outcomes - baylor scott & white heart and …...those medical centers, baylor jack and jane...

621 North Hall StreetDallas, Texas 75226

BaylorHeartHospital.com 1.800.4BAYLOR

Notice Regarding Physician Ownership: Baylor Jack and Jane Hamilton Heart and Vascular Hospital is a hospital in which physicians have an

ownership or investment interest. The list of the physician owners or investors is available to you upon request. Physicians are members of the

medical staff at one of Baylor Health Care System's subsidiary, community or affiliated medical centers and are neither employees nor agents of

those medical centers, Baylor Jack and Jane Hamilton Heart and Vascular Hospital or Baylor Health Care System. ©2013 Baylor Health Care

System. BHVH 505 2012 Outcomes Brochure. MOD 12107 3/13. 2,000

OUTCOMES:

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This year the Baylor Jack and Jane Hamilton Heart and Vascular Hospital celebrated its 10th anniversary.

The hospital opened in 2002 as the first in North Texas dedicated

solely to the care and treatment of heart and vascular patients.

Today, BHVH is still the only hospital in Dallas County with that focus.

In the past 10 years, our employees and the physicians on our

medical staff have worked together to provide patients with

outstanding service, quality care, and advanced heart and vascular

treatments. The collaborative focus and commitment to excellence

has again led to impressive results in FY 2012.

all employee retention rate:

95.2%

2012 Magnet award for“Excellence in Nursing”

12,2

70no

n-in

vasi

vepr

oced

ures96.5%

satisfactionoverall rate - inpatients & outpatientsad

mis

sion

s&

regi

stra

tions

22,6

25

admissions &registrations

22,625

frien

dlin

ess

of s

taff:

97.2

%

12,2

70no

n-in

vasi

vepr

oced

ures

post-procedure

mortality rate:0%ICD

96.5%

admissions & registrations22,625


95.2%


12,2

70no

n-in

vasi

vepr

oced

ures96.5%

of inpatients say they’re likely to recommend BHVH

overall satisfaction rateamong inpatients & outpatients

Press Ganey Summit Award, second year in a row

OUTCOMES:

front cover9.5” x 9.5”

spine.25” x 9.5”

interior fold-over (die-cut)9.375” x 9.5”

back cover9.5” x 9.5”

back pocket9.375” x 8”

10.25” total trim height

38.65” total trim width

Nancy Vish, PhD, RN, NEA-BC, FACHE

President and Chief Nursing Officer

BHVH was recognized again as a Magnet™-designated facility, an honor representative of our hospital’s

excellence in nursing. The Joint Commission again recognized BHVH for its core measure outcomes and

we are now fully accredited for percutaneous coronary intervention by Accreditation for Cardiovascular

Excellence (ACE).

Modern Healthcare named Baylor Hamilton Heart and Vascular Hospital as one of the 100 “Best Places to

Work” in health care nationwide. This award is a testament to the people who come to work every day with

an attitude of caring, not only for our patients, but for each other as well.

In FY12, we were honored for the second straight year with the Press Ganey Summit Award. A second consecutive Summit Award means BHVH has had a patient satisfaction rate greater than 95 percent for 16 consecutive quarters, or 4 years in a row.

These awards help validate that the dedication to our goals of clinical excellence, patient and family satis-

faction, health care team satisfaction, and fiscal responsibility, do help provide a quality patient experience.

As part of our continuing dedication to education, BHVH continues to offer fellowships in cardiology,

electrophysiology, and vascular surgery residency program that are fully accredited by the Accreditation

Council for Graduate Medical Education.

In the spirit of innovation, research at BHVH continues utilizing adult stem cells to improve heart function

in patients with congestive heart failure and in treating acute myocardial infarction. Also, we are one of a

limited number of sites in the country researching the use of the transcatheter aortic valve implantation

through our participation in the CoreValve® clinical trial.

We are proud of our accomplishments, accolades, accreditations and awards in FY 2012 and over the

past decade. We look to the future with great anticipation, striving to make the next 10 years better than

our first.

Sincerely,

3BAYLOR JACK AND JANE HAMILTON HEART AND VASCULAR HOSPITAL

Awards and Honors










all employee retention rate:ll lt ti t

95.2%


012

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non-

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pro

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Hospital Leadership

Trey WickeVice President of Finance

Kevin Wheelan, MDChief-of-StaffCo-medical Director of Cardiology

Robert Stoler, MD, FACC, FSCAICo-medical Director of Cardiology,Medical Director of Cath Lab

Gregory Pearl, MD, FACSMedical Director of Vascular Surgery

Paul Grayburn, MD, FACCMedical Director of Non-invasive Cardiology

Bertram Smith, MD, FACSMedical Director of Non-invasive Vascular

Rafic Berbarie, MD Medical Director of Cardiac Rehab

Stephen Hohmann, MD, FACS Medical Director of Patient Safety

Jeffrey Schussler, MD, FACC, FSCAI, FSCCT Medical Director of Critical Care

Michael Ramsay, MD, FRCA Medical Director of Anesthesia Services

William Dockery, MD Medical Director of Radiology

Edward Mays, MD Medical Director of Laboratory

Board of Directors

Timothy OwensChairman

Michael Graham

John McWhorter, III

John Schumacher, MD

Kevin Wheelan, MD

C.T. Beckham

J. Kent Newsom

Don Wills

Richard Lockwood

Robert C. Kowal, MD, PhD

Brad R. Grimsley, MD, FACS

Ba

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Con

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54 MEASURING INNOVATION IN HEART AND VASCULAR CARE BAYLOR JACK AND JANE HAMILTON HEART AND VASCULAR HOSPITAL

Awards, Accolades and Accreditations ........................................................ 5

BHCS Circle of Care ..................................................................................... 8

Admissions and Registrations .................................................................... 10

Hospital Website ........................................................................................ 11

QUALITY

Centers for Medicare and Medicaid Services ....................................... 14

Performance Report .............................................................................. 15

Readmissions ........................................................................................ 18

Interdisciplinary Quality and Safety Committee .................................... 19

Patient Falls ........................................................................................... 20

Hospital Acquired Pressure Ulcers ........................................................ 21

Graduate Medical Education ................................................................. 22

SERVICE

Patient Satisfaction Surveys .................................................................. 24

Preventative Health Education .............................................................. 26

Community Outreach ............................................................................ 28

PEOPLE

Employee Incentives.............................................................................. 30

Employee Retention .............................................................................. 32

Employee Awards and Accolades ......................................................... 33

Nurse Certification ................................................................................. 34

Shared Governance ............................................................................... 36

INNOVATIONS

Center for Complex Arrhythmias ........................................................... 44

Innovations ............................................................................................ 46

Cardiac Rehab and Return to Work Lab ............................................... 50

Clinical Trials and Studies ...................................................................... 51

Physician and Employee Research and Publications ........................... 55

Accelerating Best Care at Baylor (ABC Baylor) ..................................... 61

ACCREDITATIONS

ACE Accredited for PCI BHVH

has been fully accredited

for percutaneous coronary

intervention by Accreditation for

Cardiovascular Excellence, an

organization dedicated to ensuring

adherence to the highest quality

standards for cardiovascular and endovascular care.

ACE accreditation is a professional review of an

organization’s structure, internal processes, patient

safety practices, and clinical outcomes to determine if

it meets the standards established by experts in cardiac

and endovascular care.

American College of Radiology

– Accreditation for Computed

Tomography (CT) The American

College of Radiology awards

accreditation to facilities for the

achievement of high practice standards

after a peer-review evaluation of the practice.

Intersocietal Commission

for the Accreditation of Echo

Laboratories (ICAEL) The ICAEL

accreditation review process is a

means by which echocardiography

laboratories can evaluate and demonstrate the level of

patient care they provide. After a laboratory submits the

Aw

ards, A

ccolades and

A

ccreditations


application to the ICAEL, the application undergoes a confidential

peer-review by ICAEL’s trained reviewers, including both physicians

and sonographers.

Intersocietal Commission for the

Accreditation of Vascular Laboratories

(ICAVL) The purpose of ICAVL is to provide a

mechanism for accreditation of facilities which

perform comprehensive testing for vascular

disease with non-invasive testing modalities.

ICAVL assesses every aspect of a lab’s daily operation and its

impact on the quality of health care provided to patients.

AWARDS

American College of Cardiology Foundation’s

NCDR® ACTION Registry® – GWTG Platinum

Performance Achievement Award

BHVH is one of only 164 hospitals nationwide to

receive this award, which recognizes BHVH’s commitment and

success in implementing a higher standard of care for heart attack

patients, and signifies that BHVH has reached an aggressive goal of

treating these patients to standard levels of care as outlined by the

American College of Cardiology/American Heart Association clinical

guidelines and recommendations.

American Heart Association’s Get With The Guidelines – Gold

Award BHVH was recognized with the Gold Award for heart failure.

BHVH achieved at least 90 consecutive days of 85 percent or

higher adherence to the Heart Failure Performance Achievement

indicators to improve quality of patient care outcomes. Get With

The GuidelinesSM (GWTG) is the premier hospital-based quality

improvement program for the American Heart Association and the

American Stroke Association. It empowers health care provider

teams to consistently treat heart and stroke patients according to

the most up-to-date guidelines.

American Heart Association’s Get With the Guidelines –

Gold Level Get With The GuidelinesSM (GWTG) is the premier

hospital-based quality improvement program for the American Heart

Association and the American Stroke Association. It empowers

health care provider teams to consistently treat heart and stroke

patients according to the most up-to-date guidelines.

American Heart Association – Mission

Lifeline – Gold AHA recognizes BHVH

for achieving 85% or higher composite

adherence to all Mission: Lifeline

STEMI Receiving Center Performance

Achievement indicators for consecutive 12-month intervals and

75% or higher compliance on all Mission: Lifeline STEMI Receiving

Center quality measures to improve the quality of care for STEMI

patients.

Innovation Award from the American

Association of Cardiovascular and

Pulmonary Rehabilitation (AACVPR)

This award acknowledges programs that have enhanced their

delivery of care for a patient population in a unique and creative way,

beyond the traditional model of cardiac and pulmonary rehabilitation.

AACVPR is dedicated to reducing morbidity, mortality and disability

from cardiovascular and pulmonary disease through education,

prevention, rehabilitation, research and disease management.

START! Fit-Friendly Gold Award The American Heart Association

awarded Baylor Hamilton Heart and Vascular Hospital the “Start!

Fit-Friendly Award.” Companies reach Gold-level status by

implementing various activities and programs for their employees

to encourage physical activity, nutrition and culture enhancements

such as on-site walking routes, healthy food choices in cafeterias

and vending machines, annual employee health risk assessments

and online tracking tools.

Awards, Accolades and Accreditations

Magnet Award for Excellence in Nursing

Services The Magnet Recognition Program®

was developed by the American Nurses

Credentialing Center (ANCC) to recognize health

care organizations that provide nursing excellence.

The program also provides a vehicle for disseminating successful

nursing practices and strategies.

Press Ganey Summit Award –

Second Year in a Row

The 2010, 2011 Press Ganey Summit Award, one of Press Ganey’s

most prestigious honors, was bestowed upon Baylor Hamilton Heart

and Vascular Hospital. BHVH achieved this distinction by sustaining

an overall rank above the 95th percentile for inpatient satisfaction

in the “All Press Ganey” database for at least three years. There are

approximately 1,800 hospitals in the inpatient survey database and

about 1,500 emergency departments in the All Press Ganey database.

Texas Health Care Quality Improvement Awards

– Award of Excellence Winners of this non-

competitive award are measured by the frequency of

best care practices utilized on patients with specific

conditions, including acute myocardial infarction,

heart failure, and pneumonia as well as surgical

infection prevention.

VHA Leadership Award in Clinical

Excellence The award honors health

care organizations that have differentiated

themselves around national performance

standards by achieving performance at the 90 percent level or

above on clinical core measures. Baylor Hamilton Heart and

Vascular Hospital won the award for acute myocardial infarction

treatment, heart failure and surgical infection prevention.

ACCOLADES

Becker’s Hospital Review – BHVH

Named One of the Physician-

Owned Hospitals to Know

Becker’s Hospital Review is proud to announce the publication of

its list, “50 Physician-Owned Hospitals to Know,” which recognizes

high-performing leaders in patient care and clinical quality. To

compile this list, the Becker’s Hospital Review editorial team

analyzed and reviewed research and data from sources including

U.S. News & World Report, HealthGrades, Press Ganey, CareChex

and Thomson Reuters to identify leading hospitals.

The Joint Commission – Top Performers on

Key Quality Measures BHVH is on a list of

405 hospitals and critical-access facilities

nationwide ranked as top performers based

on 22 measures related to cardiac, pneumonia,

surgical and pediatric asthma care. A hospital had

to earn a compliance score of at least 95 percent on two

measurements to be named a top performer.

Best Places to Work in Healthcare

BHVH has been named to the Modern

Healthcare list of the Best Places to

Work in Healthcare. The list recognizes

outstanding employers in the health care industry on a national

level.

Quality Texas Foundation – Achievement Level Recognition

Recognized for organizational excellence with well-deployed,

effective, systematic approaches to organizational management

with good performance levels and trends evaluated against industry

standards.

BH

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Circ

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Our Vision

To redefine the relationship between physicians and the hospital

with an integrated heart and vascular delivery system focused on

high quality, cost effective care.

Our Mission

To operate an integrated heart and vascular health care delivery

system, founded as a Christian Ministry of healing, that exists to

serve people by offering a continuum of quality service committed

to quality care and patient safety, medical education, research and

community service.

Our Values

Baylor Heart and Vascular Hospital values guide our actions as we

remain faithful to our mission and work toward our vision.

Integrity: Conducting ourselves in an ethical and respectful manner.

Servanthood: Serving with an attitude of unselfish concern.

Quality: Meeting the needs and striving to exceed the expectations

of those we serve through continuous improvement.

Innovation: Consistently exploring, studying and researching new

concepts and opportunities.

Stewardship: Managing resources entrusted to us in a responsible

manner.

Our Care Model

With the opening of Baylor Hamilton Heart and Vascular Hospital,

we designed a care model that is a foundation for our daily

operations.

Our founding principles define the qualities we look for in our

team members. We believe that if we work to exceed people’s

expectations, the results will be satisfaction, care excellence,

and a trusting relationship. Our goals are Clinical excellence

(Quality), Patient and family satisfaction (Service), Health care team

satisfaction (People), and Fiscal responsibility (Finance). We review

our model of care at our hospital team meetings and the metrics

associated with the goals we have set.

• Clinical Excellence (Quality)• Patient & Family Satisfaction (Service)• Health Care Team Satisfaction (People)• Fiscal Responsibility (Finance)

FOUNDING PRINCIPLES:Honesty + Respectfulness + Integrity + Compassion

+ Communication + Positive Attitude

results inresults inSatisfaction,Excellence

& Trust

People’sExpectations

Exceeded

QualityCare

BHCS CIrcle of Care

Our “Circle of Care” encompasses our mission, vision,

and priorities, and places our patients front and center.

Our mission supports this patient-centered approach.

We recognize that there are four key areas of excellence

that must be in place to ensure that patients are our

number one priority: people, quality, service and fiscal

stewardship.

What does this mean? It means that Baylor Health Care

System supports and cares for patients as individuals.

We promote a healing environment in which the

members of the health care team work together as one,

for the benefit of the patient.

To do that, Baylor adopts best practices and industry

standards that support and sustain a patient-centered

culture. When these are put into place, we not only

enhance patient safety and quality of care, we also

increase our level of performance as a health care

system.

During the strategic planning process, Baylor Hamilton

Heart and Vascular Hospital leadership uses the Circle

of Care as a framework to identify the principal factors

that determine success relative to competitors and

sustainability for its key stakeholders.

Ad

mis

sion

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aylorHeartH

ospital.com


0

5000

10000

15000

20000

25000

TotalOutpatientInpatient

FY2012FY2011FY2010FY2009FY2008FY2007

2,680

18,929

21,609

2,124

19,831

21,955

1,952

20,956

22,908

2,015

20,891

22,906

2,0732,131

20,552

22,625

20,679

22,810

FISCAL YEARLENGTH OF STAY

(IN DAYS)

FY 2007 1.9

FY2008 2.3

FY2009 2.4

FY2010 2.7

FY2011 3.1

FY2012 3.2

PROCEDURE COUNT

Transthoracic Echocardiogram 8062

Stress Echocardiogram 251

Dobutamiine Stress Echocardiogram 95

Signal Average ECG 9

Metabolic Stress Test 8

Holter Monitors 19

Exercise Arterial Test 0

Transesophageal Echocardiogram 1277

Cerebrovascular Studies 438

Arterial Studies 955

Venous Studies 1039

Visceral Studies 20

Dialysis Access Scan 97

TOTAL 12,270

*Intensive Care Unit (ICU) opened January 2010

HOSPITAL ADMISSIONS AND REGISTRATIONS

INPATIENT AVERAGE LENGTH OF STAY

NON-INVASIVE PROCEDURES (FY2012)

22,625admissions & registrations

BaylorHeartHospital.com

BaylorHeartHospital.com got a new look in 2012. Baylor

Heart and Vascular Hospital continues to move forward

in the utilization of BaylorHeartHospital.com for patient

engagement, marketing and administrative efficiency.

Website traffic spiked 66 percent, in the last quarter of

FY12, after the site redesign.

BaylorHeartHospital.com JULY 2011 JUNE 2012

Visits: 3,345 6,365

Unique Visitors: 2,870 5,550

eNewsletter

Monthly issues of the automated electronic newsletter

were distributed to more than 7,000 people per month.

The newsletter contains tips for healthier living, plus

the latest information about Baylor Heart and Vascular

Hospital.


Real Patients. Real Stories.

JERÉ CYPERT

Jeré Cypert was pushing her granddaughter in a stroller up a hill when she

became very short of breath. Her back, head and neck hurt. She ignored

the symptoms, thinking she was just out of shape. When the symptoms

returned a month later, she went to her doctor, where they told her she

would never have a heart attack. Not satisfied with the diagnosis, Jeré

went to Baylor Jack and Jane Hamilton Heart and Vascular Hospital where

she learned she had two blocked arteries.

At Baylor, Jeré had an angioplasty, a minimally invasive procedure that

cleared the blockages, and two stents were inserted to keep her arteries

open. She then participated in six months of cardiac rehab. “Baylor was

awesome. I can’t say enough good things about them. They got my blood

flowing and my energy back.”

An angioplasty at Baylor got my blood flowing again.”

– JERÉ CYPERT

“

Cen

ters

for

Med

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edic

aid

Ser

vice

s Perform

ance Rep

ort

1514 QUALITY | MEASURING INNOVATION IN HEART AND VASCULAR CARE BAYLOR JACK AND JANE HAMILTON HEART AND VASCULAR HOSPITAL

Centers for Medicare & Medicaid

Services (CMS) FY2012

The core measures that the

hospital tracks include Acute

Myocardial Infarction (AMI), Heart

Failure (HF), and Surgical Care

Infection Prevention (SCIP). In each

of these measures, the hospital

has exceeded national averages.

Concurrent data acquisition is in

place with data elements reviewed

daily. Variances are also managed

daily with education and/or process

design review and modification.

HEART ATTACK QUALITY INDICATOR

HEART FAILURE QUALITY INDICATOR

SURGICAL INFECTION QUALITY INDICATOR

HEART ATTACK (ACUTE MYOCARDIAL INFARCTION) NATIONAL TEXAS BHVH

AMI Bundle 100%

Aspirin at arrival 99% 99% 100%

Aspirin at discharge 99% 99% 100%

ACEI or ARB for LVSD 99% 97% 100%

Adult smoking cessation advice/counseling 100% 100% 100%

Beta blocker at discharge 99% 99% 100%

HEART FAILURE NATIONAL TEXAS BHVH

CHF Bundle 99.1%

All discharge instructions 93% 92% 100%

Evaluation of LVS function 98% 99% 100%

ACEI or ARB for LVSD 97% 96% 100%

Adult smoking cessation advice/counseling 99% 99% 100%

SURGICAL INFECTION IMPROVEMENT PROJECT NATIONAL TEXAS BHVH

SCIP All or None Bundle 99.4%

Antibiotic received within one hour of incision 98% 98% 100%

Antibiotic selection 98% 98% 100%

Antibiotic discontinued within 24 hours 97% 97% 100%

Appropriate hair removal 100% 100% 100%

Beta blocker use preoperatively 97% 96% 100%

Performance Report FY2012

Baylor Hamilton Heart and Vascular Hospital

also monitors several other quality indicators

in atrial fibrillation and percutaneous

interventional cardiology. These diagnoses

require several evidence-based measures

to be in place to assure quality of care. The

hospital’s data is collected concurrently and

reviewed daily. The hospital has exceeded

national standards in these areas as well.

Baylor Heart and Vascular Hospital participates

in preventive health measures with the American

Heart Association. This program requires several

indicators of preventive health to be monitored as

part of secondary prevention. The hospital puts these

measures into place in an effort to assure that we are

addressing prevention of heart disease. The hospital

has exceeded national averages in these areas.

Metrics are incorporated into the pre-printed order sets

that are utilized for patient care to assure that these

elements of care are hardwired into our daily activities.

EP/PACEMAKER/ICDin-lab mortality rate:

0% out of1,760cases

Performance Report


IN-HOSPITAL MORTALITY FY2012

EP/PACEMAKER/ICDCASE

COUNTIN-LAB PERCENT

POST PROCEDURE

PERCENT

Pacemaker Only 335 0 0.00% 1 0.30%

Event Recorder 53 0 0.00% 0 0.00%

ICD Only 446 0 0.00% 0 0.00%

EP Cases 926 0 0.00% 2 0.22%

TOTAL 1760 0 0.00% 3 0.17%

CATH LABCASE

COUNTIN-LAB PERCENT

POST PROCEDURE

PERCENT

Diagnostic Cath Only 2061 2 0.10% 15 0.73%

Diagnostic Peripheral Only 436 0 0.00% 1 0.23%

Cardiac Intervention 1285 1 0.08% 6 0.47%

Peripheral Intervention 858 0 0.00% 12 1.40%

Peripheral Diagnostic w/ Cardiac Procedures 723 0 0.00% 8 1.11%

TOTAL 5363 3 0.06% 42 0.78%

100%afib patient follow-up

post-procedure


PERFORMANCE REPORT FY2012

ATRIAL FIBRILLATION PERCENTAGE

Coumadin at discharge 100%

Patient follow-up 100%

Teaching smoking cessation 100%

PERCUTANEOUS CORONARY INTERVENTION PERCENTAGE

Lipid lowering medication at discharge 100%

Plavix at discharge 100%

ASA at discharge 99.8%

Teaching smoking cessation at discharge 100%

BETA BLOCKERS IN VASCULAR SURGERY PERCENTAGE

Prior to surgery 100%

Recovery room 100%

Speciality care room 100%

At discharge 100%

AHA GET WITH THE GUIDELINES PERCENTAGE

HbA1c>7 outpatient diabetic referral 100%

HbA1c>7 letter to PCP 100%

ADA diet orders for diabetic patients 96%

VACCINATIONS PERCENTAGE

Pneumococcal vaccinations 97.8%

Influenza vaccinations 97.5%

Interdiscip

linary Quality

and S

afety Com

mittee

Rea

dm

issi

ons


0.24%lead dislodgement rate

totalreadmission

rate:

abdominal aorta aneurysm

infection rate:2.16% 0%

READMISSIONS TO BAYLOR HAMILTON HEART AND VASCULAR HOSPITAL FY2012

CAUSE/PROCEDURE %

Pacemaker

Lead Dislodgement 0.28%

Infection 0.56%

Another related procedure 2.81%

Other 1.12%

EP Ablation

Re-ablation 4.12%

Same site 2.89%

Different site 1.24%

ICD Only

Lead Dislodgement 0.24%

Infection 2.38%

Another ICD relate procedure 4.51%

Other 0.71%

Coronary Interventions Same Vessel 2.14%

Coronary Angiogram Return for Intervention 5.09%

INFECTION REPORT FY2012

NATIONAL HEALTHCARE SAFETY NETWORK (NHSN)

NO. PROCEDURESBHVH

(RATE PER 100 PROCEDURES)BENCHMARK*

(RATE PER 100 PROCEDURES)

Abdominal aorta aneurysm 10 0 3.19

Carotid endarterectomy 140 0.71 0.33

Peripheral bypass 146 9.59 6.71

Pacemaker/ICD 965 0.52 0.44

Interdisciplinary Quality and Safety Committee

Baylor Heart and Vascular Hospital has selected multiple quality indicators, including nurse sensitive indicators

that are monitored and reported monthly on a performance report card. This report card is reviewed in multiple

forums, including our shared governance councils, Medical Leadership, and Board of Manager meetings. This

report is also reviewed in all employee meetings on a quarterly basis. Actions are taken for areas with improvement

opportunities.

*2010 CDC/NHSN pooled mean

Pat

ient

Fal

lsH

ospital A

cquired

P

ressure Ulcers


Patient Falls

Statistical process control charts are utilized to analyze the variance in fall incidence. The data subset has

consistently trended below the NDNQI National Comparative Information mean for bed size <100. The fall rate is

consistently below the NDNQI benchmark. In addition, the injury rate for the Med-Surg group has remained below

the NDNQI benchmark.

COMBINED- ACUITY ADJUSTED 3Q10 4Q10 1Q11 2Q11 3Q11 4Q11 1Q12 2Q12 AVG

Hospital Adult Med-Surg Combined Median 1.41 1.41 2.32 0.80 2.37 1.07 1.79 2.28 1.68

Specialty Care Unit 0.93 1.89 2.71 2.61 1.67 1.45 2.25 1.60 1.89

National Comparative Information–Bed Size<100 Mean 3.52 3.62 3.80 3.62 3.58 3.34 4.21 3.66 3.67

25th percentile 2.26 2.18 2.41 2.14 2.05 2.05 2.52 2.36 2.24

50th percentile 3.43 3.31 3.55 3.50 3.21 3.20 3.93 3.42 3.44




25th percentile 0.27 0.18 0.27 0.00 0.16 0.00 0.07 0.00 0.12

50th percentile 0.78 0.76 0.78 0.64 0.69 0.64 0.64 0.73 0.71

PERCENT OF SURVEYED PATIENTS WITH HOSPITAL ACQUIRED PRESSURE ULCERS

PERCENT OF SURVEYED PATIENTS WITH HOSPITAL ACQUIRED PRESSURE ULCERS STAGE II & ABOVE




25th percentile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

50th percentile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00




25th percentile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

50th percentile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL FALLS PER 1,000 PATIENT DAYS

INJURY FALLS PER 1,000 PATIENT DAYS

Gra

dua

te M

edic

al

Ed

ucat

ion Graduate Medical Education


Graduate Medical Education

Baylor’s graduate medical education program promotes diversity,

quality and a combination of real-world applications and academic

excellence. The dedicated physician leaders on the medical

staff work to prepare fellows and interns for the challenging

and rewarding field of medicine. Medical education has been a

successful collaborative effort between Baylor University Medical

Center at Dallas and Baylor Hamilton Heart and Vascular Hospital,

both located on the downtown Baylor campus. All programs are

accredited by the ACGME (Accreditation Council for Graduate

Medical Education).

Cardiac Electrophysiology Fellowship

Fellows complete a 12-month comprehensive training program.

The curriculum includes diagnostic and procedure skills, outpatient

management and clinical research. One fellow is accredited per

year.

Cardiovascular Disease Fellowship

Fellows complete a three-year comprehensive training program

which includes all aspects of cardiology. Clinical rotations at

Baylor Hamilton Heart and Vascular Hospital include interventional

cardiology, cardiac electrophysiology, cardiac rehabilitation, lipids,

non-invasive cardiology, nuclear cardiology and vascular medicine.

Two fellows are accepted into the program annually.

Vascular Surgery Residency

The program annually offers two residency positions through the

NRMP (National Residency Matching Program). The two-year

residency is devoted exclusively to general vascular surgery with

research participation.

Cardiovascular Interventional Fellowship

Fellows complete an 18-month comprehensive training program.

The curriculum provides for an interventional clinical and procedural

focus during the first year, followed by a focus on clinical research

during the subsequent six months. One fellow is accepted into the

program annually.

BHVH FELLOWS (FY2012)

Cardiology Fellows:

Brian Schwartz, MD (graduated)

Poorya Fazel, MD

Anumeha Tandon, MD

Betsy George, MD

Adam Falcone, MD

Aneley Hundae, MD

EP Fellow: Senthil Nachimuthu (graduated)

Vascular Fellows:

Todd Cumbie, MD (graduated)

Joshua Gierman, MD (graduated)

Christopher Busken, MD

Allen Lee, MD

Pat

ient

Sat

isfa

ctio

n S

urve

ys

2524 SERVICE | MEASURING INNOVATION IN HEART AND VASCULAR CARE BAYLOR JACK AND JANE HAMILTON HEART AND VASCULAR HOSPITAL

Patient Satisfaction Surveys

BHVH has received the Press

Ganey Summit Award, one of

their most prestigious honors,

for the second year in a row.

BHVH achieved this distinction

by sustaining an overall rank

above the 95th percentile for

inpatient satisfaction in the “All

Press Ganey” database for at

least three years.

BHVH uses Press Ganey Associates to survey their patient population. Press Ganey uses patient discharge information to select a sample of

recipients who receive a sample of mailed satisfaction surveys.

likelihood ofoutpatients to recommend BHVH

96.5%

OUTPATIENT SATISFACTION SURVEY RESULTS FY2009 FY2010 FY2011 FY2012

Std overall 93.7 94.2 94 93.9

Helpfulness of registration person 93.9 94.4 93.3 92.6

Ease of the registration process 93.6 93.7 92.4 91.4

Std facility 91.8 91.8 91.6 91.7

Comfort of waiting area 91.4 91.8 91.3 91.2

Cleanliness of facility 94.8 95.1 95.0 95.1

Std test or treatment 94.9 96.0 96.7 96.4

Friendliness of staff 96.1 96.9 97.5 97.2

Explanations given by staff 93.9 95.1 96.1 96.4

Skill of techs/therapists/nurses 95.6 96.3 97.1 96.6

Staff concern for comfort 95.0 95.9 96.9 96.1

Staff's concern/questions worries 94.3 95.6 96.1 95.8

Std personal issues 93.2 94.2 94.3 94.5

Our concern for privacy 93.6 94.2 94.4 94.2

Our sensitivity to your needs 93.4 94.5 94.3 94.7

Response to concerns/complaints 92.8 94.1 94.2 94.8

Std overall assessment 95.7 96.4 96.4 96.0

Staff worked together provide care 95.0 96.0 95.8 95.7

Overall rating of care 95.6 96.6 96.5 96.3

Likelihood of recommending 96.4 96.8 96.8 96.5

OUTPATIENT SATISFACTION SURVEY RESULTS

INPATIENT SATISFACTION SURVEY RESULTS

FY2009 FY2010 FY2011 FY2012

Std Overall 95.0 95.8 92.1 92.1Overall 95.0 95.8 92.2 92.3Std Admission 91.8 93.2 93.5 93.4Admission 91.8 93.2 93.5 93.4Courtesy of person admitting 93.9 95.0 95.2 95.1Courtesy of person served food 92.0 93.1 93.3 92.7Std Nurses 92.8 93.8 94.0 94.3Friendliness/courtesy of the nurses 94.9 96.0 95.8 96.1Promptness response to call 92.1 93.1 93.2 93.6Nurses' attitude toward requests 93.5 94.7 94.4 94.6Attention to special/personal needs 91.9 93.4 93.2 93.8Skill of the nurses 93.7 94.6 94.8 95.1Extent to which nurses checked ID 94.6 95.5 95.9 96.7Courtesy of person took blood 91.7 92.8 93.4 93.6Staff attitude toward visitors 93.5 94.1 94.0 95.1Friendliness/courtesy of physician 92.4 93.8 93.6 93.3Skill of physician 95.4 96.5 96.1 95.9Staff worked together care for you 94.1 94.7 95.0 95.5Likelihood recommending hospital 95.7 96.7 96.7 96.2Overall rating of care given 95.3 96.2 96.4 96.1Intensive/Critical Care 96.0 96.7

Friendliness/courtesy ICU nurses 96.0 97.0ICU nurse help understand T&T/cond 95.1 96.3

Attention special/personal need ICU 96.6 96.9

Skill of ICU/CCU nurses 96.2 97.6

Operating/Recovery Room 94.0 93.5

Friendliness/courtesy of anesthesia 94.5 94.2

Explanation by anesthesia staff 93.6 92.9

AMBILATORY SATISFACTION SURVEY RESULTS*

FY2010 FY2011 FY2012

Helpfulness of registration person 93.1 94.2 92.3Friendliness of nurses 94.8 95.6 96.5Information day of surgery 92.2 92.7 94.6Nurses concern for comfort 92.1 93.4 94.7

Nurses courtesy toward family 92.5 93.7 95.1

Confidence in skill of nurses 92.5 93.8 94.8Std Physician 92.5 93 94.2Physician 92.5 93 94.2Friendliness of physician 94.5 94.4 95.3Confidence in skill of physician 95.5 96 96.6Comfort of your room/resting area 93.4 94.1 94.8Cleanliness of center 94.1 95 95.4Std Overall Assessment 94.4 95 96.3Overall Assessment 94.4 95 96.3Overall rating of care 94.2 94.6 96.1Degree staff worked together 94.3 94.9 96.2Likelihood of recommending center 94.9 95.6 96.7Anesth/Anesthesiologist 92.1 92.8 94.3Friendliness of anesthesiologist 93.6 94 95.5Rate overall anesthesia experience 92 92.9 94.3Intensive/Critical Care 96.0 96.7

Friendliness/courtesy ICU nurses 96.0 97.0ICU nurse help understand T&T/cond 95.1 96.3

Attention special/personal need ICU 96.6 96.9

Skill of ICU/CCU nurses 96.2 97.6

Operating/Recovery Room 94.0 93.5

Friendliness/courtesy of anesthesia 94.5 94.2

Explanation by anesthesia staff 93.6 92.9

*Note: This is a new survey for the hospital as of January 2010

AMBILATORY SATISFACTION SURVEY RESULTS*INPATIENT SATISFACTION SURVEY RESULTS

mean score on a scale of 100

Preventative Health Education

Pre

vent

ativ

e H

ealth

E

duc

atio

n


Caring Hearts®

Emotional support is an important part of recovery, and we think

that it’s important for patients in cardiac rehabilitation to learn from

the experiences of those who have already completed the program.

In the Caring Hearts® program, people who are a year past their

own cardiac event volunteer to visit a patient and their family before

or after a procedure, offering empathy and support. Caring Hearts

volunteers also support waiting room staffs. Caring Hearts volunteers

are cardiac patients or family members of cardiac patients.

LINK: Connecting Cardiovascular

Health and Wellness Across

Generations

LINK is a monthly meeting for heart and

vascular patients and their family members

to hear a staff member or physician on

the medical staff at Baylor Heart and Vascular Hospital speak on a

variety of topics. Guests are encouraged to bring friends and family

members to the meeting to gain knowledge that heart disease does

spread across generations.

DATE SPEAKER TOPIC NO. OF ATTENDEES

7/23/11 Deborah Suderman & Lucille Enix Mind and Body: The Heart Connection 27

8/17/11 Bobbi Leeper, MN, RN-BC, NE-BC, CCRN, FAHA Women and Heart Disease 10

9/21/11 Jenny Adams, PhD Heart Research at Baylor Heart & Vascular Hospital 14

10/22/11 Shelly Hall, MD Introduction to LVADs 14

11/16/11 Brian Hardaway, MD Advances in Heart Failure 19

12/21/11 Tammy Cohen, PharmD, RPh, FASHP A Personal Talk with a Pharmacist 29

1/18/12 William Roberts, MD How Heart Health Has Progressed Over the Past 50 Years 7

2/18/12 Rafic Berbarie, MD Know Your Numbers 9

3/21/12 Mae Centeno, DNP, RN, CCRN, CCNS, ACNS-BC Partners in Heart Failure Care: Patient and Family Members’Role 16

4/18/12 Bobby Whisnad, BS It’s All Heart 14

5/19/12 Emily Malorzo, RD, LD Alphabet Soup: Compounds That Can Help Your Heart 32

6/20/12 Jenny Adams, PhD The Truth About Food Addiction 36

TOTAL: 347

LINK: CONNECTING CARDIOVASCULAR HEALTH AND WELLNESS ACROSS GENERATIONS

Leap For Life®

Take the first leap toward a

healthier lifestyle with Baylor Health

Care System’s Leap (Lifestyle

Education Awareness Program)

for Life® program. Designed to

meet the needs of patients and their families with heart

disease, Leap for Life teaches what you can do now

to manage your disease and possibly improve your

health. It’s a wellness and disease prevention program

available to heart patients, their family members and

the community that empowers individuals with physical,

dietary and stress education to achieve better health.

Wired For Life

Baylor Hamilton Heart and

Vascular Hospital has teamed

up with past implantable cardioverter defibrillator (ICD)

recipients to provide future ICD recipients with support,

comfort and answers to their questions. Volunteers meet

with the future recipients and their families before and

after the ICD procedure.

Preventative health education groups are one of the best resources for people who have experienced heart and vascular disease. Share your experience and learn from others in one of Baylor’s ongoing groups.

Com

mun

ity O

utre

ach Community Outreach


Peripheral Vascular Disease Screenings

If you’re experiencing cramping, burning or

tingling pain in your legs, it could be that you have

peripheral artery disease (PAD). The discomfort

is the result of decreased blood flow caused by

the narrowing of the arteries. Left untreated, PAD

can pose serious risks to your health. The good

news is that this disease can be diagnosed using

a simple, painless test. Baylor Hamilton Heart

and Vascular Hospital has an entire PAD program

staffed by specialists who can offer you a variety

of treatment options, along with ongoing care.

Baylor Hamilton Heart and Vascular Hospital is committed to providing opportunities to be actively involved in the community. Community involvement suggestions have been received from our team members in our Advisory Council and Leadership Council.

200+Baylor employees attended the 2012 Heart Walk

Women and Heart Disease (Screening Cards)

Mention the term “heart attack” and most people imagine a pudgy,

middle-aged man drenched in sweat and clutching his chest.

Few people seem to consider cardiovascular disease (CVD) as a

woman’s disease. But according to the American Heart Association,

cardiovascular disease is the leading killer of women over age 25. It

kills nearly twice as many women in the United States than all types

of cancer, including breast cancer. Only 13 percent of women think

heart disease is a threat to their health.

The misleading notion that heart disease is not a real problem for

women can be blamed in part on medical research. For a very long

time, heart disease studies have focused primarily on men. Changes

are under way, but some doctors still fail to recognize the warning

signs displayed by female patients.

Baylor Hamilton Heart and Vascular Hospital has implemented

screening cards for certain decades of age for women. Each card

can help the patient start 12 months of healthy living. Their physician

can recommend self-tests and screening tests than can help the patient

uncover health problems early, when they’re most treatable. The physi-

cian may also recommend earlier or more frequent screenings, based

on family history or other risk factors.

OTHER FEMALE FOCUSED SCREENINGS

DATE OF EVENT NAME OF EVENT NO. OF ATTENDEES

November 2011 For Women For Life 284

American Heart Association:

Heart Walk

Each year Baylor Hamilton Heart and

Vascular Hospital supports the American

Heart Association’s Mission to “Build healthier lives, free of

cardiovascular diseases and stroke” by raising donations through

a series of activities and events. Our employees, their families and

pets participate in a fun-filled, non-competitive three-mile walk

through downtown Dallas. Over 200 Baylor employees attend this

annual event.

Continuing Education

Baylor Hamilton Heart and Vascular Hospital hosts and sponsors

four all-day events throughout the calendar year. These programs

are created and managed by our clinical team and are made

available to the staff and community. Each year attendees travel as

far as other states to attend our seminars.

In addition to the seminars and symposiums, Baylor Hamilton Heart

and Vascular Hospital offers preceptor and charge nurse classes in

addition to other on site continuing education opportunities.

CONTINUING EDUCATION

CY 2007

CY 2008

CY 2009

CY 2010

CY 2011

CY 2012

Cardiovascular Symposium 420 460 550 403 450 370

Vascular Seminar 117 126 74 n/a 128

EP/Non Invasive Seminar 170 185 191 137 190

Cardiovascular Summit 118 100 75 86 49

SVT-AFIB n/a n/a n/a n/a 35

Em

plo

yee

Ince

ntiv

es

3130 PEOPLE | MEASURING INNOVATION IN HEART AND VASCULAR CARE BAYLOR JACK AND JANE HAMILTON HEART AND VASCULAR HOSPITAL

tuition reimbursement

401(k) THRIVE wellness program

child care benefits2-day alternate work schedule

health screenings

PTO(paidtimeoff)

SEGMENT NEEDS POLICIES, SERVICES, BENEFITS

Safety Safe Choice, Violence Prevention, Defensive Driving

Health Health Screenings, THRIVE Wellness Program, Health Club Discounts

Career Oriented Career Development, Clinical Coaches, Tuition Reimbursement, Leadership Development Programs, Internships, ASPIRE

Family Oriented 2-Day Alternate Work Schedule (TDA), Adoption Assistance, Discounted Childcare Programs

Personal Emergencies Paid Time Off (PTO), Employee Assistance, Employee Trust Fund, Personal/Funeral Leave, Family Medical Leave Act (FMLA)

Civic Minded Jury Duty, Military Leave, Paid Time Off (PTO)

Security Insurance, Short Term/Long Term Disability, 4 Medical Plan Options, 3 Dental Plans, Life Insurance

Long Term Financial Goals Credit Union, 401K Plan, Retirement Plan

Short Term Financial Goals Credit Union, ATM

POLICIES, SERVICES AND BENEFITS TAILORED TO STAFF SEGMENTED BY NEEDS

Employee Incentives

Em

plo

yee

Ret

entio

n Em

ployee A

ward

s and

Accolad

es


Employee Retention

Retention is a focus for our team. Retention metrics

are also hardwired into the performance appraisals

of the leadership team. Special classes are required

for the leadership team on Retention.

FY2011BAYLOR

HEALTH CARE SYSTEM

BAYLOR HEART AND VASCULAR

HOSPITAL

All Employees

89.8% 95.2%

Direct Patient Care RNs

87.4% 95.6%

Allied Health 92.0% 97.3%

Direct Patient Care UAPs

88.1% 92.6%

BAYLOR HAMILTON HEART AND VASCULAR HOSPITAL NURSING RETENTION, NEW HIRE RETENTION AND VACANCY DIRECT PATIENT

CARE, ROLLING 12 MONTHS

97.6%satisfaction skill rating of ICU/CCU nurses


95.2%

Al Booker was nominated for

Dallas-Ft.Worth Hospital Council

Employee of the Year

Sandra McLeroy-DeJong BSN,

RN-BC, was honored as one of

the Great 100 Nurses of Dallas-

Ft. Worth

Mark Sanders, MSN, RN, NEA-BC,

was nominated for D Magazine

Nurse of the Year

Mindy Smart BSN, RN-BC,

was honored as one of the

Great 100 Nurses of Dallas-

Ft. Worth

Ravi Vallabhan, MD, was

nominated for Dallas-Ft.Worth

Hospital Council Doctor of

the Year

Nur

se C

ertifi

catio

nWE WOULD LIKE TO RECOGNIzE OUR NATIONALLY CERTIFIED RN’S:


Baylor Hamilton Heart and Vascular Hospital has a

program in place for certification reimbursement. A

nurse may request up to $500 in reimbursement for

the certification exam, a review course, and review

course materials.

Nurse Certification

56%of eligible RNs are

certified RNs 70certified

RNson BHVH staff

Abraham, Cetty, CCRNAdkins, Jeanine, CNORAllen, Beverly, CPHQ, CPHRMAndrews, Rose, CCRN, RN-BCAntony, Manju, RN-BCAsbury, Crystal, RN-BCAtkins, Maryanna, RN-BCBallesteros, Barbara, RN-BCBarta, Laurie, CEPS, CCDSBass, Bethany, RN-BCCarroll, Sharon, CEPSChandani, Niamat, RN-BCChurch, Millie, CCRNColeman, Holly, CCRN Darst, Valerie, RN-BC, RCISDodd, Lisa, RN-BCEaso, Mini, RN-BC Edelstein, Jacie, CCRN Ellis, Meridith, RN-BCFletcher, Vicki, RN-BC Flick, Charlene, CPHQ Florez, Samuel, CCRN Fowler, Stacy, CCRNFuller, Nicole, RN-BC Geddie, Jackie, RN-BC Glasgow, Josh, RN-BC Grayson, Gabriell, RN-BC Harris, Michael, RCISHarry, Chloe, CCRNHesson, Jade, RN-BC Holmes, Paige, RN-BC Kirkpatrick, Sandra, CCRN, TNCCLawrence, Anne, RN-BC Lenge, Jennifer, RN-BC Maguigad, Kristine, RN-BC

Maninang, Jennifer, CNOR Maninang, Ron, TNCCMarenah, Mariama, RN-BC McCord, LeAnn, CCRNMcCray, Stephanie, RN-BC McDonald, Paz, CCRN, RN-BC McKethan, JoAnn, RN-BCMoore, Renita, CMSRNMuldoon, Mary, RN-BC, CEPSMurphy, Kate, RN-BCNaffe, Aster, CCRNParise, Annette, RN-BC Pinaga, Kelly, RN-BCRenbarger, Tara, RN-BC Resurreccion, Romeo, RN-BCRowan, Cheryl, TNCC, RN-BCRoyer, Sarah, CCRNRury, Angela, RN-BCSalas, Erica, CNORSimmons, Cynthia, RN-BCSmart, Mindy, RN-BCSmith, Daphne, RN-BCSolomon, Tonja, RN-BCSt. Laurent, Paul, CCRN, ACNP-BCSta-Maria, Rodrigo, CCRNSwaner, Gary, RN-BCThomas, Jennifer, CCRN Ticzon, Araceli, CMSRN Tidmore, Allison, CCRN Valles, Joy, RN-BCWade, Courtney, CCRNWu, Bo, CMSRN, CCRNYohannan, Stacy, RN-BC York, Denise, PCCN, Zhou, Shannon, CNOR, CCRN

Sha

red

Gov

erna

nce Shared Governance


The STARRS Committee continues to play a very important

role in satisfaction. STARRS stands for Service, Training,

Accountability, Recruitment, Retention and Satisfaction.

As a standing agenda item, the STARRS Committee has an

open discussion period where representatives may bring up

issues that require clarification, problem solving, process

improvement or administrative support. Issues brought to

this council over the past twelve months have led to higher

levels of employee satisfaction. Their focus has moved from

environmental improvements to staff teamwork. Initiatives

include meet and greet breakfasts for new employees,

employment anniversary cards and a focus on improving

team work and recognition.

Chair – Daphne Smith, RN

Co-Chair – Leigh Ann Ward, RT(R), ARRT

FY2012 ACCOMPLISHMENTS INCLUDE:

• Habitat for Humanity

• Christmas for the Dallas Children’s Advocacy Center

• Diversity Projects

• Anniversary Cards

• Thank You Cards

• Guiding STARR

“Collaboration is at the heart of everything we do.” – Nancy Vish, President

and CNO

HOUSEWIDE STARRS COMMITTEE

The Standards and Measure Committee focuses on patient and family satisfaction. When it comes

to service, Baylor employees often go above and beyond what’s expected – on the patient floor, in

administrative offices, in clinics and elsewhere. We want to make sure those efforts are recognized

and rewarded. The Standards and Measures Committee helps identify those staff members who

should be recognized for their efforts.

Chair – Scotty Pate, RT(R), ARRT Co-Chair – Lisa Dodd, ADN, RN-BC


Implementation of the BHVH service signature: “Is there anything else I can do for you?”

Press Ganey staff monthly notification and poster boards

Language interpretation initiatives enhancement

IV start trending stats

Patient family communication enhancements – chart label (with family contact information) used during procedures to inform family of progress

BHVH Service Signature: “Communication Connection”

Post procedure meal delivery time improvement (decrease of over 15 minutes)

Patient care delivery model improvement – 4SCU open longer for post procedure patients to return to the same floor

Training and coaching on communication delivery – verbal and non verbal

BHVH Service Signature: “Every Patient, Every Encounter”

A service tool kit (box) placed in all the units so RNs and CCTs are able to do service recovery.Boxes include multiple items: hairdryers, meal coupons, parking tokens, game books and movie tickets

BHVH Service Signature: “Memory Moments”

New departure checklist put into action and is utilized on all patients

Service Alert notifications implemented for procedural wait times longer than three hours

Non-Invasive Department - restructure guest waiting protocol and area

All patients receive personal escort from registration to pre-procedure floor

Scripting for patient privacy awareness

Non-Invasive post discharge phone calls

Television added in Radiology guest waiting area

HOUSEWIDE STANDARDS AND MEASURE COMMITTEE

Shared Governance


The CEO Awards of Excellence is presented quarterly to outstanding employees, chosen from among the top monthly award recipients.

Each quarterly honoree receives a $3,000 cash payment and a small keepsake, presented by Baylor CEO Joel Allison at Leadership

Development Institute meetings. The FY2012 CEO Award of Excellence winners were:

Jenny Adams, PhD, Research Associate,

Cardiac Rehabilitation

Jenny Adams was instrumental in developing the Return to Work

Lab in Cardiac Rehabilitation at the Baylor Heart and Vascular

Hospital. The use of this lab recently helped get a firefighter

back on the job. Jenny used data from nursing assessments

to apply specific exercise physiology knowledge and skills in

the firefighter’s rehabilitation program that simulated actual

experiences he would face once back on the job. This program

included exercises in climbing stairs with fire hoses and other

firefighter equipment in a safe environment to prepare his

heart for the intense work a firefighter faces. Jenny submitted

the idea for improving cardiac care in 2008, and her idea for

the Return to Work Lab was accepted and given a $250,000

grant for the development and implementation of the idea. The

cardiac rehabilitation center at BHVH has won a national award

from the American Cardiovascular Association and Pulmonary

Rehabilitation organization for this level of innovation treating

those with intense job demands such as firefighter, police officers

and athletes.

Niamat Chandani, RN, Specialty Care Unit

You know you are doing something right when you consistently

receive Five Star Spirit feedback. Niamat has received not one,

but six Five Star Spirit submissions from her patients and their

family members. There is a common theme in these submissions

– Niamat is professional, knowledgeable and provides excellent

customer service and advice to her patients. She’s also been

described as attentive, gentle and as “providing some of the best

care I’ve had” by one of her patients. Helping to make our patients

feel warm, welcome and cared for during uncertain times of illness

is why Niamat goes above and beyond on a daily basis. Niamat is

an invaluable member of the Baylor team and most importantly, to

her patients.

Megan Linker, RN, Recovery Room

Megan joined the Recovery team as a patient care technician in

February 2009 while she was a student nurse. She obtained her

nursing license in June 2010. Megan is an excellent bedside nurse

and is open and receptive to learning from others. She doesn’t

hesitate to ask questions. Because patients are usually sedated or

anesthetized for their procedures, they’re usually sleepy or drowsy

during their time in Recovery. So, any time a patient remembers

the wonderful care they received during their recovery, it says the

nurse made an above-and-beyond impression on that patient.

Megan has done that on several occasions. Besides caring for

patients, Megan also runs the hospital’s house-wide Clinical

Practice Council and is a very effective co-chair of her unit-based

System Nurses Council. She has taken on the daily schedule

and the on-call schedule in PACU and ensures that all shifts are

CEO AWARDS OF EXCELLENCE

covered while her co-workers have an opportunity for time off.

Megan has taken on the duties of a unit secretary when needed.

Everything she does is with a very pleasant attitude and a very

willing heart.

Lacy McMillon, RN, Specialty Care Unit

(Excerpt from patient family letter)…Lacy - I saved her for last because

she made such a lasting impression on me. Lacy cared for my Mom

one night, but she also was the charge nurse the night of her death.

Lacy is a compassionate, professional nurse who others should

emulate. She is knowledgeable, truly listens to what the family is

saying and answers all questions thoroughly (even the tough ones).

She took the time to address some of my concerns and reviewed

information in the chart so she could answer questions. On the night

of my Mom’s death, Lacy was willing to “go over the resident’s head”

when we had some difficulty and was able to get Dr. Grimsley on the

phone for us at two in the morning. She is a warrior with a strong and

caring human touch. It meant a great deal and allowed us to honor

my Mom’s wishes timely when we had to make hard decisions. She is

not afraid to be an advocate for the patient and the family. For this we

are eternally grateful. Lacy also made a point to find my Mom’s online

obituary and leave us all a note. This was a wonderful surprise in a

time of sorrow and was greatly appreciated.

(Team leader survey comment) Lacy McMillon – she is always pleasant

and seems to focus on what is best for the patient anytime I’ve taken a

patient to her or heard anything about her. The last PACU/SCU Patient

Centered Council meeting we had, she attended, and her ideas and

responses were genuinely patient centered and team oriented. She

is respectful to her co-workers, and is spoken of highly by leadership

that knows her. Another role model of our BHVH Values.

Annette Parise, RN, Pacemaker/Electrophysiology

Annette’s reputation for flexibility and teamwork was evident

one day when she took it upon herself to start the transthoracic

echocardiogram (TTE) for a physician who needed to quickly

verify whether a patient was suffering from an accumulation of

fluid.

Annette has extensive experience in non-invasive treatment

and is known as the super-trainer because of her knowledge

in intracardiac echocardiography (ICE) cath and her problem-

solving skills. Whenever there is an issue with ICE, it’s Annette to

the rescue. Her team and the physicians, greatly appreciate her

expertise. There are several people on the Non-Invasive team

who are cross trained to do transesophageal echocardiograms,

but Annette is the only one who can also do stress test. She often

volunteers to float to Non-Invasive whenever there is a need.

Shared Governance


The Housewide Professional Development Council focuses

on education. They meet monthly to address continuing

education events and planning for CEUs and NOW

cards. The council addresses competencies and orientation

programs, as well as, policy education.

Chair – Laura Linker, BSN, RN, CNOR

Co-Chair – Tonja Solomon, RN, RN-BC


• Wound Program will be presented by KCI in October (Wrn Program)

• Epidural In-services held for ICU staff

• Monthly Learning needs assessments conducted for all units

• Non-Invasive has established their own CME program ASE

• Cardiac Rehab recently had an LVAD in-service

• Patient Care Tech Annual Skills revamped and completed independently

• Multiple housewide and unit based inservices throughout the year

• Three annual seminars organized and led by staff members: – Cardiovascular Symposium – Vascular Seminar – EP/PM Seminar

• Ethics Lunch and Learns held for all staff members

• Online Journal club continued

• Annual staff BLN modules

• Diversity 101 events held

• Annual Skills Week for clinicians

The Housewide Clinical Practice Council focuses on

improving patient care and education. The council monitors

compliance with The Joint Commission, reviews ethics,

implements and maintains practice guidelines consistent

with national, regional and community standards and

recommends improvements to the Practice Model. The

council also updates the staff on drug administration,

pharmacy and medication updates, notices staffing patterns

and assists in the policy and procedure development.

Chair – Megan Linker, RN

Co-Chair – Erica Salas, ADN, CNOR


• Multiple evidence based articles presented to staff

• Bedside Shift Report implemented

• Improvement of hypoglycemia scores

• RRT card developed for patient and family education

• Service Alert for procedural area patients implemented

• 4 Specialty Care Unit discharge video developed to improve patient discharge teaching

• Policy and Procedures updated

• New consents implemented

• Task forces created to reduce costs and wastage

• “Buddy System” initiative created for RNs

• New Diabetic Education booklet created for newly diagnosed patients

• Increased IV time from 72 to 96 hours

• “Hand Off” tool created to follow patient throughout hospital stay

HOUSEWIDE CLINICAL PRACTICE COUNCIL HOUSEWIDE PROFESSIONAL DEVELOPMENT COUNCIL

Chair – Jennifer Adams, MT, MPH, CIC Chair – Mary Muldoon, RN, RN-BC, CEPS

Co-Chair – Tar Byxbe, RN-BCFY2012 ACCOMPLISHMENTS INCLUDE:

• Utilized “flu buggy” to encourage staff flu vaccination

• BLN module on “Infection Control”

• Monthly staff and physician hand hygiene audits performed

• Infection Prevention Fair

• Received Silver Level achievement for Joint Commission regarding flu vaccinations


• Ongoing studies carried over from 2011 into 2012: PCI/Web Study, BLAH Study, Depression Study, Sneeze Study, PIV Study

• Ended PIV Study in Feb 2012

• Conclusion of Data collection for BLAH study

• Closure of Systematic Review - Awaiting Publication

• Closure of Sneeze Study - Awaiting Publication

• Revision of Depression Study July 2012 - Awaiting Publication in Baylor Proceedings

• Sent two staff RNs to TCU-JBI Systematic Review Training Feb 2012

• Sent one staff RN to TCU-EBP Fellowship Sept 2011 - Sept 2012

• First BHVH Research Fair May 2012

• Began break-off sessions/mini-working research meetings

• New “Blinded” study in the works

• BHCS is officially an ESG for JBI

• 2 Posters accepted for National Convention (Sneeze and HR in Rehab)

• Mechanic paper accepted in Occupational Medicine

• Data collection finished on the Highland Park Study 16. Data collection completed on the Farmer study

• Firefighter case series submitted to the American Journal of Cardiology

• Paper submitted to the Journal of Cardiopulmonary Rehab and Prevention on Stress Testing in Cardiac Rehab

• Moral distress accepted into Journal of Clinical Ethics

• Decisional Involvement into JONA

• Tara Renbarger graduated from the TCU Evidence-Based Practice Fellowship program with a poster and podium presentation “Vascular Access Carepath: Improving Outcomes for the Vascular Patient”

Chair – Paz MacDonald, BSN, RN, CCRN

Co-Chair – Julie Gonzalez, RN, CRN


• August 2011, BHVH and ASPMN, Introducing Capnography

• September 2011, Using IV Acetaminophen for Pain Management. Using Capnography Patient Monitoring during BLS and ACLS

• October 2011, Update from BHCS Pain Task Force, Review of appropriate Pain Scales for different patient and procedures.

• November 2011, Paz represented BHVH at ASPMN Day Seminar, and presented to BHVH “Role of the Nurse in Pain Assessment and Management of Individuals Affected by Pain.”

• January 2012, along with ASPMN North Texas, “IV Acetaminophen”

• February 2012, Defined Nurses Roles in Pain Management from all Nursing Units”; Paz lectured on Pain Management to new Nurses

• March 2012, along with ASPMN North Texas, “Hospice 101” by Candace Baker, RN CHPN, Vitas

• April 2012, ordered more “Patient Guide to Pain Management” brochures, Pasero Opioid Sedation Scale, approved for the BHCS

• May 2012, Review of Oxygen protocol

• June 2012, Review Pain management, pre-med before wound vac application and dressing change. Pain brochures distributed to 2, 3 and 4 SCU. (Doris in-charge)

HOUSEWIDE INFECTION PREVENTION COUNCIL

HOUSEWIDE PAIN MANAGEMENT COMMITTEE

HOUSEWIDE RESEARCH COMMITTEE

4342 INNOVATIONS | MEASURING INNOVATION IN HEART AND VASCULAR CARE BAYLOR JACK AND JANE HAMILTON HEART AND VASCULAR HOSPITAL

Real Patients. Real Stories.

Baylor was the best thing that ever happened to my heart.”

– RAMIRO ROMO

“RAMIRO ROMO

Ramiro Romo, 76, thought he would have to live with the fatigue that

resulted from a leaky mitral valve. His cardiologist in East Texas prescribed

medication that had no real effect. When his grandson saw Ramiro’s

condition, he brought him to Baylor Jack and Jane Hamilton Heart and

Vascular Hospital for a second opinion.

Because he was too weak to undergo open-heart surgery, Ramiro decided

to participate in a clinical research study of the MitraClip®, a minimally

invasive surgical approach to repair the leaky valve. The procedure may

offer less pain, shorter hospital stays and faster recovery times. “I feel 100

percent better than I did before,” Ramiro says. “I was walking the second

day after the procedure, and I could feel the difference right away.”

Cen

ter

for

Com

ple

x A

rrhy

thm

ias Center for Complex Arrhythmias


Center for Complex Arrhythmias

The Baylor Hamilton Heart and Vascular Hospital Center for

Complex Arrhythmias (CCA) was established in 2009 with the

goal of being North Texas’ premier center for patients with cardiac

arrhythmias, such as atrial fibrillation and ventricular tachycardia.

Designed as a one-stop shop for diagnostics, education, treatment

and ongoing disease management for North Texans suffering from

a wide range of arrhythmias, the CCA’s quality care and outstanding

reputation quickly made it a destination treatment clinic for patients

from across the country.

“Each and every patient who comes to our facility represents

a unique clinical problem and is treated with a care plan and

recommendations customized to his or her specific problems,” says

Kevin Wheelan, MD, FACS, medical director of electrophysiology

and chief of staff. “These recommendations are based upon the

knowledge and expertise of a physician team that has a national

reputation with exceptional outcomes and a high safety profile.”

The CCA’s team of highly skilled cardiologists and nurses, who

specialize in electrophysiology, provide patients with the diagnosis

and treatment of abnormal heart rhythms using advanced

technology.

One of the latest advancements in the treatment of atrial fibrillation

is cryotherapy – also known as cryoballoon ablation. An alternative

to radiofrequency ablation, which uses heat delivered to heart tissue

via cathether to correct the condition, cryotherapy uses extremely

cold temperatures applied through a balloon catheter to alter

cardiac cells’ capacity to conduct electrical impulses.

The cryoballoon is an efficient approach associated with successful

outcomes and low complication rates. Our electrophysiology

department was the leading research site in the Unites States for the

cryoballoon and performed the first procedure in the North Texas.

2.2 millionamericans have a-fib

In addition to cryotherapy, we offer

several other treatment options

for arrhythmias:

• Medications to control rate and rhythm

• Anticoagulation medication therapy

• Radiofrequency ablation

• Surgical maze

Inno

vatio

nsInnovations


Aortic Endograft | CoreValve®

Radial Artery CatheterizationSTEMI and NSTEMI System of Care Development

Thoracic Outlet Syndrome Treatment

CoreValve®

Approximately 300,000 people worldwide suffer from severe aortic

stenosis, which occurs when the heart’s aortic valve is narrowed,

restricting blood flow from the heart to the body. Traditionally, the

most effective treatment option has been replacing the aortic valve

through open-heart surgery.

Unfortunately, open-heart surgery carries many risks and, in fact,

approximately one-third of severe aortic stenosis patients are not even

candidates for the procedure. Research shows that left untreated,

severe aortic stenosis has a 50 percent mortality rate at one year.

Baylor Hamilton Heart and Vascular Hospital is participating in a

clinical trial studying Medtronic’s CoreValve® transcatheter aortic

valve replacement system as a treatment alternative to open-heart

surgery. This artificial valve is made of natural tissue with “leaflets” that

control the flow of blood secured to a flexible, self-expanding frame

for support. Baylor Hamilton Heart and Vascular Hospital is one of 45

national CoreValve sites, and we have been awarded the next phase of

the study called SURTAVI which looks at the valve in lower risk patients.

With CoreValve, an incision is made in the femoral artery and the new

aortic valve is delivered via a catheter threaded up to the heart. Since

2010, we have successfully implanted 30 CoreValves through this

minimally invasive approach.

“Our patients who have undergone a CoreValve procedure have seen

phenomenal results,” says Robert Stoler, MD, co-medical director of

cardiology, and medical director of interventional cardiology services.

“Their length of hospital stay is shorter. Their rehabilitation and

recovery process is faster and easier, and many of them have gone

on to live active, symptom-free lives.”

Potential benefits to patients participating in the study include:

improved heart valve function and blood flow; the possibility of

improved survival; and reduced symptoms of aortic stenosis such as

chest pain, feeling faint, dizziness, fatigue, shortness of breath, heart

palpitations and heart murmurs.

Aortic Endograft

One of the most dangerous of all cardiovascular conditions is an

aortic aneurysm. Aortic aneurysms can develop slowly over time

or happen suddenly, often as the result of a physical trauma such

as a car accident.

Treatment for aortic aneurysms and other aortic pathologies was

once limited to open-heart surgery, which involves stopping the

flow of blood through the aorta and replacing the diseased section

with a tube. While many hospitals still focus on using an open

technique, Baylor Hamilton Heart and Vascular Hospital takes

a minimally invasive approach whenever possible, through an

endovascular procedure using the TAG® Thoracic Endoprosthesis.

This endovascular graft is guided via imaging technology and

guidewires through the femoral artery to the aorta where it is

“deployed” to create a tight fit against the aortic wall. The metal

endograft seals off the lesion or aneurysm, creating a new path

for blood to flow.

Outcomes using this less invasive approach have been impressive.

Endovascular repair has resulted in lower mortality and lower

complication rates than traditional open-heart surgery.

“The recovery process is much easier for patients treated

endovascularly,” says Gregory Pearl, MD. “Rather than a lengthy

stay in the hospital, which also may include time in the ICU,

patients with an endograft are typically discharged within a few

days.”

Dr. Pearl says that patients who have open-heart surgery to repair

their aorta typically take three to six months to fully recover.

Meanwhile, patients who have been treated endovascularly can

typically return to life as usual within two to six weeks of the

procedure, depending on other health conditions.

Innovations


Radial Artery Catheterization

Coming up with new and better ways to diagnose and treat blocked

arteries has long been a focus of professionals in the field of

cardiovascular medicine. For well over a decade, cardiologists have

relied on cardiac catheterization as the gold standard for minimally

invasive angiography and angioplasty to diagnose and remove

blockages. Cardiologists on the Baylor Hamilton Heart and Vascular

Hospital medical staff also have long relied on the technique,

successfully treating thousands of patients over the years.

Recently, we have begun using a new technique to perform cardiac

catheterization in certain cases that’s improving both safety and

patient satisfaction.

During most traditional cardiac catheterization procedures, a

cardiologist uses the femoral artery in the leg as the entry point for

a catheter tube, which is guided through the body’s arteries to the

heart. The relatively new radial artery approach allows cardiologists

on our medical staff to insert the catheter through the radial artery in

the wrist.

Once the catheter has reached the heart, a contrast dye is injected

through the tube, which identifies cholesterol deposits in diseased

arteries that may be blocking blood flow. After the blockage is

identified, angioplasty can be performed to reopen the artery.

“The radial artery approach has been shown to be especially useful

in treating some of the sickest patients–such as those who have

suffered acute myocardial infarction or who are most heavily anti-

coagulated,” says Jeff Schussler, MD. “There is a movement in both

Europe and the United States to expand the use of catheterization

through the wrist.”

“Regardless of the patient’s status, though, there are significant

benefits to this approach,” says Dr. Schussler, “and I think it’ll be used

more and more often at Baylor and throughout the nation. Nearly

all of my patients, who have had a heart catheterization both ways,

strongly preferred having it performed through the radial artery.”

Radial artery catheterization offers patients several benefits:

• Fewer complications at the access site

• Less bleeding, meaning less chance of needing a blood

transfusion

• Less risk of nerve trauma

• Lower rates of complication

• Shorter recovery/more comfortable (patients can move around

immediately after the procedure rather than having to stay in bed

for several hours)

To view the full publication on radial artery angiography, visit:

http://www.baylorhealth.edu/Documents/BUMC%20

Proceedings/2011%20Vol%2024/No.%203/24_3_Schussler.pdf

STEMI and NSTEMI System of Care Development

Survival rates of patients with cardiovascular disease in Dallas

County are lower than the national average. Thanks to a $3.5

million grant from the W. W. Caruth Jr. Foundation of Communities

Foundation of Texas (CFT) to the SouthWest Affiliate of the American

Heart Association, work is underway to improve those numbers.

Baylor Hamilton Heart and Vascular Hospital partnered with the

SouthWest Affiliate American Heart Association, 14 other Dallas-

area hospitals and 25 EMS agencies in Dallas County to accelerate

the STEMI and NSTEMI system of care development. The regional

project is aimed at forming an integrated heart attack emergency

care system in Dallas County.

Although the project is ongoing, the preliminary results are

promising. The collaboration has led to greater consistency by

Dallas-area hospitals in handling heart attack patients, lower door-

to-bed times and a drop in mortality rate.

Thoracic Outlet Syndrome Treatment

Baylor Hamilton Heart and Vascular Hospital is not only a

destination treatment facility for conditions directly impacting

the heart and chest, but also for vascular conditions that can be

debilitating to other parts of the body as well.

Thoracic outlet syndrome is a condition wherein the nerve, artery

and vein get compressed as they wind from the chest and down

the arm, by getting pinched between the collarbone and first rib.

While anyone can be at risk, it is most common among athletes and

others who practice repetitive arm motions. Symptoms include pain,

numbness, tingling and weakness in the arm, chest and/or neck.

Some forms of the condition are more serious and can include,

aneurysms and blood clots.

Since we have gained a national reputation for expertise in the

treatment of thoracic outlet syndrome, athletic trainers and

physicians nationwide refer patients to us for treatment. Over the

past year, we have managed more than 118 cases.

“Some people with a milder form of the syndrome can be treated

with a conservative approach – generally physical therapy, working

on posture and creating a more ergonomic work area,” says Gregory

Pearl, MD, department head of vascular surgery. “If a patient still

has problems or has the vascular form of the disease, we can take a

more aggressive approach and correct the problem surgically.”

Surgical treatment typically involves freeing and excising the scaling

muscle, which is attached to the first rib. Sometimes, the first rib is

removed as well, along with any scar tissue that might have resulted

from injury.

Dr. Pearl specializes in the management of thoracic outlet syndrome

and has treated scores of high school, college and professional

athletes from many sports from all across the country.

“The goal is getting the patient back to full activity and doing

whatever they want to do,” Dr. Pearl says.

“The goal is getting the patient back to full activity and doing whatever they want to do.” – Gregory Pearl, MD

Car

dia

c R

ehab

Clinical Trials and

S

tudies


Cardiac Rehab

Our program draws on a multidisciplinary team that

includes internal medicine physicians, registered nurses,

exercise specialists, registered dietitians and social

workers in a carefully designed program that is tailored

to your specific needs. Offered in three phases, our

program features monitored physical activity in which

you gradually increase the efficiency of your heart and

lungs, strengthening your body’s muscles while gaining

the confidence you need to return to daily life.

Return to Work Lab™ – Live Your Action Potential

The only one of its kind in

North Texas, the Return

to Work Lab™ follows

industrial athletes and

those with jobs that require

higher intensity levels

after heart procedures to

evaluate when their heart is physically ready to return

to work. The goal of the Return to Work Lab is to train

patients to achieve the fitness level necessary for them

to safely perform required job duties upon return to

work and/or activities of daily living.

Typical cardiac rehabilitation programs advise

participants to perform lower levels of activity by

using equipment such as the treadmill, bike and

light hand weights. Our program uses real-life tools

and equipment that our participants might use – fire

hoses, industrial tools, simulated radar guns – that

weigh the same as their real life counterparts.

We also use training materials taken from these

professions, stairways, stairmills, slideboards, agility

equipment, simulated lawn equipment and a weighted

workstation.

After successfully completing this program,

participants are confident that they are ready for

the demands of their job – and so are their family

members, physicians, employers and coworkers.

CLINICAL TRIALS AND STUDIES

CLINICAL DIVISION

STUDY TITLE PI

Cardiology

Nursing and Clinical Observation: Femoral Access Risk Factors During Left Heart Catheterizations Leading to Additional Hospitalization and Vascular Surgical Intervention

Gonzalez, Julie, RN

Comparison of Intrathoracic Pressure Exerted on Sternum During Low, Medium and High-Intensity Bench Press Resistance Exercise vs. a Sneeze

Adams, Jenny, PhD

Medtronic CoreValve® U.S. Pivotal Trial Stoler, Robert, MD

IRrigated Ablation System Evaluation for AF (IRASE AF) Wheelan, Kevin, MD

Medtronic StarFix® Left Ventricular Lead Extraction Study Assar, Manish, MD

A Randomized, Double-Blind Parallel-Group Study of Cardiovascular Safety in Osteoarthritis or Rheumatoid Arthritis Patients with or at High Risk for Cardiovascular Disease comparing Celecoxib with Naproxen and Ibuprofen (PRECISION)

East, Cara, MD

Endeavor Drug Eluting Stenting: Understanding Care, Antiplatelet Agent and Thrombotic Events – EDUCATION

Stoler, Robert, MD

A Multicenter, Randomized, Double-Blind, Parallel Group, Active-Controlled Study to Evaluate the Efficacy and Safety of Both Aliskiren Monotherapy and Aliskiren/Enalapril Combination Therapy Compared to Enalapril Monotherapy, on Morbidity and Mortality In

Kuiper, Johannes, MD

Adapative CRT Study Wells, Peter, MD

Xience V Everolimus Eluting Coronary Stent System (EECSS) USA Post-Approval Study Choi, James, MD

The Vest Prevention of Early Sudden Death Trial (VEST) Franklin, Jay, MD

Natural History of the Bicuspid Aortic Valve Roberts, William, MD

The Effect of Oral S-adenosylmethionine (SAMe) on Blood Levels of Homocysteine and Methylation Metabolites in Patients with Renal Insufficiency

East, Cara, MD

A Randomized, Controlled Trial of the Medtronic Endeavor Drug (ABT-578) Eluting Coronary Stent System versus the Taxus Paclitaxel-Eluting Coronary Stent System in De Novo Native Coronary Artery Lesions

Stoler, Robert, MD

Surgical Treatment for Ischemic Heart (STICH) Failure Trial Grayburn, Paul, MD

Endeavor Drug Eluting Stenting: Understanding Care, Antiplatelet Agent and Thrombotic Events - EDUCATION

Stoler, Robert, MD

A Double-blind, Randomized, Placebo-controlled, Multicenter Study to Assess the Efficacy and Safety of Darbepoetin alfa Treatment on Mortality and Morbidity in Heart Failure (HF) Subjects with Symptomatic Left Ventricular Systolic Dysfunction and Anemia

Hall, Shelley, MD

Evaluation of Sodium Bicarbonate to Reduce Contrast-Induced Nephropathy (CIN) in Subjects with Advanced Chronic Kidney Disease (CKD) who are Undergoing Angiography

Stoler, Robert, MD

Total Visits

FY2007 FY2008 FY2009 FY2010 FY2011 FY2012

Phase II*

5,419 4,583 4,253 4,874 4,869 5,082

Phase III**

2,830 2,930 3,326 3,308 3,185 2,444

*Phase II is a supervised outpatient program of individually prescribed exercise with continuous or intermittent ECG monitoring.

**Phase III is a long-term program generally including both clinical supervision by an exercise professional or nurse and intermittent ECG monitoring.

CARDIAC REHAB PROGRAM

Clinical Trials and Studies



CLINICAL DIVISION

STUDY TITLE PI

Cardiology

Aortic Valve (in Repeat Cardiac Operation) Morphology Study Hamman, Baron, MD

Advisa MRI System Study Kowal, Robert, MD

Catheter Ablation Versus Anti-arrhythmic Drug Therapy for Atrial Fibrillation (CABANA) Trial Kowal, Robert, MD

A Randomized, Double-Blind, Placebo-Controlled, Event Driven Trial Of Quarterly, Subcutaneous Canakinumab in the Prevention of Recurrent Cardiovascular Events Among Stable Post-Myocardial Infarction Patients with Elevated hsCRP: the CANTOS Trial

East, Cara, MD

A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Determine Whether, in Patients with Type 2 Diabetes at High Risk for Cardiovascular and Renal Events, Aliskiren, on Top of Conventional Treatment, Reduces Cardiovascular and Renal Mor

East, Cara, MD

Natural History of Aortic Dissection Roberts, William, MD

A Randomized, Double-blind, Placebo-Controlled, Event-Driven Trial of Quarterly Subcutaneous Canakinumab in the Prevention of Recurrent Cardiovascular Events Among Stable Post-Myocardial Infarction Patients With Elevated hsCRP

Brown, David, MD

Clinical and Pathologic Evaluation to Determine the Causes of Aortic Dissection Roberts, William, MD

Gene Expression Profiling of Mitral Valve Prolapse Smith, Robert, MD

Determination of EFfectiveness of the SilverHawk®PerIpheral Plaque ExcisioN System (SIlverHawk Device) for the Treatment of Infrainguinal VEssels / Lower Extremities (DEFINITIVE LE)

Johnson, Kenneth, MD

Satisfaction Outcome Comparison Between Subjects Who Receive Usual Care Versus Those Who Receive Activity Discharge Instructions from a Clinical Exercise Specialist

Adams, Jenny, PhD

Intramyocardial Delivery of Autologous Bone Marrow Cells in Patients with Heart Failure Due to Dilated Cardiomyopathy Hamman, Baron, MD

High-Intensity, Occupation-Specific Training for Firefighters in a Phase II Cardiac Rehabilitation Program Adams, Jenny, PhD

Evaluation of a New Method of Relieving Pain Associated with Interpleural Tubes following Thoracic or Cardiac Surgery Hebeler, Jr., Robert, MD

CRYptogenic STroke And underLying AF (CRYSTAL AF) Assar, Manish, MD

Evaluation of the Safety and Efficacy of Short-term A-002 Treatment in Subjects with Acute Coronary Syndromes: VISTA-16 (Vascular Inflammation Suppression to Treat Acute Coronary Syndrome for 16 Weeks) A-002

East, Cara, MD

A Prospective, Single-Blind, Randomized, Multi-Center Study Comparing the CYPHER ELITE to the CYPHER Bx VELOCITY Sirolimus-Eluting Stent Systems

Stoler, Robert, MD

Feasibility Study of Autologous Concentrated Bone Marrow Nucleated Cell Therapy for Congestive Heart Failure Patients Undergoing Treatment with Coronary Heart Failure Patients Undergoing Treatment with Coronary Artery Bypass Grafting (CABG) Surgery

Hamman, Baron, MD

SOX9 Expression in Pancreatic Islet Cells Grayburn, Paul, MD

Evaluation of a New Method of Relieving Pain Associated with Interpleural Tubes following Thoracic or Cardiac Surgery Hebeler, Jr., Robert, MD

RELY-ABLE Long Term Multi-Center Extension of Dabigatran Treatment in Patients with Atrial Fibrillation who Completed the RE-LY trial and a Cluster Randomised Trial to Assess the Effect of a Knowledge Translation Intervention on Patient Outcomes

East, Cara, MD


CLINICAL DIVISION

STUDY TITLE PI

Cardiology

Prospective Randomized EVAluation of Warfarin Therapy In Atrial Fibrillation Patients Versus WATCHMAN LAA Closure Technology (PREVAIL)

Wheelan, Kevin, MD

Causes of Bioprosthetic and Mechanical Prosthetic Dysfunction in the Mitral and Aortic Valve Positions Roberts, William, MD

Mitral Valve Ring Removal and Mitral Regurgitation Roberts, William, MD

Post-MI Remodeling Prevention Therapy Study Franklin, Jay, MD

Prevalence of Renal Artery Stenosis in Patients with Refractory Hypertension Stoler, Robert, MD

A Clinical Evaluation of the Medtronic Endeavor® Resolute Zotarolimus-Eluting Coronary Stent System in the Treatment of De Novo Lesions in Native Coronary Arteries with a Reference Vessel Diameter of 2.25mm to 4.2mm

Stoler, Robert, MD

JOSTENT Coronary Stent Graft Humanitarian Use Device (HDE) #000001 Stoler, Robert, MD

Amiodarone (PM101), Lidocaine or Neither for Out-Of-Hospital Cardiac Arrest Due to Ventricular Fibrillation or Tachycardia Ramsay, Michael, MD

Descending Thoracic Aortic Aneurysm Endovascular Repair Post Approval Study (THRIVE) Gable, Dennis, MD

SureScan Pacing System Post-Approval Study Kowal, Robert, MD

Pivotal Trial to Evaluate the Safety and Efficacy of the Daimondback 360 Orbital Atherectomy System in Treating De Novo, Severly Calcified Coroanry Lesions (ORBIT II)

Vallabhan, Ravi, MD

A U.S. Post-Approval Study of the TAXUS Liberte Paclitaxel-Eluting Coronary Stent System Stoler, Robert, MD

Comparison Of Clinical and Morphologic Cardiac Findings In Patients Having Cardiac Transplantation at BUMC Roberts, William, MD

Giant Cell Aortitis Roberts, William, MD

Usefulness of Gross and Histologic Examination for Diagnostic Purposes of Excised Circular “Cores” of Left Ventricular Wall to Insert Left Ventricular Assist Devices

Roberts, William, MD

Stability: A Clinical Outcomes Study of Darapladib versus Placebo in Subjects with Chronic Coronary Heart Disease to Compare the Incidence of Major Adverse Cardiovascular Events

East, Cara, MD

Indications for and Results of Combined Mitral and Aortic Valve Replacement at BUMC Roberts, William, MD

A 104 Week, Randomized, Double-blind, Placebo-Controlled, Parallel-group, Multicenter Study to Evaluate the Efficacy of Aliskiren on the Progression of Atherosclerosis in Patients with Coronary Artery Disease When Added to Optimal Background Therapy

Vallabhan, Ravi, MD

USPella: A Multi-Center, Data Registry Study Designed to Collect Data from Subjects that Have Been Treated Using the IMPELLA 2.5 Circulatory Device per Institution’s Standard of Care

Stoler, Robert, MD

A Novel Pleural Air Leak Sealant After Lung Resection Retrospective Study Cheung, Edson, MD

In Patients Referred for Atrial Flutter Ablation, the Long Term Occurrence of Atrial Fibrillation and Atypical Atrial Flutter Is Higher in Those Who Present to the Hospital In Sinus Rhythm: Rationale for a Single Right and Left Atrial Ablation Procedure

Wells, Peter, MD

Physician P

ublications



CLINICAL DIVISION

STUDY TITLE PI

Cardiology

PLATINUM – A prospective, Randomized, Multicenter Trial to Assess an Everolimus-Eluting Coronary Stent System (PROMUS Element™) for the Treatment of Up to Two De Novo Coronary Artery Lesions

Stoler, Robert, MD

Evaluation of the GORE TIGRIS Vascular Stent in the Treatment of Atherosclerotic Lesions of the Superficial Femoral and Proximal Popliteal Arteries

Gable, Dennis, MD

Zenith TX2 TAA Endovascular Graft Post-Market Approval Study, PMA #P070016 Shutze, William, MD

A randomized, double-blind, placebo-controlled, parallel-group, multicenter study to evaluate cardiovascular outcomes during treatment with lixisenatide in type 2 diabetes patients after an acute coronary syndrome event

East, Cara, MD

A randomized, double-blind, placebo-controlled, event driven trial of quarterly, subcutaneous canakinumab in the prevention of recurrent cardiovascular events among stable post-myocardial infarction patients with elevated hsCRP: the CANTOS trial

East, Cara, MD

Experience with Endovascular Aortic Repairs at BUMC Shutze, William, MD

Evaluation of the GORE ACUSEAL Vascular Graft for Hemodialysis Access Gable, Dennis, MD

Nursing and Clinical Observation: Femoral Access Risk Factors During Left Heart Catheterizations Leading to Additional Hospitalization and Vascular Surgical Intervention

Gonzalez, Julie, RN

Evaluation of the Safety and Efficacy of Short-term A-002 Treatment in Subjects with Acute Coronary Syndromes: VISTA-16 (Vascular Inflammation Suppression to Treat Acute Coronary Syndrome for 16 Weeks) A-002

East, Cara, MD

IVC Filter Placement Using Intravascular Ultrasound (IVUS) Hohmann, Stephen, MD

A clinical outcomes study of darapladib versus placebo in subjects following acute coronary syndrome to compare the incidence of major adverse cardiovascular events: SOLID-TIMI 52 trial

East, Cara, MD

Stability: A Clinical Outcomes Study of Darapladib versus Placebo in Subjects with Chronic Coronary Heart Disease to Compare the Incidence of Major Adverse Cardiovascular Events

East, Cara, MD

Descending Thoracic Aortic Aneurysm Endovascular Repair Post Approval Study (THRIVE) Gable, Dennis, MD

A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Determine Whether, in Patients with Type 2 Diabetes at High Risk for Cardiovascular and Renal Events, Aliskiren, on Top of Conventional Treatment, Reduces Cardiovascular and Renal Mor

East, Cara, MD

A Randomized, Double-Blind Parallel-Group Study of Cardiovascular Safety in Osteoarthritis or Rheumatoid Arthritis Patients with or at High Risk for Cardiovascular Disease comparing Celecoxib with Naproxen and Ibuprofen (PRECISION)

East, Cara, MD

(Synergy between PCI and TAXUS and Cardiac Surgery) A Multicenter, Randomized Clinical Trial Comparing TAXUS PCI to CABG in Patients Amenable for Revascularization Treatment of 3-Vessel Disease, Left Main Disease or Left Main in Conjunction with One, Two,

Stoler, Robert, MD

A Study of the Evalve Cardiovascular Valve Repair System (CVRS) Endovascular Valve Edge-to-Edge Repair Study EVEREST II Grayburn, Paul, MD

Journal Articles (2011)

1. Ayad RF, Grayburn PA, Ko JM, Filardo G,

Roberts WC. Accuracy of two-dimensional

echocardiography in determining aortic valve

structure in patients >50 years of age having aortic

valve replacement for aortic stenosis. American

Journal of Cardiology 2011;108:1589-1599.

2. Bhella PS, Pacini EL, Prasad A, Hastings JL,

Adams-Huet B, Thomas JD, Grayburn PA, Levine

BD. Echocardiographic Indices Do Not Reliably

Track Changes in Left-Sided Filling Pressure in

Healthy Subjects or Patients With Heart Failure

With Preserved Ejection Fraction. Circulation-

Cardiovascular Imaging 2011;4:482-489.

3. Bose R, Schussler JM. Use of Angio-Seal

Closure Device When the Arteriotomy Is Above

or Below the Common Femoral Artery. Clinical

Cardiology;34:700-702.

4. Braunlin EA, Harmatz PR, Scarpa M, Furlanetto

B, Kampmann C, Loehr JP, Ponder KP, Roberts

WC, Rosenfeld HM, Giugliani R. Cardiac disease in

patients with mucopolysaccharidosis: presentation,

diagnosis and management. Journal of Inherited

Metabolic Disease 2011;34:1183-1197.

5. Bruckner BA, Ghodsizad A, Hamman BL, Bull DA,

Lattouf OM, Smedira NG, Burchardt E, Patel AN.

IMPACT-DCM: A Randomized, Controlled, Multi-

Center Phase II Trial Utilizing Expanded Autologous

Bone Marrow as Sole Therapy for Dilated

Cardiomyopathy Study Update. Journal of Heart

and Lung Transplantation 2011;30:218.

6. Centeno MM. Pulmonary arterial hypertension.

Critical Care Nursing Clinics of North America

2011;23:645-659.

7. Falcone AM, Bose R, Stoler RC, Kim M, Laible

E, Kang L, Waters K, Dunkerley J, Choi JW.

The AmBulatory Closure Device Percutaneous

Intervention (ABCD-PCI) study: a single-center

experience. Baylor University Medical Center

Proceedings 2011;24:192-194.

8. Filardo G, Nicewander D, Ballard DJ. Changes Over

Six Years in Administration of Aspirin and Beta

Blockers on Arrival and Timely Reperfusion and in

In-Hospital and 30-Day Postadmission Mortality

in Patients With Acute Myocardial Infarction.

American Journal of Cardiology;107:1421-1425.

9. Friedewald VE, Ballantyne CM, Davidson MH,

Gotto AM, Ridker PM, Roberts WC. The Editor’s

Roundtable: JUPITER Follow-Up. American Journal

of Cardiology 2011;107:1549-1557.

10. Friedewald VE, Boden WE, Stone GW, Yancy CW,

Roberts WC. The Editor’s Roundtable: Role of

Percutaneous Coronary Intervention and Drug-

Eluting Stents in Patients With Stable Coronary

Heart Disease. American Journal of Cardiology

2011;108:1417-1425.

11. Friedewald VE, Emmett M, Gheorghiade

M, Roberts WC. The editor’s roundtable:

Pathophysiology and management of hyponatremia

and the role of vasopressin antagonists. American


12. Friedewald VE, Goldfarb S, Laskey WK, Vetrovec

GW, Roberts WC. The editor’s roundtable: Contrast

agents and risk for contrast-induced nephropathy.

American Journal of Cardiology 2011;107:1848-1855.

13. Grayburn PA. The importance of regurgitant orifice

shape in mitral regurgitation. JACC: Cardiovascular

Imaging 2011;4:1097-1099.

Physician Publications


14. Grayburn P, Kar S, Feldman T, Glower D, Foster E, Mauri L.

EVEREST II High Surgical Risk Cohort: Clinical Benefit by

MR Grade in High Surgical Risk Patients One Year Following

MitraClip Therapy. Journal of the American College of

Cardiology 2011;58:B212-B212.

15. Grayburn PA, Roberts BJ, Aston S, Anwar A, Hebeler RF,

Jr., Brown DL, Mack MJ. Mechanism and Severity of Mitral

Regurgitation by Transesophageal Echocardiography in Patients

Referred for Percutaneous Valve Repair. American Journal of

Cardiology 2011;108:882-887.

16. Grayburn PA, Roberts WC. PAUL A. GRAYBURN, MD, on

Percutaneous Mitral Repair With the MitraClip(TM) Device:

A Conversation With the Editor. The American Journal of

Cardiology 2011;108:277-284.

17. Head SJ, Ko JM, Singh R, Roberts WC, Mack MJ. 43.3-Year

Durability of a Smeloff-Cutter Ball-Caged Mitral Valve. Annals of

Thoracic Surgery 2011;91:606-608.

18. Hicks TD, Kedora JC, Shutze WP. Treatment of an ilioenteric

fistula with an Amplatzer Vascular Plug. Journal of Vascular

Surgery;54:1495-1497.

19. Keithly S, Muldoon M, Cheng D, Vish N, Dejong SM, Adams J.

The preadmission packet: a strategy that benefits patients and

nurses during the admission process. Baylor University Medical

Center Proceedings 2011;24:299-301.

20. Kim MC, Muntner P, Levy ES, Mann D, Choi JW, Farkouh M,

Sharma S, Kovacic J, Krishnan P, Mehran R, Wiley J, Moreno

P, Kini A. Is Same Day Discharge Safe In Elective PCI? Results

from a Randomized Controlled Study. Journal of the American

College of Cardiology 2011;57:E1954-E1954.

21. Leeper B. Diabetes and cardiovascular disease. Critical Care

Nursing Clinics of North America 2011;23:677-685.

22. Leeper B, Cyr AM, Lambert C, Martin K. Acute coronary

syndrome. Critical Care Nursing Clinics of North America

2011;23:547-557.

23. Marichal DA, Anwar T, Kirsch D, Clements J, Carlson L, Savage

C, Rees CR. Comparison of a Suspended Radiation Protection

System versus Standard Lead Apron for Radiation Exposure

of a Simulated Interventionalist. Journal of Vascular and

Interventional Radiology 2011;22:437-442.

24. Muldoon M, Cheng D, Vish N, Dejong S, Adams J.

Implementation of an Informational Card to Reduce Family

Members’ Anxiety. AORN 2011;94:246-253.

25. Muntner P, Mann DM, Woodward M, Choi JW, Stoler RC,

Shimbo D, Farkouh ME, Kim MC. Predictors of Low Clopidogrel

Adherence Following Percutaneous Coronary Intervention.

American Journal of Cardiology; 2011;108:822-827.

26. Potapov E, Meyer D, Swaminathan M, Ramsay M, El Banayosy

A, Diehl C, Veynovich B, Gregoric ID, Kukucka M, Gromann

TW, Marczin N, Chittuluru K, Baldassarre JS, Zucker MJ,

Hetzer R. Inhaled nitric oxide after left ventricular assist

device implantation: A prospective, randomized, double-blind,

multicenter, placebo-controlled trial. Journal of Heart and Lung

Transplantation 2011;8:870-878.

27. Ray MJ, Shaw CJ, Opatowshy MJ, Layton KF. Emergent

surgical and endovascular repair of a level III carotid arterial

gunshot injury. Baylor University Medical Center Proceedings

2011;24:101-103.

28. Reades R, Studnek JR, Vandeventer S, Garrett J. Intraosseous

Versus Intravenous Vascular Access During Out-of-Hospital

Cardiac Arrest: A Randomized Controlled Trial. Annals of

Emergency Medicine;58:509-516.

29. Roberts WC. Natural History, Clinical Consequences, and

Morphologic Features of Coronary Arterial Aneurysms in Adults.

American Journal of Cardiology; 2011;108:814-821.

30. Roberts WC. Prophylactic replacement of a dilated ascending

aorta at the time of aortic valve replacement of a dysfunctioning

congenitally unicuspid or bicuspid aortic valve. American


31. Roberts WC, Karia SJ, Ko JM, Grayburn PA, George BA, Hall

SA, Kuiper JJ, Meyer DM. Examination of Isolated Ventricular

Noncompaction (Hypertrabeculation) as a Distinct Entity in

Adults. American Journal of Cardiology 2011;108:747-752.

32. Roberts WC, Roberts CC, Vowels TJ, Ko JM, Filardo G,

Hamman BL, Matter GJ, Henry AC, Hebeler Jr RF. Effect of

Body Mass Index on Survival in Patients Having Aortic Valve

Replacement for Aortic Stenosis With or Without Concomitant

Coronary Artery Bypass Grafting. American Journal of

Cardiology 2011;108:1767-1771.

33. Roberts WC, Vowels TJ, Kitchens BL, Ko JM, Filardo G, Henry

AC, Hamman BL, Matter GJ, Hebeler Jr RF. Aortic medial

elastic fiber loss in acute ascending aortic dissection. American


34. Salamah C, Byxbe T, Naffe A, Vish N, Dejong S, Muldoon M,

Cheng D, Adams J. Glucose control and opportunities for

health care improvement in a hospital setting. Baylor University

Medical Center Proceedings 2011;24:3-5.

35. Schussler JM. Effectiveness and safety of transradial artery

access for cardiac catheterization. Baylor University Medical

Center Proceedings 2011;24:205-209.

36. Shimoda M, Itoh T, Sugimoto K, Takita M, Chujo D, Iwahashi S,

Sorelle JA, Naziruddin B, Levy MF, Grayburn PA, Matsumoto S.

An effective method to release human islets from surrounding

acinar cells with agitation in high osmolality solution.

Transplantation Proceedings 2011;43:3161-3166.

37. Shoemake BD, Patterson BA, Schussler JM. Clinical

Significance of a Single Coronary Artery Arising from the Right

Sinus of Valsalva With the Left Anterior Descending Anterior

to the Pulmonary Artery and a Retro-Aortic Left Circumflex.

American Journal of Cardiology;108:1196.

38. St Laurent P. Acute coronary syndrome: new and evolving

therapies. Critical Care Nursing Clinics of North America

2011;23:559-71.

39. Stauffer BD, Fullerton C, Fleming N, Ogola G, Herrin J, Stafford

PMS, Ballard DJ. Effectiveness and cost of a transitional

care program for heart failure. Archives of Internal Medicine

2011;171:1238-1243.

40. Bose R, Schussler JM. Use of Angio-Seal closure device when

the arteriotomy is above or below the common femoral artery.

Clin Cardiol. 2011 Nov;34(11):700-2. doi: 10.1002/clc.20961.

Epub 2011 Nov 6. PubMed PMID: 22057835.

41. Shoemake BD, Patterson BA, Schussler JM. Clinical significance

of a single coronary artery arising from the right sinus of valsalva

with the left anterior descending anterior to the pulmonary

artery and a retro-aortic left circumflex. Am J Cardiol. 2011 Oct

15;108(8):1196. Epub 2011 Jul 26. PubMed PMID: 21798495.

42. Schussler JM. Effectiveness and safety of transradial artery

access for cardiac catheterization. Proc (Bayl Univ Med Cent).

2011 Jul;24(3):205-9. PubMed PMID: 21738292; PubMed

Central PMCID: PMC3124904.

43. Schwartz BG, Schussler JM, Rosenthal RL. Tumor-like

coronary atheroma: a modern coronary evaluation with a

historical perspective. Tex Heart Inst J. 2011;38(3):275-8.

Review. PubMed PMID: 21720471; PubMed Central PMCID:

PMC3113139.

44. Sarmast SA, Schussler JM. Monozygotic twins with identical

cardiac conditions. Proc (Bayl Univ Med Cent). 2011

Apr;24(2):104-6. PubMed PMID: 21566755; PubMed Central

PMCID: PMC3069516.

45. Fazel P, Schussler JM, Berbarie RF, Hamman BL, Fenves AZ.

Embolization of a stent from an arteriovenous graft into the

right ventricle in a patient on chronic hemodialysis. Proc (Bayl

Univ Med Cent). 2011 Apr;24(2):94-5. PubMedPMID: 21566752;

PubMed Central PMCID: PMC3069513.

46. Ayad RF, Bhella PS, Dockery WD, Schussler JM. Patency of

vein graft anastomoses facilitated with the hexalon device. Ann

Thorac Surg. 2011 Mar;91(3):894-8. PubMed PMID: 21353022.

Physician Publications


47. Lilly SM, Schussler JM, Stoler RC. Anomalous origin of the right

coronary artery from the left sinus of Valsalva associated with

syncope in a young athlete. Proc (Bayl Univ Med Cent). 2011

Jan;24(1):13-4. PubMed PMID: 21307970; PubMed Central

PMCID: PMC3012283.

Journal Articles (2012)

1. Benjamin MM, Roberts WC. Fatal aortic rupture from

nonpenetrating chest trauma. Baylor University Medical Center

Proceedings 2012;25:121-3.

2. Boden WE, Roberts WC. WILLIAM EDWARD BODEN, MD: A

Conversation With the Editor. American Journal of Cardiology

2012;110:145-159.

3. Chamogeorgakis T, Lima B, Shafii AE, Nagpal D, Pokersnik

JA, Navia JL, Mason D, Gonzalez-Stawinski GV. Outcomes

of axillary artery side graft cannulation for extracorporeal

membrane oxygenation. Journal of Thoracic and Cardiovascular

Surgery 2012;IN PRESS.

4. Deja MA, Grayburn PA, Sun B, Rao V, She L, Krejca M, Jain

AR, Chua YL, Daly R, Senni M, Mokrzycki K, Menicanti L, Oh

JK, Michler R, Wróbel K, Lamy A, Velazquez EJ, Lee KL, Jones

RH. Influence of Mitral Regurgitation Repair on Survival in the

Surgical Treatment for Ischemic Heart Failure Trial. Circulation

2012;125:2639-2648.

5. Dolmatch BL, Duch JM, Winder R, Butler GM, Kershen M, Patel

R, Trimmer CK, Lopera JE, Davidson IJ. Salvage of angioplasty

failures and complications in hemodialysis arteriovenous

access using the FLUENCY plus stent graft: Technical and

180-day patency results. Journal of Vascular and Interventional

Radiology 2012;23:479-487.

6. Filardo G, Hamilton C, Grayburn PA, Xu H, Hebeler Jr RF,

Hamman B. Established preoperative risk factors do not predict

long-term survival in isolated coronary artery bypass grafting

patients. Annals of Thoracic Surgery 2012;93:1943-1948.

7. Filardo G, Powell JT, Ashley-Marie artinez M, Ballard DJ.

Surgery for small asymptomatic abdominal aortic aneurysms.

Cochrane Database of Systematic Reviews 2012;3.

8. Friedewald VE, Kowal RC, Olshansky B, Yancy CW, Roberts

WC. The Editor’s Roundtable: Medical Management of Atrial

Fibrillation. American Journal of Cardiology 2012;109:563-569.

9. Friedewald VE, Hare JM, Miller LW, Walpole Jr HT, Willerson JT,

Roberts WC. The Editor’s Roundtable: Advances in Stem Cell

Therapy for Treatment of Cardiovascular Disease. American


10. Glower D, Ailawadi G, Argenziano M, Mack M, Trento A, Wang

AD, Lim S, Gray W, Grayburn P, Dent J, Gillam L, Sethuraman B,

Feldman T, Foster E, Mauri L, Kron I, Investigators EI. EVEREST

II randomized clinical trial: Predictors of mitral valve replacement

in de novo surgery or after the MitraClip procedure. Journal of

Thoracic and Cardiovascular Surgery 2012;143:S60-S63.

11. Grayburn PA. Interpreting the Coronary-Artery Calcium Score.

New England Journal of Medicine 2012;366:294-296.

12. Grayburn PA. The author replies. New England Journal of

Medicine 2012;366:1551.

13. Grayburn P, Sangli C, Massaro J, Mauri L, Weissman N,

Glower D, Feldman T, Foster E. The Relationship Between

the Magnitude of Reduction in Functional Mitral Regurgitation

Severity and NYHA Functional Class Post-Treatment with the

MitraClip Device. Cardiology 2012;121:104-105.

14. Grayburn P, Sangli C, Massaro J, Mauri L, Weissman N, Glower

D, Feldman T, Foster E. The relationship between the magnitude

of reduction in mitral regurgitation severity and left ventricular

and left atrial volumes post-treatment with the mitraclip device.

Journal of the American College of Cardiology 2012;59.

15. Hall S, Gonzalez-Stawinski G, Meyer D, Bethea B, Kuiper

J, Hardaway B. Unplanned Hospital Readmissions and

Continuous Flow Pump Therapy. Journal of Cardiac Failure

2012;18:S37-S37.

16. Hall S, Hardaway B, Meyer D, Bethea B, Kuiper J. Reducing

Length of Stay in the Heartmate II Era. Journal of Cardiac Failure

2012;18:S46-S47.

17. Hall S, Kuiper J, Grimsley B, Pearl G, Matter G, Hamman B,

Hardaway B. The Use of Impellas 5.0/LD in the Management

of Heart Failure Patients With Cardiogenic Shock: A

Multidisciplinary Team Approach. Journal of Cardiac Failure

2012;18:S47-S47.

18. Kennedy K, Adams J, Cheng D, Berbarie RF. High-intensity

track and field training in a cardiac rehabilitation program.

Baylor University Medical Center Proceedings 2012;25:34-6.

19. Kowal RC. PVI’s inconvenient truths: Lights out for dormant

reconnection? Journal of Cardiovascular Electrophysiology

2012;23:261-263.

20. Leeper B, Centeno M. Disparities in Cardiac Care for Patients

with Complex Cardiovascular Care Needs. Journal of

Cardiovascular Nursing 2012;27:114-119.

21. Libby P, Roberts WC. Peter Libby, MD: A conversation with the

editor. American Journal of Cardiology 2012;110:741-760.

22. Loor G, Gonzalez-Stawinski G. Pulsatile vs. continuous flow in

ventricular assist device therapy. Best Practice and Research:

Clinical Anaesthesiology 2012;26:105-115.

23. McQuillan B, Carter B, Millard-Hasting B, Ayotte K, Jesinger R,

Lichtenberger J. The Interventricular Septum: A Multimodality

Review of Anatomy and Pathology. American Journal of

Roentgenology 2012;198.

24. Murray SS, Smith EN, Villarasa N, Nahey T, Lande J, Goldberg

H, Shaw M, Rosenthal L, Ramza B, Alaeddini J, Han X, Damani

S, Soykan O, Kowal RC, Topol EJ. Genome-wide association

of implantable cardioverter-defibrillator activation with life-

threatening arrhythmias. PLoS ONE 2012;7.

25. Nachimuthu S, Assar MD, Schussler JM. Drug-Induced QT

Interval Prolongation: Mechanisms and Clinical Management.

Therapeutic Advances in Drug Safety 2012;3:241-253.

26. Pinard EA, Fazal S, Schussler JM. Catastrophic paradoxical

embolus after hemodialysis access thrombectomy in a patient

with a patent foramen ovale. Int Urol Nephrol. 2012 Feb 25.

[Epub ahead of print] PubMed PMID: 22367171.

27. Roberts WC. Good Books in Cardiovascular Disease Appearing

in 2011. American Journal of Cardiology 2012;109:1236-1237.

28. Roberts WC. Two observations suggesting that we die

in ventricular systole. American Journal of Cardiology

2012;110:915-917.

29. Roberts WC. Formulating an Answerable Question, Displaying

Data, Illustrating, Writing, Reviewing, and Editing Manuscripts

for Publication in Medical Journals. American Journal of

Cardiology 2012;110:290-306.

30. Roberts WC. Determining the Quantity of Alcohol Consumed.

American Journal of Cardiology 2012;110:761.

31. Roberts WC, Janning KG, Ko JM, Filardo G, Matter GJ.

Frequency of Congenitally Bicuspid Aortic Valves in Patients ≥80

Years of Age Undergoing Aortic Valve Replacement for Aortic

Stenosis (With or Without Aortic Regurgitation) and Implications

for Transcatheter Aortic Valve Implantation. American Journal of

Cardiology 2012;109:1632-1636.

32. Roberts WC, Janning KG, Vowels TJ, Ko JM, Hamman BL,

Hebeler RF, Jr. Presence of a congenitally bicuspid aortic

valve among patients having combined mitral and aortic valve

replacement. American Journal of Cardiology 2012;109:263-71.

33. Roberts WC, Roberts CC, Ko JM, Hall SA, Capehart JE. Cardiac

Transplantation in Adults With Aortic Valve Disease With Focus

on the Bicuspid Aortic Valve. American Journal of Cardiology

2012;109:1212-1214.

34. Roberts WC, Roberts CC, Vowels TJ, Ko JM, Filardo G,

Hamman BL, Matter GJ, Henry III AC, Hebeler JRF. Effect of

Coronary Bypass and Valve Structure on Outcome in Isolated

Valve Replacement for Aortic Stenosis. American Journal of

Cardiology 2012;109:1334-1340.

35. Roberts WC, Taylor MA, Shirani J. Cardiac Findings at Necropsy

in Patients With Chronic Kidney Disease Maintained on Chronic

Hemodialysis. Medicine 2012;91:165-178.

36. Roberts WC, Vowels TJ, Ko JM, Guileyardo JM. Acute Aortic

Dissection With Tear in Ascending Aorta Not Diagnosed Until

Necropsy or Operation (for Another Condition) and Comparison

to Similar Cases Receiving Proper Operative Therapy. The

American Journal of Cardiology;110:728-735.

37. Rosenthal RL, Carrothers IA, Schussler JM. Benign or malignant

anomaly?: Very high takeoff of the left main coronary artery

above the left coronary sinus. Texas Heart Institute Journal

2012;39:538-541.

38. Ryan C, Patel M, Menter A. Are drug treatments for psoriasis a

cardiovascular risk? Clinical Practice 2012;9:5-9.

39. Ryan C, Menter A. Psoriasis and cardiovascular disorders.

Giornale Italiano Di Dermatologia E Venereologia 2012;147:179-187.

40. Urschel Jr HC, Urschel BB. Robert R. Shaw, MD: Thoracic

surgical hero, Afghanistan medical pioneer, champion for the

patient, never a surgical society president. Annals of Thoracic

Surgery 2012;93:2111-2116.

41. Benjamin MM, Khetan RA, Kowal RC, Schussler JM. Diagnosis

of left ventricular noncompaction by computed tomography.

Proc (Bayl Univ Med Cent). 2012 Oct; 25(4):354-6. PubMed

PMID: 23077386; PubMed Central PMCID: PMC3448577.

42. Rosenthal RL, Carrothers IA, Schussler JM. Benign or malignant

anomaly? Very high takeoff of the left main coronary artery

above the left coronary sinus. Tex Heart Inst J. 2012;39(4):538-

41. PubMed PMID: 22949773; PubMed Central PMCID:

PMC3423280.

43. Patankar GR, Donsky MS, Schussler JM. Delayed takotsubo

cardiomyopathy caused by excessive exogenous epinephrine

administration after the treatment of angioedema. Proc (Bayl

Univ Med Cent). 2012 Jul;25(3):229-30. PubMed PMID:

22754120; PubMed Central PMCID: PMC3377286.

44. Pinard EA, Fazal S, Schussler JM. Catastrophic paradoxical

embolus after hemodialysis access thrombectomy in a patient

with a patent foramen ovale. Int Urol Nephrol. 2012 Feb 25.

[Epub ahead of print] PubMed PMID: 22367171.

45. Benjamin MM, Filardo G, Donsky MS, Schussler JM. A Pilot

Study of Prasugrel Followed by Post-Procedural Maintenance

with Clopidogrel in Patients Receiving Percutaneous Coronary

Intervention. J Interv Cardiol. 2012 Dec 30. doi: 10.1111/

joic.12008. [Epub ahead of print] PubMed PMID: 23278332.

46. Falcone AM, Matter GJ, Schussler JM. Right Atrial Appendage

Thrombus Found in a Patient in Normal Sinus Rhythm with

Normal Right Ventricular Systolic Function. Echocardiography.

2012 Nov 27. doi: 10.1111/echo.12057. [Epub ahead of print]

PubMed PMID: 23190046.

47. McMaster KS, Tandon A, Schussler JM. Renal infarction

secondary to cortriatriatum sinister. Am J Cardiovasc Dis.

2012;2(4):331-3. Epub 2012 Oct 25. PubMed PMID: 23173108;

PubMed Central PMCID: PMC3499933.

Employee Research and Publications

Ann Lawrence, RN-BC, Danielle Strauss, BS, RN-BC, Jenny

Adams, PhD, Dunlei Cheng, PhD. Task-Specific Cardiac rehabilitation

Training That Safely Exceeds Traditional Heart Rate Limits. A

Retrospective Pilot Study. J Cardiovasc Nurs. 2011 Jul-Aug;26(4):267.

Salamah C, Byxbe T, Naffe A, Vish N, Dejong S, Muldoon M,

Cheng D, Adams J. Glucose control and opportunities for health

care improvement in a hospital setting. Baylor University Medical

Center Proceedings 2011:24(1):3-5.

Adams J, Spencer K, Jordan S, Schneider J, Cheng D, Kennedy

K, Shock T. Assessment of Functional Capacity Requirements

During Simulated Automotive Mechanic Tasks For the Purpose

of Developing an Occupation-Specific Assessment for Safe and

Expeditious Return to Work for Cardiac Patients (abstract). Journal

of Cardiopulmonary Rehabilitation and Prevention 2010;30(4):276.

Accelerating B

est Care


Accelerating Best Care at Baylor (ABC Baylor)

Baylor Health Care System is committed to ensuring

that health care providers have the tools needed to

deliver health care in a safe, timely, effective, efficient,

equitable, and patient-centered (STEEEP™) manner.

Accelerating Best Care is an innovative educational

program focused on health care quality improvement,

outcomes management, and staff development. It

facilitates the enhancement of skills that lead to quality

improvement efforts. ABC courses train participants in

rapid cycle improvement processes, which is based on

the Plan-Do-Check-Act model.

ABC Baylor course objectives are to teach the core

principles of clinical quality improvement and include

rapid cycle improvement, design of data systems,

data management, tools to improve outcomes, clinical

practice guidelines and customer service.

At Baylor Hamilton Heart and Vascular Hospital, it

is a requirement for all nurse leaders/supervisors to

complete the ABC Baylor course. We also included

council chairs to further enhance their knowledge to

assist others in implementing rapid cycle improvement

projects.

The following is a list of completed ABC Baylor projects

for the FY2012:

COMPLETED ABC BAYLOR PROJECTS (FY2012)

DATE OF EVENT

ABC PROJECT TITLETEAM

MEMBERS

September 2011

“Preop for Preop”Lindsey Anderson

“Can We Talk?” Tracy Ordrop

“Noise Pollution” Kristina Hahn

“Patiently...Waiting”Brenda Keeton

February 2012

“Improve Cath Lab Room Turn Around Time ‘Patient Out to Patient In’”

Valerie Darst

“Reducing Time From Bed Assigned to Bedded”

Mark Sanders

“Diabetes Education Documentation”

Julie Gonzalez

“Improving Anticoagulation Therapy Education at Baylor Heart and Vascular Hospital”

Erin Wandry

621 North Hall StreetDallas, Texas 75226

BaylorHeartHospital.com 1.800.4BAYLOR

Notice Regarding Physician Ownership: Baylor Jack and Jane Hamilton Heart and Vascular Hospital is a hospital in which physicians have an

ownership or investment interest. The list of the physician owners or investors is available to you upon request. Physicians are members of the

medical staff at one of Baylor Health Care System's subsidiary, community or affiliated medical centers and are neither employees nor agents of

those medical centers, Baylor Jack and Jane Hamilton Heart and Vascular Hospital or Baylor Health Care System. ©2013 Baylor Health Care

System. BHVH 505 2012 Outcomes Brochure. MOD 12107 3/13. 2,000

OUTCOMES:

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95.2%


12,2

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overall satisfaction rateamong inpatients & outpatients

Press Ganey Summit Award, second year in a row

OUTCOMES:

front cover9.5” x 9.5”

spine.25” x 9.5”

interior fold-over (die-cut)9.375” x 9.5”

back cover9.5” x 9.5”

back pocket9.375” x 8”

10.25” total trim height

38.65” total trim width