minimally invasive valvular heart surgery and ECMO. BHVI is committed to providing high quality patient care and services. Our diverse team of cardiac sonographers, nurses, nuclear and cardiac techs, and physicians have a variety of expertise. Our team continues to further our education to better provide for the community and our patients. 13


22,000 22 000 20,000 18,000 16,000 FY 15 14,000

DIAGNOSTIC IMAGING VOLUME

12,000

FY 16

10,000

FY 17

8,000 6,000 4,000 2,000 0 19,036

14

21,039

21,397


INTERVENTIONAL CARDIOLOGY

Leaders in their field, our interventional cardiologists rank among the world’s most experienced providers on cardiovascular disease and its treatments including, angioplasty and stenting, restoring blood flow to chronically blocked arteries, repairing heart defects, or treating heart valve disease without surgery. We also specialize in diagnosing and treating a wide variety of vascular disease such as peripheral artery angioplasty and stenting, abdominal aortic aneurysm repair and carotid artery stenting.

CATH LAB VOLUME

ADDITIONAL PROCEDURES PERFORMED:

3,500

coronary angioplasty

3,000

coronary stenting

2,500

atherectomy

2,000

alcohol septal ablation peripheral angiograms

1,500

peripheral atherectomy

1,000

carotid angiogram and stenting abdominal aortic aneurysm repair

500 0 2,904

3,120

2,954

FY 2015

FY 2016

FY 2017 15


CATH LAB RADIAL ACCESS

80% 70%

Radial

60%

Femoral

50%

Other

40% 30% 20% 10% 0 63.37%

70.34%

2015

74.36%

2016

2017

Catheterization radial arterial access has been shown to reduce complications.

AMI MORTALITY DECREASE 3.0 2.5 2.0

Baptist

1.5

Target

1.0 0.5 0

FY2013

FY2014

FY2015

FY2016

FY2017

BHVI EARNS SILVER ACTION REGISTRY AWARD AND MISSION LIFELINE AWARD In 2017, BHVI earned two awards for treatment of patients suffering from a heart attack or a STEMI (ST-elevation myocardial infarction). The American College of Cardiologist Action Registry – GWTG Silver Performance Achievement Award and the American Heart Associations Mission Lifeline Bronze Award demonstrate our high quality and exceptional performance in the treatment of patients suffering from a heart attack. 16


BHVI CATH LAB TEAM ACHIEVES 100 PERCENT UPPER-LEVEL CERTIFICATION The BHVI cath lab achieved the ambitious goal for all team members to earn certification from CCI. This higher level of specialization is in addition to the clinical professional licenses in registered nursing and radiologic technology team members already possess.

90 85 80 Minutes to PCI

75 70

Baptist

65

US Median

60

Regional Median Guidelines

55

DOOR TO BALLOON TIME MEDIAN TIME TO PRIMARY PCI FOR STEMI PATIENTS

50 45 56

60 61 2017 Discharge Year

The American College of Cardiology / American Heart Association (ACC/AHA) guideline for PCI inflation for patients who come to the emergency department with ST-elevated myocardial infarction (STEMI) is 90 minutes. During 2016 and 2017, 100 percent of our patients received primary PCI within 90 minutes. (National Median=95%) In 2017, the median time to PCI for STEMI patients was 56 minutes. Source: ACC-NCDR ACTION Registry® Outcomes Dashboard, Data Aggregation April 17, 2018. National median=2017 Q3 Data.

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STRUCTURAL HEART PROGRAM

BHVI’s structural heart program offers leading-edge technologies in structural heart disease treatment. These procedures put BHVI in the same league as major medical centers around the world and allow patients the ability to remain close to home for their heart care.

160 140 120

STRUCTURAL HEART PROCEDURES

100

TAVR®

80

Mitraclip®

60

Watchman™

40 20 0 2015

2016

2017

TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR) BHVI is the first team of cardiovascular specialists in the Florida Panhandle and one of the select programs in the nation to offer transcatheter aortic valve replacement or (TAVR) – a revolutionary treatment option for patients with severe aortic stenosis who are not candidates for traditional open-heart surgery. The multidisciplinary TAVR team at BHVI is unique to our area due to its size and collaborative experience. Board-certified interventional cardiologists partner with highly skilled cardiothoracic surgeons to complete the procedure using the Edwards SAPIEN Valve. 18


TRANSCATHETER MITRAL VALVE REPAIR (MITRACLIP®) The MitraClip device is a percutaneously implanted mechanical clip that grasps the mitral valve leaflets together resulting in fixed approximation of the mitral leaflets. This device is placed in the cath lab without the need for cardiopulmonary bypass. Patients with primary or degenerative mitral regurgitation (MR) (structural issues of the valve leaflets resulting in MR) may qualify for this procedure. Many patients are too high-risk for heart surgery, making them good candidates for a MitraClip. Patients are typically discharged in a day or two after the procedure.

WATCHMAN™ The Watchman device is for patients with atrial fibrillation who are at increased risk for stroke and systemic embolism and are recommended for anticoagulation therapy. The procedure is typically performed under general anesthesia in the cath lab.

ATRIAL SEPTAL DEFECT (ASD) OR PATENT OVALE (PFO) Defects in the heart from birth that result in a hole in the atrium of the heart. This can be closed percutaneously in the cath lab avoiding open heart surgery.

BHVI celebrated TAVR 100 in 2017 This was a tremendous milestone for BHVI and a great benefit to the people in the Northwest Florida area in need of this level of advanced care. BHVI team members celebrated with the first 100 TAVR patients to commemmorate this wonderful milestone.

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ELECTROPHYSIOLOGY

Our experienced electrophysiology team is exclusively dedicated to the diagnosis and treatment of disorders of the heart rate and rhythm (the heart’s electrical system). Due to their expertise and quality outcomes, patients are referred to their care throughout the region for a variety of complex arrhythmia needs. Working collaboratively with the team of cardiovascular specialists, our electrophysiologists use state-of-the-art medical technology combined with compassionate care to address the needs of patients with symptoms such as skipped heartbeats, rapid heartbeats, slow heartbeats or lightheadedness. Procedures performed include the pacemaker insertion, ICD insertion, Micra Pacemaker, SVT ablations, atrial ďŹ brillation ablation, VT/PVC ablation, epicardial ablation and LINQ insertion.

1,800 1,600 1,400

Total EP Procedure Volume (all sites)

1,200 1,000 800 600 400 200 0

20

1,687

1,752

1,778

2015

2016

2017


BHVI ELECTROPHYSIOLOGY LAB EARNS CARDIAC ELECTROPHYSIOLOGY ACCREDITATION BY IAC BHVI earned accreditation by the IAC in cardiac electrophysiology in the areas of testing and ablation, chronic lead extraction, and device implantation. This accreditation means that patients can rely on us to provide consistent quality care and dedication to continuous improvement. BHVI EP lab team members are 100 percent RCES certified by Cardiovascular Credentialing International (CCI). This higher level of specialization is in addition to the clinical professional licenses in registered nursing and radiologic technology team members already possess.

LEAD EXTRACTION CLINIC INTRODUCES NEW TECHNOLOGY TO INCREASE SAFETY BHVI Lead Extraction Clinic uses new technology to increase safety in the cardiac lead extraction procedure. Lead extraction is the removal of wires connected to the cardiac pacing device that follow blood vessels into the heart muscle. One of the feared complications of removing a pacemaker or defibrillator lead is a tear in the main blood vessel, if this occured can be fatal even with immediate surgical intervention. The superior vena cava (SVC) balloon is used to seal any accidental tears in the SVC, the large vein carrying deoxygenated blood into the heart, during the procedure. The balloon has proven to provide a “bridge” to surgical repair. BHVI performed 36 lead extractions in 2017.

100 80 60 40 20 0

BHVI rate of success (96.8 percent) to place the Coronary Sinus/LV Lead in CRT-D implants is higher than the national median (96.4 percent). Source: ACC-NCDR ICC Regisry™ Dashboard, Aggregated 4/30/2018 with Q3 3017 benchmarks.

2017 Performance Measures ICD Registry

2017Q1

2017Q2

2017Q3

2017Q4

14-Composite: Proportion of ICD/CRT-D implant patients prescribed all discharge medications (ACE-I/ARB and/or beta-blocker) for which they were eligible

100 80 60 40 20 0

2017 OUTCOME MEASURES ICD REGISTRY

98.1 percent of patients at BHVI were discharged on all medications for which they are eligible (ACE-I/ ARB and/or beta-blockers). National median was 88.2 percent in Q3 2017. Source: ACC-NCDR ICC Registry™ Dashboard, Aggregated 4/30/2018 with Q3 2017 benchamarks

2017 Guideline Metrics ICD Registry 93.2 percent of patients at BHVI fulfill guideline indications for ICDs/CRT-Ds. National median was 81.6 percent in Q3 2017.

2017Q1

2017Q2

2017Q3

2017Q4

Source: ACC-NCDR ICC Registry™ Dashboard, Aggregated 4/30/2018 with Q3 2017 benchamarks

25-Proportion of ICD/CRT-D patients that fufill class I, IIa or IIb guideline indications 21


CARDIOTHORACIC SURGERY

BHVI has one of the largest, most experienced cardiothoracic surgery teams in the region that proudly provide leading edge surgical techniques and treatment options to the Gulf Coast — including virtually every type of cardiac surgery such as elective or emergency surgery for heart valve disease, coronary artery disease, arrhythmias, heart failure and other less common conditions. Baptist cardiothoracic surgeons are skilled, compassionate and renowned as leaders in their field. In fact, our center’s surgeons performed countless medical firsts in our region, including:

Cardiovascular Thoracic Surgery Volume (by fiscal year)

22

First minimally invasive robotic heart surgery

First minimally invasive atrial septum defect closure procedure

First to use the world’s smallest heart pump

700 600 500 400 300 200 100 0

611 383

2014

432

2015

401

2016

2017


PROCEDURES OFFERED AT BHVI Cardiac cases:

Thoracic cases:

Coronary artery bypass on and off pump

Mediastinoscopy

Mitral valve repair/replacement Minimally invasive mitral valve repair/replacement

Thoracoscopy approach (video assisted) for biopsy, lung resection

Tricuspid valve repair/replacement

Robotic approach for lung biopsy, lung resection or lobectomy

Minimally invasive tricuspid valve repair

Thoracotomy approach (traditional) for biopsy, lung resection, lobectomy or pneumonectomy

Aortic valve replacement Transcatheter aortic valve replacement (TAVR)

Resection of mediastinal tumors

Aortic root replacement

All other types of lung related cases:

Aorta endo stent grafts

Blebectomy / decortication / talc pleurodesis

Thoracic aortic aneurysm repair

THE (transhiatal esophogectomy)

Aorta dissection repair Pulmonary embolectomy

Vascular cases:

Removal of cardiac mass/myxoma

Carotid endarterectomy

Convergent ablations Maze ablations

OUTCOME MEASURES STS ADULT CARDIAC SURGERY DATABASE Patients undergoing CABG at BHVI experience fewer complications and operative mortality rates.

14 12 10 8 6 4 2 0

3.0 2.5 2.0 1.5 1.0 0.5 0

BHVI Comparision Group

CABG with Major Complication

National Average 12.1%

8.6%

13.2%

BHVI Comparision Group

CABG Operative Mortality Rates

National Average 2.3%

1.2%

2.6%

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EXTRACORPOREAL MEMBRANE OXYGENATION PROGRAM

BAPTIST FIRST AND ONLY IN AREA TO OFFER ECMO Baptist Hospital is the only facility in the area to offer extracorporeal membrane oxygenation (ECMO), an advanced treatment for patients who have life-threatening breathing and/or heart problems. ECMO provides temporary support for patients with severe conditions such as severe pneumonia, influenza, massive heart attack or massive pulmonary embolism (blood clots in the lungs). ECMO therapy is used for very ill people who do not respond to conventional therapies such as a mechanical ventilator. The ECMO care team is a collaboration between critical care and pulmonary physicians, cardiothoracic surgeons, interventional cardiologists, perfusionists, nurse ECMO specialists, critical care nurses and other clinical support staff. Our ECMO leadership care team has over 30 years of experience and has cared for over 1,000 ECMO patients. Jon Neyman, CCP, RABT, ECMO Program Lead with BHVI’s first ECMO patient, Payne Jones and Enrique Diaz, M.D., ECMO Medical Director

Dr. Diaz is an independent member of the medical staff of Baptist Hospital, Inc. He is not an employee or agent of Baptist Hosptial, Inc. 24


VASCULAR SERVICES

Our vascular team treats many different vascular disorders that include the extremities, carotid arteries and abdominal aortas. What makes our approach to vascular care different is how we look at the entire cardiovascular system to collaborate and care for the whole person. We provide leading edge treatments such as:

ENDOVASCULAR INTERVENTIONS Endovascular venous laser therapy for varicose veins Carotid angioplasty and stenting with embolic devices Upper and lower extremity intervention Renal and mesenteric intervention Limb salvage below the knee IVC ďŹ lter placement for foreign body retrieval Intravascular ultrasound examination

VASCULAR SURGERY

Abdominal Aortic Aneurysm Before Repair

Carotid disease Upper and lower extremity occlusive disease Dialysis access procedures Open and endovascular treatment of aneurysms Treating varicose and spider veins

BAPTIST VEIN CENTER Venous issues span a wide range of medical and cosmetic concerns including varicose veins, spider veins and venous insufficiency. Our vein center offers a variety of therapeutic treatments including: Endovascular laser treatment Sclerotherapy Microphlebectomy Abdominal Aortic Aneurysm After Repair

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CARDIOPULMONARY REHAB

BHVI offers cardiac rehabilitation. Our medically supervised and cardiac monitored program helps improve patient’s health along with counseling services to reduce stress and return to an active lifestyle.

Cardiac Pulmonary Rehab Visits Trend

6,000 5,000 4,000 3,000 2,000 1,000 0

When I first came to cardiac rehab, I was afraid, and I

didn’t understand what was happening to me. I was made very comfortable by the rehab staff. As I went along, I came to respect the program and what was offered to me. As a result, I choose every day to strive for better, and I have a sense of worth, health and appreciation for my body and the wonder of possibilities in each day.” 26

Maggie, patient

2014

2015

2016

2017


CARDIOVASCULAR EDUCATION AND OUTREACH

CV PATIENT EDUCATION/TRANSITIONAL CARE PROGRAM BHVI has a designated cardiovascular patient education team that provides one-on-one holistic education based on inpatient medical diagnoses and ďŹ ndings to the patient, their family or support system. The CV patient education team is a vital component of the discharge/ transitional process. They work with case management, social workers, the clinical nursing team and pharmacy to maximize resources to enhance compliance with the medical plan. Inpatient pharmacy provides one-on-one bedside education to review each medication, side effects and instructions of when to notify their cardiologist or primary care physician. Furthermore, medications are delivered at the bedside before the patient leaves.

EDUCATING THE COMMUNITY DURING HEART MONTH In February, BHVI hosted several community activities to help people learn more about heart health. On Feb. 3 our team members showed support by wearing red T-shirts and clothing on National Wear Red Day to promote heart disease awareness and education. BHVI also hosted its third Love Your Heart Cordova Mall event featuring education stations that included blood pressure checks, heart healthy diet tips, ask a heart doc and much more. BHVI partnered with the Pensacola International Airport and Escambia County Police Department to review AED operations.

27


CARDIOVASCULAR SYMPOSIUM Annually, BHVI hosts a free cardiovascular education symposium for the medical community. It is designed for physicians, nurses, hospital care providers and allied health professionals. Attendees receive CMEs and CEUs as needed. Our outstanding faculty is comprised of locally and nationally recognized experts in the field of cardiovascular care. Since inception, we have had over 1,000 healthcare providers throughout the region of Northwest Florida and South Alabama attend, allowing for great networking to support collaboration across the region. In Feb. 2017, the second annual symposium was held with over 350 attendees. Topics covered included current trends in the cardiovascular market, optimizing providers health and wellness, innovations in cardiac MRI, heart failure, patient experience, peripheral artery disease, pathways to cryptogenic stroke, acute MI care and advancements in cardiothoracic surgery.

ANNUAL STRAIGHT FROM THE HEART, INNOVATIONS IN CARDIOVASCULAR CARE In 2017, BHVI hosted its first annual Straight from the Heart, Innovations in Cardiovascular Care event. There were over 75 providers in attendance. Safwan Jaalouk. M.D., FACS FSCAI, provided an update of BHVI’s cardiovascular program as well as plans for future growth and development.

28


PATIENT EXPERIENCE At BHVI, keeping the patient at the center of attention is our No. 1 priority. BHVI recognizes that the patient experience is a focus on individualized care, tailoring services to meet the patient’s needs and engaging them as a partner in their care. In 2016 and 2017, Baptist Health Care scored consistently better than the national average in eight of the nine Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) domains of care. In addition, Baptist Health Care consistently scored better than the national average in the HCAHPS “Overall Hospital Rating” and “Likelihood to Recommend” for both 2016 and 2017.

HCAHPS Domains of Care 100 90

80 70 60 50 40 30 20 10 0 Nurse Doctor Responsiveness of Cleanliness of Communication Communication Hospital Staff Room/Bathroom

Quietness at Night

Pain Management

Communication about Medicines

% Always (Options: Always, Usually, Sometimes, Never)

2016

2017

Discharge Information

Transition of Care

% Yes

% Strongly Agree

National Average

100 90

HCAHPS Overall Assessment 2016 2017 National Average

80 70 60 50 40 30 20 10 0 Overall Rating of Hospital

Likelihood to Recommend

percent 9 or 10 percent “definitely yes” (0-10 scale) (options: definitely yes, probably no, definintely no)

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CARDIOVASCULAR RESEARCH

The research department staff has a combined total of over 54 years of research experience. Two team members have obtained research certification through the Association of Clinical Research Professionals (ACRP). Cardiology Consultants was one of the top three sites for enrollment in the nation for the AEIOU study with 35 subjects enrolled. Dr. Ian Weisberg was the Principal Investigator. AEIOU compared rates of bleeding with Eliquis taken morning of atrial fibrillation ablation versus Eliquis held morning of ablation. In addition, the research department has been involved in ongoing trials for a new classification of drugs known as PCSK9s (Praluent and Repatha) to treat elevated cholesterol.

2017 RESEARCH: RE-ADMISSIONS FOR CONGESTIVE HEART FAILURE With a focus on re-admissions for congestive heart failure, we began participation in several heart failure studies. One is a registry evaluating two heart failure quality improvement initiatives compared with usual care on heart failure outcomes in the year following discharge. Baptist Hospital was randomized to the direct health system engagement strategy which involves national faculty mentorship and regional multidisciplinary teams to help design and improve our quality improvement plans.

Number of Studies

30

25 20 15 10 5 0

10

12

2014

2015

20

19

2016

2017


ORDER FACILITATOR A Guide to Referring Your Patients To schedule an appointment or make a referral: • Use Order Facilitator: Choose Cardiology Consultants • Call our main scheduling line: 850.484.6500 • Fax: 850.857.1747 Order Facilitator is a free electronic referral system available to any medical practice. To learn more or to have your account activated, contact 850.434.4672 or 850.437.8809 (F).

FOR MORE INFORMATION ebaptisthealthcare.org/heart 850.484.6500

ABOUT BAPTIST HEALTH CARE Baptist Health Care is a community-owned, not-for-profit health care organization committed to improving the quality of life for people and communities in Northwest Florida and South Alabama. The organization is a proud member of the Mayo Clinic Care Network. A 2003 Malcolm Baldrige recipient, Baptist continuously strives to be a national leader in quality and service. Baptist Health Care includes three hospitals, four medical parks, Andrews Institute for Orthopaedic & Sports Medicine, Lakeview Center, Baptist Medical Group and Baptist Heart & Vascular Institute. With more than 6,500 employees and employed physicians, Baptist Health Care is the largest non-governmental employer in Northwest Florida. 31


1000 West Moreno St. Pensacola, FL 32501 Phone: 850.484.6500

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Profile for Baptist Health Care

BHVI Annual Report  

BHVI Annual Report