Commitment to Excellence: A Best Practice Approach - 2025 Quality Summit Presentation (Non-CE)-Commitment to Excellence: A Best Practice Approach

Video Transcription

Video Summary

The session, led by Joan Michaels and colleagues, focused on the "Commitment to Excellence" in structural heart programs, particularly transcatheter valve therapies (TAVR). Presenters shared insights and best practices from various leading institutions including Sutter Medical Center in Sacramento, the Cleveland Clinic, and Morristown Medical Center in New Jersey.<br /><br />Evelyn Wilder from Sutter described their integrated workflow emphasizing comprehensive data capture and patient-centered care. Their valve clinic uses tools like OneNote checklists and EHR integrations to ensure near 100% data completion, particularly for key metrics like the Kansas City Cardiomyopathy Questionnaire (KCCQ) at 30 days and one year post-procedure. Regular multidisciplinary valve conferences foster collaboration, shared decision-making, and transparency, supporting their consistent three-star rating and accreditation.<br /><br />Nicole Arcaro and Victoria from the Cleveland Clinic detailed centralized registry management across their eight sites, using robust data abstraction, dual-review processes, and real-time reporting dashboards for clinician engagement and quality monitoring. They highlighted challenges in collecting follow-up KCCQs due to patient geography and introduced efforts to implement patient questionnaires via the MyChart system to improve efficiency while addressing IT and patient usability barriers.<br /><br />Carrie Reddick from Morristown discussed strategic program growth amidst increasing demand due to demographic trends and expanded valve indications, like the newly FDA-approved mitral device Tendine. She emphasized the importance of volume forecasting, referral optimization, and capacity planning—including staffing and procedural space—to manage rapid growth and maintain excellence. Tools like Power BI dashboards help monitor referral-to-treatment times and competition in densely populated regions like New Jersey. The session concluded with recognition of emerging technologies like AI for early disease detection and stress on ongoing collaboration among multidisciplinary teams to sustain high-quality structural heart care.

Keywords

intravascular imaging

percutaneous coronary intervention

IVUS

OCT

cardiovascular care

plaque assessment

stent placement

non-invasive imaging

clinical guidelines

Commitment to Excellence

Structural Heart Programs

Transcatheter Valve Therapies

TAVR

Data Capture

Patient-Centered Care

KCCQ Metrics

Multidisciplinary Valve Conferences

Centralized Registry Management

Program Growth and Capacity Planning

Emerging Technologies in Heart Care