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Best Practice Recommendations for Optimizing Care in Structural Heart Programs: Planning Efficient and Resource
Elizabeth M Perpetua1,2, Kimberly A Guibone3, Patricia A Keegan4
1Empath Health Services, Seattle, Washington, USA.
Structural Heart : the Journal of the Heart Team
|April 5, 2022
Summary
This study provides best practice recommendations for structural heart disease (SHD) programs to optimize care delivery during healthcare crises. Implementing Planning Efficient and Resource Leveraging Systems (PEARLS) enhances patient-centered, efficient, and resource-leveraging SHD care.
Area of Science:
- Cardiology
- Healthcare Management
- Public Health
Background:
- The COVID-19 pandemic significantly disrupted healthcare services, impacting structural heart disease (SHD) care.
- This disruption necessitated a review and refinement of SHD management strategies to address capacity constraints and resource limitations.
Purpose of the Study:
- To propose best practice recommendations for "Planning Efficient and Resource Leveraging Systems" (PEARLS) within structural heart programs.
- To guide SHD programs in mitigating the negative impacts of healthcare crises or capacity constraints on patient care.
Main Methods:
- Systematic assessment of hospital capacity, Heart Team roles, and patient/procedural risks.
- Development of strategies, tactics, and pathways for patient-centered, efficient, and resource-leveraging SHD care.
- Emphasis on dynamic triage, forecasting, and surveillance for optimized system implementation.
Main Results:
- Provides a framework for optimizing structural heart program operations under resource constraints.
- Facilitates patient-centered care through efficient resource utilization and dynamic management.
- Empowers Heart Teams to plan and implement robust systems for SHD care delivery.
Conclusions:
- Implementing PEARLS can lead to optimized systems of care for structural heart disease.
- Effective resource leveraging and dynamic management are crucial for resilient SHD programs.
- These recommendations support sustained, high-quality care for SHD patients amidst healthcare challenges.
Keywords:
COVID19, heart valve diseasescapacity buildingcontinuum of carepatient care managementstructural hearttranscatheter aortic valve replacementtranscatheter mitral valve repairtriageMore Related Videos
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