SCL Health Heart & Vascular Institute 2019 Annual Report by Intermountain Health

2019 SCL Health Heart & Vascular Institute ANNUAL REPORT

Contents SCL Health First Call . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Research . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Denver Area Program Overview . . . . . . . . . . . . . . . . . . . 6 Saint Joseph Hospital Lutheran Medical Center Good Samaritan Medical Center Platte Valley Medical Center

Western Colorado Program Overview . . . . . . . . . . . . . 15 St. Maryâ&#x20AC;&#x2122;s Medical Center

Montana Program Overview . . . . . . . . . . . . . . . . . . . . . 17 St. Vincent Healthcare St. James Healthcare Holy Rosary Healthcare

Outpatient Clinics & Practices . . . . . . . . . . . . . . . . . . . . . 21

2 | Advanced Heart & Vascular Care

By the Numbers

8 HOSPITALS

11 EMERGENCY DEPARTMENTS

4-state HEART AND VASCULAR COVERAGE 11 CARDIOLOGY, VASCULAR AND SURGICAL PRACTICES 30,000+ CARDIAC REHABILITATION VISITS PER YEAR 1,000+ CARDIAC SURGERY PROCEDURES PER YEAR 7,000+ INTERVENTIONAL PROCEDURES PER YEAR 250+ STRUCTURAL HEART PROCEDURES PER YEAR

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SCL Health First Call Referring, transferring and coordinating care for patients at SCL Health Heart & Vascular Institute is easy with SCL Health First Call. First Call is an RN-staffed and clinically supported service designed to connect you quickly to the physicians and staff of SCL Health, eliminating the need to keep track of multiple numbers or make multiple calls. Among other services, First Call includes: • Referrals to medical cardiology and specialized heart and vascular services. • Call ahead processing for ER referrals with patient details tracked prior to arrival – avoiding miscommunication and unexpected arrivals. • Coordination of in- and out-of-system high level care transfers. • Facilitating physician-to-physician communication and care conferencing. • Arranging all forms of medical transport including air. • Managing logistics for a smooth patient experience in and out of a hospital setting. • Practice-to-practice referrals and transfers.

Denver & Front Range: 844-504-0004

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Montana: 800-331-0222

Grand Junction & Western Colorado: 855-254-1078

Research SCL Health Research Institute, a dedicated department within SCL Health, is focused on clinical research and outcomes in oncology and cardiovascular services. These invested professionals conducted and participated in several national research studies in 2019. These studies include: • IAmgen Gould: Getting to an improved Understanding of Low-Density Lipoprotein Cholesterol and Dyslipidemia management (GOULD): A Registry of High Cardiovascular Risk Subjects in the United States • Amgen Galactic-HF: A Double-blind, Randomized, Placebo-controlled, Multicenter Study to Assess the Efficacy and Safety of Omecamtiv Mecarbil on Mortality and Morbidity in Subjects With Chronic Heart Failure With Reduced Ejection Fraction • Boston Scientific REPRISE IV: Repositionable Percutaneous Replacement of Stenotic Aortic Valve through Implantation of LOTUS Edge Valve System in Intermediate Surgical Risk Subjects • Humanitarian Use Device: PK Papyrus Covered Coronary Stent System

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Saint Joseph Hospital Medical Directors Glenn Hirsch, MD Cardiovascular Services

Jason Shofnos, MD Cardiothoracic Surgery

Ty Garland, MD Vascular Surgery

Albert Tseng, MD Cath Lab & Chest Pain

Andrew Freeman, MD Cardiac Rehab & Wellness

William D. Anderson, MD Structural Heart

Accreditations • ANCC Magnet Hospital • Accredited Chest Pain Center, Primary PCI with Resuscitation • Primary Stroke Center • Certified Cardiopulmonary Rehabilitation Program

• Accredited Echocardiography Facility • Accredited Nuclear Cardiology Facility • STEMI Receiving Hospital

• Dr. Dean Ornish-certified Intensive Cardiac Rehabilitation Program • Accredited Pulmonary Hypertension Association Center of Comprehensive Care

Awards • Three-star STS rating for CABG and Mitral Valve Replacement or Repair • 2019 NCDR Chest Pain – MI Registry™ Silver Performance Achievement Award • American Heart Association – Stroke Award Gold Plus Patient Satisfaction • HCAHPS – Patients who gave their hospital a rating of 9 or 10 – 84% (National Average 73%) • HCAHPS – Likelihood to recommend – 84% (National Average 72%) 6 | Advanced Heart & Vascular Care

Services Offered • Extracorporeal Membrane Oxygenation (ECMO) Program • Cardiogenic Shock Team • Pulmonary Hypertension Program • Interventional Cardiology Diagnostic and Interventional Cath Peripheral Vascular CardioMEMs for Heart Failure Chronic Total Occlusion (CTO) • Advanced Cardiac Imaging Cardiac MR Cardiac CT • Advanced Heart Failure

• Vascular Surgery Open and Endovascular AAA intervention, including emergent ruptured AAA Thrombectomy • Cardiac Rehabilitation Intensive Cardiac Rehabilitation | Ornish Lifestyle Medicine Cardiac & Pulmonary Rehab • Cardiothoracic Surgery CABG AVR MVR Minimally Invasive CT surgery

Program Highlights u Working closely with clinical partners at National Jewish Health, ranked as the nation’s #1 respiratory hospital in the country by U.S. News and World Report, Saint Joseph Hospital is one of the most capable heart programs in the Rocky Mountain region with some of the best patient outcomes. u Saint Joseph Hospital is developing a cardio-oncology program to treat heart conditions of patients undergoing cancer treatment as well as cancer survivors. As chemotherapy and radiation can adversely affect heart function, this highly-specialized program can help patients live longer and better lives. u One of the newest additions to the comprehensive heart program at Saint Joseph Hospital is the Advanced Heart Failure Program at SCL Health Heart & Vascular Institute – Denver. The clinic provides innovative treatments and technologies, such as CardioMEMS, the only FDA-approved wireless heart failure monitor. With the goal of reducing hospital admissions and

• Electrophysiology Cryoablation, Stereotaxis and Radiofrequency Ablation (RFA) ICD and Pacemaker insertion and management • Structural Heart TAVR Watchman MitraClip ASD/PFO Closure Balloon Mitral Valvuloplasty (BMV)

Saint Joseph Hospital

improving quality of life for heart failure patients, the Advanced Heart Failure program works closely with patients and their current healthcare providers to create a successful treatment plan. Focusing on education for self-care, medication management, careful testing and monitoring and fast access to adjunct therapies when needed, the program provides a holistic and personalized approach to support patients and their families. u Cardiothoracic surgery at Saint Joseph Hospital continues to be one of the highest performing surgical programs in the United States. As measured by the Society of Thoracic Surgeons, Saint Joseph Hospital has some of the best outcomes for adult heart surgeries, earning better than expected ratings in overall CABG and mitral valve replacement and repair. u Extracorporeal Membrane Oxygenation (ECMO) is a highly specialized treatment for patients with severe and life-threatening illness. Saint Joseph Hospital is one

1 https://www.dicardiology.com/article/new-approaches-reduce-cardiogenic-shock-mortality

July 2018 – June 2019 CABG Overall Composite Score

★★★

AVR Overall Composite Score

★★

AVR + CABG Overall Composite Score

★★

Mitral Valve Replacement or Repair

★★★

Mitral Valve Replacement or Repair + CABG

★★

of just a handful of hospitals in the Rocky Mountain region that offers the necessary technology and unique multidisciplinary expertise to provide this advanced cardiopulmonary support for patients needing ECMO. u Nationwide, 50 percent of patients in cardiogenic shock do not survive, making it one of the most lethal cardiovascular diseases.1 To combat this, Saint Joseph Hospital has created a cardiogenic shock team to institute protocols proven to reduce mortality and improve patient outcomes.

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Saint Joseph Hospital (continued)

u Due to the collaboration and clinical partnership with National Jewish Health, Saint Joseph Hospital is one of the few places in the world able to diagnose and treat pulmonary hypertension (PH) in a comprehensive and patient-focused way. National Jewish Health and Saint Joseph Hospital are one of only four programs in Colorado accredited to treat PH having demonstrated an ability to properly diagnose the disease and have the capability to manage complex patients. u Structural Heart has been a hallmark and a major focus area for Saint Joseph Hospital. The hospital offers minimally invasive procedures that include TAVR for aortic stenosis, MitraClip for mitral valve regurgitation, ASD/PFO closures and Watchman for stroke risk reduction in atrial fibrillation (AFib) patients. Structural

heart procedures combine the talents of cardiothoracic surgeons and specially trained interventional cardiologists to address structural defects in the heart and valves in patients for whom open-heart surgical procedures are not recommended. u Surgical intervention for ruptured Abdominal Aortic Aneurysm (rAAA) can present elevated risks an d requires a team with considerable experience and expertise. The Saint Joseph Hospital vascular surgery team is one of the most experienced teams in the Rocky Mountain region in the surgical treatment of AAA and specializes in advanced open and endovascular repair. This type of surgery has been highly successful at Saint Joseph Hospital, despite it being a major surgical intervention for patients who require it.

New Providers in 2019 John D. Ferguson, MD Electrophysiology Good Samaritan Medical Center, Platte Valley Medical Center, Saint Joseph Hospital, SCL Health Heart & Vascular Institute – Lafayette, Denver, Brighton

Dr. Ferguson was born and raised in South Africa. He earned a bachelor’s degree and medical degree from University of Cape Town in South Africa. He then completed his residency in internal medicine and fellowship in cardiology and electrophysiology at Oxford Radcliffe Hospitals in Oxford, England. While in Oxford, Dr. Ferguson also did a two-year medical doctorate research degree investigating cardiac pacing. Following this, he moved to the United States and completed an additional electrophysiology fellowship at the University of Virginia. During his time at UVA he was promoted to Professor of Medicine, with an endowed chair and was Director of Clinical Electrophysiology for five years.

Santi Yarlagadda, MD Medical Cardiology Saint Joseph Hospital, National Jewish Health, SCL Health Heart & Vascular Institute – Denver

Dr. Yarlagadda completed her fellowship in advanced heart failure and cardiac transplant at University of California, San Francisco. She specializes in treatment of patients with heart failure. Dr. Yarlagadda received her medical degree at Albany Medical College. She completed her cardiovascular disease fellowship at the University of Texas Health Science Center in Houston and her internal medicine residency at Rush University Medical Center in Chicago. Additionally, Dr. Yarlagadda has participated in research projects and co-authored numerous publications. Ankie Amos, MD, FACC Medical Cardiology Saint Joseph Hospital, National Jewish Health, SCL Health Heart & Vascular Institute – Denver

Dr. Amos is fellowship trained in heart

8 | Advanced Heart & Vascular Care

failure/heart transplant from Duke University Medical Center and now focuses on advanced heart failure treatment at National Jewish Health and the SCL Health Heart & Vascular Institute in Denver. Dr. Amos holds board certifications in advanced heart failure and transplant, echocardiography, nuclear medicine, internal medicine and cardiovascular disease. Christopher Dyke, MD Medical Cardiology Saint Joseph Hospital, National Jewish Health

Dr. Dyke is board certified and a member of the American Board of Internal Medicine with a subspecialty of cardiovascular disease. Dr. Dyke earned a fellowship at Duke University Medical Center, completed residency at University of Texas and attended Medical School at University of Texas Southwestern.

Lutheran Medical Center Medical Directors Jerry Miklin, MD Cath Lab & Chest Pain

Laura Diamandopoulos, MD Cardiology Imaging

Allan Brants, MD Cardiothoracic Surgery

Jody Kleinman, MD Cardiac Rehab & Wellness

Alan Synn, MD Vascular Surgery

Accreditations • DNV GL Certified Comprehensive Stroke Center • Accredited Chest Pain Center, Primary PCI

• Level III Trauma Center • Certified Cardiac Rehabilitation Program

• Accredited Nuclear Cardiology Facility • STEMI Receiving Hospital

• Accredited Echocardiography Facility

Awards • 2019 NCDR Chest Pain – MI Registry™ Platinum Performance Achievement Award • American Heart Association – Stroke Award Gold Plus • American Heart Association – Target: Stroke Elite Plus Honor Roll Patient Satisfaction • HCAHPS – Patients who gave their hospital a rating of 9 or 10 – 80% (National Average 73%) • HCAHPS – Likelihood to recommend – 80% (National Average 72%)

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Lutheran Medical Center (continued)

Services Offered • Interventional Cardiology Diagnostic and Interventional Cath Peripheral Vascular • Cardiothoracic Surgery CABG AVR MVR

• Cardiac Rehab • Electrophysiology Laser Lead Extraction Convergence procedure for Intractable Arrhythmia Cryoablation and Radiofrequency Ablation (RFA)

Program Highlights u Lutheran Medical Center is home to one of the most advanced electrophysiology programs in the Denver area. With a specialization in laser lead extraction for patients with implanted devices who develop systemic infections and/or have implant leads that need to be removed and replaced, the program is equipped to care for patients with a wide range of EP needs. u In 2019, Lutheran Medical Center added a new, multidisciplinary intervention called Convergence. Convergence is a procedure for intractable arrhythmia that combines cardiothoracic surgery and electrophysiology modalities to perform cardiac ablations for patients who do not respond to traditional AFib ablations. u Since Fall 2019, Lutheran Medical Center has been certified as a Comprehensive Stroke Center, including full interventional neuro-radiology capabilities for advanced interventions for stroke. Lutheran is now one of only six facilities in Colorado to hold either a DNV GL certification or a Joint Commission advanced comprehensive stroke designation. u As a recipient of the 2019 NCDR Chest Pain – MI Registry™ Platinum Performance Achievement Award, Lutheran Medical Center has demonstrated sustained, top level performance in quality of care and adherence to NCDR guidelines and recommendations. The hospital has engaged in robust quality improvement processes, using data to drive improvements and positively impact patient outcomes for heart attack patients. u Lutheran Medical Center has one of the fastest door-to-balloon times in the Denver area. At 54 minutes, Lutheran is faster than the national average of 60 minutes when treating heart attack patients.

New Providers in 2019 Laura A. Diamandopoulos, MD Medical Cardiology Lutheran Medical Center, SCL Health Heart & Vascular Institute – Wheat Ridge

Born in Montreal, Quebec, Dr. Diamandopoulos grew up in a suburb of Athens, Greece before moving back to Montreal for high school. She received her undergraduate degree in physiology from McGill University in Montreal. Dr. Diamandopoulos earned her medical degree from the University of Toronto in Ontario. She completed her residency in internal medicine at the Mayo Graduate School of Medicine in Rochester, Minnesota and her fellowship in cardiovascular disease from Emory University School of Medicine. Dr. Diamandopoulos is passionate about cardiac imaging, particularly echocardiography and how it can be used to help her patients.

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Good Samaritan Medical Center Medical Directors Donald Rabor, MD Cardiovascular Services

Tom Tsai, MD Cath Lab & Chest Pain

Sucheta Gosavi, MD Cardiac Rehab & Wellness

Accreditations • Level II Trauma Center • Primary Stroke Center

• Certified Cardiopulmonary Rehabilitation Program

• Accredited Nuclear Cardiology Facility

• Accredited Chest Pain Center, Primary PCI

• Accredited Echocardiography Facility

• STEMI Receiving Hospital

Awards • 2019 NCDR Chest Pain – MI Registry™ Platinum Performance Achievement Award • American Heart Association – Stroke Award Gold Plus • American Heart Association – Target: Stroke Elite Honor Roll Patient Satisfaction • HCAHPS – Patients who gave their hospital a rating of 9 or 10 – 82% (National Average 73%) • HCAHPS – Likelihood to recommend – 82% (National Average 72%)

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Good Samaritan Medical Center (continued)

Services Offered • Interventional Cardiology Diagnostic and Interventional Cath Peripheral Vascular

• Electrophysiology Radiofrequency Ablation (RFA) ICD and Pacemaker insertion and management

• Cardiac Rehab

• Calcium Scoring Program

Program Highlights u Good Samaritan Medical Center doubled its cardiovascular care and treatment capacity in 2019 by expanded staffing of medical cardiologists and interventionalists. The additions of Aparna M. Bhagavat, MD, John D. Ferguson, MD and Sucheta Gosavi, MD to the existing team in Lafayette allows Good Samaritan to keep up with the growing needs of the Broomfield and Boulder County communities. In addition, two new interventional cardiologists, Dr. John Frank and Dr. Wojciech Nowak, will be joining SCL Health Heart & Vascular Institute in 2020. u Good Samaritan Medical Center offers easy-access, flat-fee calcium scoring tests to better assist patients in the community with the early detection of coronary artery disease. All tests are evaluated by specially trained cardiac specialists who then work with a patient’s existing care team to address risks and treatments. u As a recipient of the 2019 NCDR Chest Pain – MI Registry™ Platinum Performance Achievement Award, Good Samaritan Medical Center has demonstrated sustained, top level performance in quality of care and adherence to NCDR guidelines and recommendations. The hospital has engaged in robust quality improvement processes, using data to drive improvements and positively impact patient outcomes for heart attack patients.

New Providers in 2019 Aparna M. Bhagavat, MD Medical Cardiology Good Samaritan Medical Center, SCL Health Heart & Vascular Institute – Northglenn

Raised in a family of doctors, Dr. Bhagavat was born and raised in India. She earned her medical degree from Kolkata Medical College in India. She completed her residency in internal medicine at the University of Missouri and a fellowship in cardiology at Tufts Medical Center in Boston. Dr. Bhagavat is especially interested in preventive cardiology, metabolic syndrome and diabetes. Sucheta Gosavi, MD Medical Cardiology Good Samaritan Medical Center, SCL Health Heart & Vascular Institute – Lafayette

Born and raised in India, Dr. Gosavi has always been attracted to medicine. She received her medical degree from R.G. Kar Medical College in Kolkata, India. Dr. Gosavi completed a residency in internal medicine at University of Missouri – Columbia and a fellowship in cardiology at Texas Tech University – El Paso. 12 | Advanced Heart & Vascular Care

Exposed to a lot of heart disease during medical school, attracted Dr. Gosavi to follow a career in cardiology. She has a special interest in preventive cardiology, hypertension and metabolic syndrome. John D. Ferguson, MD Electrophysiology Good Samaritan Medical Center, Platte Valley Medical Center, Saint Joseph Hospital, SCL Health Heart & Vascular Institute – Lafayette, Denver, Brighton

Platte Valley Medical Center Medical Directors Donald Rabor, MD Cardiovascular Services Accreditations • Primary Stroke Center

• Certified Cardiac Rehabilitation Program

• Accredited Chest Pain Center

• Level III Trauma Center

Awards • American Heart Association – Stroke Award Gold Plus • American Heart Association – Target: Stroke Honor Roll Patient Satisfaction • HCAHPS – Patients who gave their hospital a rating of 9 or 10 – 82% (National Average 73%) • HCAHPS – Likelihood to recommend – 79% (National Average 72%) Services Offered • Interventional Cardiology Diagnostic and Interventional Cath Peripheral Vascular

• Wound Care

• Cardiac Rehabilitation

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Platte Valley Medical Center (continued)

Program Highlights u By the end of 2020, Platte Valley is anticipating 24/7 cath lab coverage thanks to doubling the size of its cardiology practice as well as leveraging physician coverage from across SCL Health’s entire Denverarea heart and vascular team. Expanded services will greatly benefit patients in Adams and Weld Counties who no longer have to travel out of the community for vital care. u As part of the cardiovascular offerings at Platte Valley Medical Center, peripheral vascular services have been expanded to support their robust advanced wound care and hyperbarics program. As the only hospital with the capabilities and technology to treat chronic wounds north of I-70, Platte Valley can better treat patients suffering from non-healing wounds and other peripheral vascular conditions caused by diabetes or heart and vascular disease including peripheral artery disease (PAD), chronic limb ischemia (CLI), aortic aneurysms, deep vein thrombosis, pulmonary embolism, phlebitis and varicose veins. u Thanks to increased investments, the addition of new providers and being able to offer new treatments and specialties, Platte Valley Medical Center is now the only advanced heart center in the Brighton area and the only major hospital along the I-76 corridor in northeast Colorado.

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St. Mary’s Medical Center Medical Directors William D. Anderson, MD Cardiovascular Services

Len Lapkin, MD Cardiothoracic Surgery

Accreditations • Accredited Chest Pain Center, Primary PCI with Resuscitation • Accredited Nuclear Cardiology Facility • STEMI Receiving Hospital • Level II Trauma Center • Primary Stroke Center Awards • 2019 NCDR Chest Pain – MI Registry™ Platinum Performance Achievement Award • American Heart Association – Stroke Award Gold Plus • American Heart Association – Target: Stroke Elite Honor Roll Patient Satisfaction • HCAHPS – Patients who gave their hospital a rating of 9 or 10 – 77% (National Average 73%) • HCAHPS – Likelihood to recommend – 78% (National Average 72%)

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St. Mary’s Medical Center (continued)

Services Offered • Interventional Cardiology Diagnostic and Interventional Cath Peripheral Vascular

• Electrophysiology Cryoablation and Radiofrequency Ablation (RFA) ICD and Pacemaker insertion and management

• Vascular Surgery Open and Endovascular AAA intervention, including emergent ruptured AAA Thrombectomy

• Structural Heart TAVR Watchman MitraClip ASD/PFO Closure

• Cardiothoracic Surgery CABG AVR MVR

• Cardiac Rehabilitation Cardiac and Pulmonary Rehab Peripheral Arterial Disease (PAD) Rehab

Program Highlights u St. Mary’s Medical Center is the only comprehensive structural heart program within 200 miles of Grand Junction. For patients in Western Colorado or Eastern Utah, St. Mary’s is the only facility able to provide minimally invasive procedures such as TAVR or Watchman implants outside of Salt Lake City or Denver. u With the state-of-the-art Heart & Vascular Institute expansion, St. Mary’s has been able to expand their structural heart offerings as well as add advanced EP procedures. u In 2019, the vascular and cardiothoracic surgery programs were greatly expanded with the addition of new surgeons and providers. St. Mary’s is now able to provide advanced surgical care better than any other program in Western Colorado.

New Providers in 2019 Junior Univers, MD Vascular Surgery

Justin H. Walpole, MD Vascular Surgery

St. Mary’s Medical Center, SCL Health Heart & Vascular Institute – Western Colorado

Dr. Univers is specially trained in general surgery and vascular surgery. The West Palm Beach, Florida native is happy to call Grand Junction home. Prior to relocating to western Colorado, Dr. Univers lived and worked in Knoxville, Tennessee. He received his bachelor’s degree from the University of Florida in 2005 and obtained his medical degree in 2012 from Creighton University School of Medicine in Omaha, Nebraska. He moved south to Knoxville and to the University of Tennessee to complete his residency in general surgery and his fellowship in vascular surgery.

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A former aerospace engineer, Dr. Walpole refocused his career to become a surgeon in the hopes of helping people and making them better. Dr. Walpole holds several degrees, inducing a degree in chemical engineering, but received his medical degree from Ross University. He completed his residency at University of Iowa Hospitals and Clinics.

St. Vincent Healthcare Medical Directors Tas Saliaris, MD Cardiovascular Services

Rob Terry, MD Cath Lab & Chest Pain

Accreditations • Primary Stroke Center

• STEMI Receiving Hospital

• Accredited Chest Pain Center, Primary PCI

• Accredited Cardiopulmonary Rehabilitation Program

• Accredited Nuclear Cardiology Facility

Awards • CMS 5 Star Rating • American Heart Association – Mission: Lifeline Award Silver Receiving Patient Satisfaction • HCAHPS – Patients who gave their hospital a rating of 9 or 10 – 78% (National Average 73%) • HCAHPS – Likelihood to recommend – 79% (National Average 72%) Services Offered • Interventional Cardiology Diagnostic and Interventional Cath Peripheral Vascular • Cardiothoracic Surgery CABG AVR MVR

• Vascular Surgery • Electrophysiology Radiofrequency Ablation (RFA) ICD and Pacemaker insertion and management

• Structural Heart TAVR MitraClip ASD/PFO Closure • Cardiac Rehabilitation

SCL Health Heart & Vascular Institute – 2019 Annual Report | 17

St. Vincent Healthcare (continued)

Program Highlights u St. Vincent Healthcare stands out as one of the few hospitals in the Western United States to have earned a prestigious CMS 5-star rating. St. Vincent was the only hospital in Billings to earn this rating and one of only three in the state of Montana. u St. Vincent has been at the forefront of population health by creating a preventative health clinic that specializes in heart failure. Focused on reducing hospital readmission rates and improving patient outcomes, the clinic helps patients manage their symptoms but also aids in improving their quality of life through dedicated patient education.

u Structural heart programs have been a recognized area of expertise for SCL Health; and St. Vincent Healthcare has been able to expand on this specialty. The structural heart program now is performing minimally invasive MitraClip procedures in addition to TAVR. u Due to the large geographic expanse of Montana and pockets of limited healthcare access, St. Vincent Healthcare has invested in expanding cardiology services to support outlying communities. This includes expanding vascular surgery follow-ups and consults via an outreach clinic in Bozeman. Additionally, thanks to grant support, St. Vincent has also been able to expand cardiac rehab services to remote patients so that patients in rural areas have the monitoring and care afforded to those in larger metropolitan areas.

New Providers in 2019 Tyler Slyngstad, MD Interventional Cardiology

Thomas J. Desmarais, MD Vascular Surgery

St. Vincent Healthcare, SCL Health Heart & Vascular Institute – Billings

St. Vincent Healthcare, SCL Health Heart & Vascular Institute – Billings Cardiac & Vascular Surgery

Dr. Slyngstad has clinical interest in a number of services including diagnostic and interventional catheterizations, transaortic valve replacements, as well as evaluation and management of cardiovascular disease. He was attracted to cardiology for the immediate and dramatic impact that can be made to a patient’s health. Originally from Three Forks, Montana, Dr. Slyngstad is enjoying his return to Big Sky country to raise a family and practice medicine with the latest technologies. When not working, he can probably be found fly-fishing. Jeffrey S. Horn, MD Vascular Surgery St. Vincent Healthcare, SCL Health Heart & Vascular Institute – Billings Cardiac & Vascular Surgery

Dr. Horn specializes in the treatment of all forms of vascular disease. Board certified in general and vascular surgery, Dr. Horn has been interested in the innovative and changing field of vascular surgery since graduate school. Dr. Horn strives to be available and approachable for his patients both at work and in the community. 18 | Advanced Heart & Vascular Care

Dr. Desmarais was drawn to vascular surgery for its wide breadth and long-term patients. He provides a level of service that he would expect for his own family members. His philosophy of care is patient centered and evidence based. Dr. Desmarais looks forward to meaningful interactions with patients whether in the clinic or operating room – and in improving symptoms or preventing complications of vascular disease. Bart Cox, MD Medical Cardiology St. Vincent Healthcare, SCL Health Heart & Vascular Institute – Billings

Dr. Cox is originally from Indiana. He earned a bachelor’s degree in biology, followed by his medical degree from Indiana University School of Medicine in Indianapolis, Indiana. Following his education, he moved to Milwaukee, Wisconsin to complete his residency and fellowship at Medical College of Wisconsin. Dr. Cox is board certified in heart failure.

St. James Healthcare Medical Director Kris Godlewski, MD Cardiovascular Services Accreditations • Certified Cardiac Rehabilitation Program Services Offered • Interventional Cardiology Diagnostic and Interventional Cath Peripheral Vascular

• Cardiac Rehabilitation • Diagnostic Cardiac Testing

Program Highlights u St. James Healthcare will soon be opening up a new, expanded cath lab that will effectively double its capacity as well as provide patients with improved, cutting-edge interventional cardiology treatments and technologies. With this new space, St. James will be better able to perform diagnostic, interventional and peripheral vascular procedures for patients in Butte and Western Montana. u St. James Healthcare has been recognized by the Montana Association of Cardiovascular and Pulmonary Rehabilitation (MACVPR) for its cardiac rehab program serving the people of Butte and surrounding communities. MACVPR upholds the highest standards to cardiac and pulmonary rehab through reducing morbidity, mortality and disability from cardiovascular and pulmonary disease through education, prevention, rehabilitation, research and disease management.

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Holy Rosary Healthcare Medical Directors Tas Saliaris, MD Cardiovascular Services Lance Robbins, MD Cardiac Rehab & Wellness Services Offered â&#x20AC;˘ Medical Cardiology via Onsite and Telehealth Clinics â&#x20AC;˘ Cardiac Rehabilitation

Program Highlights u With non-invasive testing capabilities supported by in person and telehealth medical cardiology out of St. Vincent Healthcare in Billings, Holy Rosary Healthcare is able to provide a significant level of cardiology services for patients in Miles City and rural Eastern Montana. In addition to diagnostics and telehealth, Holy Rosary also has a robust cardiac and pulmonary rehab program so that patients no longer need to travel hundreds of miles for equivalent, structured care programs.

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Medical Group SCL Health Medical Group, a multi-specialty provider group comprised of more than 540 providers and 150+ ambulatory clinics, serves the needs of patients in Denver, Western Colorado, Eastern Utah, Wyoming and Montana. Made up of family medicine and specialty care practitioners, surgeons, hospitalists, educators, and

researchers, SCL Heath Medical Group is fully integrated into SCL Health hospitals and the communities they serve. For heart and vascular care, SCL Heath Medical Group as dedicated specialists and clinics for medical cardiology, electrophysiology, vascular care, cardiothoracic surgery, heart failure management, structural heart and outpatient diagnostics.

Medical Group – Front Range 7

Practice Directory & Services

BRIGHTON

SCL Health Heart & Vascular Institute – Brighton 1610 Prairie Center Parkway, Suite 2330 Brighton, CO 80601 | 303-659-7000 • • • • • •

BROOMFIELD

Medical Cardiology Electrophysiology Peripheral Vascular Clinic Outpatient Vascular Heart Failure Management Outpatient Testing

THORNTON Rocky Mountain Arsenal National Park

121

WESTMINSTER ARVADA

Medical Cardiology Electrophysiology Cardio-Oncology Clinic Outpatient Vascular Advanced Heart Failure Clinic Outpatient Testing

270

WHEAT RIDGE

40 225

LAKEWOOD 470

SCL Health Heart & Vascular Institute – Denver Cardiac & Thoracic Surgery 1960 Ogden Street, Suite 540 Denver, CO 80218 | 303-318-2440

470

SCL Health Heart & Vascular Institute – Denver 1960 Ogden Street, Suite 110 Denver, CO 80218 | 303-318-2460 • • • • • •

470 25

DENVER

AURORA

470

121 25

• Cardiothoracic Surgery • Structural Heart

SCL Health Heart & Vascular Institute – 2019 Annual Report | 21

Medical Group – Front Range (continued)

SCL Health Heart & Vascular Institute – Lafayette 300 Exempla Circle, Suite 310 Lafayette, CO 80026 | 303-689-6420 • • • • • •

Medical Cardiology Electrophysiology Peripheral Vascular Clinic Outpatient Vascular Heart Failure Management Outpatient Testing

SCL Health Heart & Vascular Institute – Northglenn 11900 Grant Street, Suite 240 Northglenn, CO 80031 | 303-603-9970 • • • • •

Medical Cardiology Electrophysiology Outpatient Vascular Heart Failure Management Outpatient Testing

SCL Health Heart & Vascular Institute – Wheat Ridge 3655 Lutheran Parkway, Suite 201 Wheat Ridge, CO 80033 | 303-595-2700 • • • • •

Medical Cardiology Advanced Electrophysiology Peripheral Vascular Clinic Heart Failure Management Outpatient Testing

SCL Health Heart & Vascular Institute – Wheat Ridge Cardiac & Thoracic Surgery 3555 Lutheran Parkway, Suite 380 Wheat Ridge, CO 80033 | 303-603-9800 • Cardiothoracic Surgery

Program Highlights SCL Health Heart & Vascular Institute clinics offer a wide range of outpatient diagnostic testing to avoid facility fees whenever possible. Outpatient testing options include:

• • • •

Echo, EKG and stress testing Nuclear imaging Heart rhythm monitoring Vascular measurement

Medical Group – Western Colorado Practice Directory & Services SCL Health Heart & Vascular Institute – Western Colorado Cardiac & Thoracic Surgery 2643 Patterson Road, Suite 403 Grand Junction, CO 81506 | 970-298-7675

• Cardiothoracic Surgery • Structural Heart

Program Highlights

Patterson Rd

SCL Health Heart & Vascular Institute – Western Colorado Cardiac & Thoracic Surgery brings together the top heart, vascular and thoracic surgeons in Western Colorado and Eastern Utah. Leveraging SCL Health’s multistate network of experts and technology, the team is able to offer advanced structural heart procedures, such as TAVR and Watchman, unavailable anywhere else in the region.

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Medical Group – Montana Practice Directory & Services

Miles C

SCL Health Heart & Vascular Institute – Billings 2900 12th Avenue N, Suite 204E Billings, MT 59101 | 406-237-5001 • • • •

Butte

Medical Cardiology Electrophysiology Heart Failure Management Outpatient Testing

SCL Health Heart & Vascular Institute – Billings Cardiac & Vascular Surgery 2900 12th Avenue N, Suite 400E Billings, MT 59101 | 406-238-6838 • Cardiothoracic Surgery • Structural Heart • Vascular Surgery

Billings

SCL Health Heart & Vascular Institute – Butte 435 South Crystal Street, Suite 220 Butte, MT 59701 | 406-723-2420 • • • •

Medical Cardiology Outpatient Vascular Heart Failure Management Outpatient Testing

Program Highlights SCL Health Heart & Vascular Institute offers a wide range of outpatient diagnostic testing to avoid facility fees whenever possible. Outpatient testing options include:

• • • •

Echo, EKG and stress testing Nuclear imaging Heart rhythm monitoring Vascular measurement

SCL Health Heart & Vascular Institute – 2019 Annual Report | 23