TAVR Approval Shows Promise for Cardiac Cath Labs
The Food and Drug Administration (FDA) expanded the indication for transcatheter aortic valve replacement (TAVR) in 2016 when it approved two TAVR devices for intermediate-risk aortic-stenosis patients.
It specifically targets patients with at least a 3% STS-predicted risk of dying within 30 days of surgery. The action followed the release, four months earlier, of intermediate-risk trial results that showed that TAVR was equal or superior to surgical aortic valve replacement (SAVR).
Editor’s Note: The following article by Dave Pearson is posted on imagingbiz.com and is reprinted here with permission.
A full year has gone by since 425-bed Northridge Hospital Medical Center in Los Angeles went live with a new enterprise-wide EMR solution from Cerner. The hospital likes what it’s seeing, but as capable as the system is for most departments, its cardiovascular reporting modules have not shown to be as versatile nor as precise as those in the McKesson CVIS, Northridge’s CardioVascular Center has been using since 2006.
As transcatheter aortic valve replacement (TAVR) becomes more widely used across the US, TAVR specialists are realizing that the measurement method being used (CT angiography, transesophageal echocardiography, or traditional echocardiography) to determine the correct valve size is less important than storing those measurements in a central repository for later analysis.
With TAVR, a catheter is inserted in the groin and passed up to the heart (the procedure can also be done through the chest wall), avoiding the need for open-heart surgery. A replacement valve is compressed, advanced through the tube to the correct position within the aortic valve, and expanded. Some TAVR valves are mounted on a balloon to help with expansion; others are self-expanding.
What makes a harmonious data relationship in cardiac imaging? All communications between cath labs and the EHR flow seamlessly, and new technologies are integrated swiftly without disruption. That flow is critical for cardiac providers to avoid duplicate data entries and burdensome manual processes when they file reports.
Cardiologists can establish such harmony in their department by integrating a centralized cardiovascular information system (CVIS) with hemodynamic systems and their EHR. Not only will this increase data processing efficiencies on the back end, it will also generate faster front-end workflows and meet emerging federal integration requirements.
The cardiovascular service line has been rapidly evolving in the past several years, as new flavors of data and imagery are developed. This evolution has opened a significant opportunity for providers to consolidate their imaging and data efforts, rather than have them battle against each other within the service line.
Cardiac imaging providers can help with these interdepartmental data skirmishes by seeking a complete, centralized cardiovascular information system (CVIS). Unlike the image-centered focus of a cardiology PACS, a modern CVIS helps prioritize data integration within the entire service line.
Whether you crave immediate results from IT investments or love to get ahead of a curve, we’ve got points for consideration on integrating your organization’s cardiovascular information system (CVIS) with your vendor neutral archive (VNA).
Let’s talk about the practical side of integration, the part where you get near-instant gratification. First, if your organization has purchased a VNA, you want to leverage that investment. Connecting the CVIS to the VNA creates opportunities for more efficient storage asset management and reduction in administrative overhead. Most VNA systems today offer image management capabilities that are superior to most CVIS systems. Put simply, it doesn’t make much sense to have a central image repository and store cardiology images in a separate system.
You can’t avoid hearing about social media statistics. Whether they’re good (people using social media to support their health goals) or bad (people distracted while driving) it’s hard to miss the latest stats, including this one: the Pew Research Center found that 72 percent of U.S. adults used social media sites last year.
As physicians, that means that almost three-fourths of your patients are on social media. Are you missing out by not joining the social media bandwagon? If you’re thinking about doing so but aren’t sure how, there are sessions that cover social media and medicine at ACC.14. To learn about the why, read on for five good reasons to use social media.
With the implementation of a cardiovascular information solution (CVIS), many cardiac units have experienced a drastic reduction in the amount of time their cardiologists have to spend doing tedious tasks. The collaboration between technology providers and cardiologists takes on added significance in light of a new report by The Journal of the American Medical Association (JAMA) which reveals cardiologists will likely be under increased pressure from pediatric patients who are returning as adults.
Advances in Pediatric Heart Surgery
Case Study: Electrophysiology Module Helps Boost Physician Satisfaction At Cooper University Hospital7:48 am
As with many hospital systems, managing silos of information has become burdensome and time consuming. Lack of integration and automation are two of the biggest challenges in the modern healthcare setting. Cooper University Hospital recognized that they needed to tie together a number of areas seamlessly and provide a more holistic view of the patient.
Jeff Paschell, integration manager for Cardiovascular Services at Cooper University Hospital, acknowledged the disconnect between departments and that “physician adoption, physician satisfaction and report turnaround time (TAT) were not where we wanted them to be” as a result.
A recent study from KLAS revealed that only 65% of providers believe that their cardiac imaging system was complete. Clearly there’s room for improvement in the cardiology department, which is why we’re witnessing so much consolidation in the marketplace. The report states that a key missing piece was the clinical reporting. But, even for vendors who provided reporting, functionality was lacking.
Based on this research, the industry is moving more toward fully integrated cardiovascular and cardiac imaging solutions. This would not only simplify the lives of technicians, clinicians and physicians, but also would ease the burden of dealing with multiple vendors.