VCSQI SUMMER QUALITY MEETING
On June 4, 2020, over 40 participants gathered to virtually attend VCSQI’s second online Quarterly Meeting.
We listened to your feedback and restructured the format of the meeting to further maximize content while adding value.
This newsletter provides a summary of the meeting.
Welcome and Updates from the Board
Dr. Shor welcomed participants to the quarterly meeting. To ensure safety for all members of VCSQI, we will continue to host our quarterly meetings virtually. However, as the state reopens, we would like to hear from you and collect feedback regarding resuming in-person meeting and hosting hybrid in-person and virtual sessions. Please click here to provide your feedback.
Additional updates included VCSQI’s continued effort to pursue VHAC database with efforts to fully integrate STEMI data from ACC and AHA registries.
The research proposal entitled ‘Barriers to Implementation of Concomitant Atrial Fibrillation Ablation During Mitral Valve Surgery’ was supported and approved by the the Board.
The board continues to explore potential opportunities with Dr. Kevin Lobdell and Perfect Care (Atrium Health) on digital health/remote monitoring tools and resources to improve care and minimizing cost. Discussion to formulate a pilot plan while mitigating program costs are currently underway.
CathPCI Reports and Vascular Access Best Practices
Eddie Fonner reminded participants of VCSQI’s mission and vision statements. New reports showing outcomes based on vascular access sites were shown with risk stratification, along with relationships between AKI and contrast volume.
Note was made that femoral cases are higher risk but the variations in outcomes between access site are yet to be explained.
The COAP Radial Access Protocol was reviewed.
If you would like to a schedule a meeting to review data or have a request for a special data report, please send your request to firstname.lastname@example.org.
INPUT NEEDED: IN-PERSON/ONLINE QUARTERLY MEETINGS
Safety is the primary concern for our patients and for each member of VCSQI. As we enter into a new age of direct social interactions, it is important that we are mindful of recommendations made in terms of protecting others and ourselves.
With efforts to maintain the value established though our collaborative forums and remain safe, we request your feedback regarding the delivery format of our Quarterly meetings. Please take a moment to provide your feedback.
Barriers to Implementation of Concomitant Atrial Fibrillation Ablation During Mitral Valve Surgery
Hunter Mehaffey, MD, MSc, University of Virginia
Gorav Ailawadi, MD, MBA, University of Virginia
Dr. Mehaffey provided an overview of new collaboration between VCSQI and Cardiothoracic Surgeries Trials Network (CSTN) on a study to better understand the barriers in our region to implementation of concomitant ablation during mitral valve surgery through a brief survey.
CTSN was established in 2007 by the NIH and has funded clinical trials in cardiac surgery. Dr. Mehaffey provided an overview of two studies regarding A-fib ablation in mitral value surgery and recent Class I recommendations in practice. This led to the question: did practice change?
VCSQI data was analyzed to determine that the rate of A-fib ablation modestly increased in mitral valve surgeries, although there remains a large amount of variability across centers.
Risk factors have been assessed and the next step is to evaluate the barriers, i.e., training, referrals, funding, tools, etc. The goal is to determine what approaches can be developed to overcome the associated barriers.
On June 11, 2020, at approximately 8:58AM, invitations to participant in a brief survey were sent to selected members of each organization.
Please contact Michaela Berens at email@example.com, if you have any questions or need assistance.
Thank you to our guest speakers…
Daniel Carey, MD, FACC, MHCM
Secretary of Health and Human Resources Commonwealth of Virginia
COVID-19: The State Perspective and Re-Opening Elective Care
Dr. Daniel Carey provided an overview of his background experience and his current role as Secretary of Health and Human Services for the state of Virginia. Dr. Carey gave a special shout out to Dr. Pete O’Brien who were former partners at Centra Lynchburg.
Dr. Carey provided and updated the VCSQI audience on COVID-19, including testing, financial implications, and a potential second wave. PPE and Testing remains the primary focus. It was mentioned that face covering when in public, as well as social distancing, remain important measures necessary to keep everyone safe.
COVID Check was introduced and was recommended as a resource to share with patients.
Dr. Carey also answered a number of questions that were submitted by members prior to the meeting.
Behnam Tehrani, MD, FSCAI
Medical Director, Cardiac Catheterization Laboratories INOVA Heart and Vascular Institute
Standardized Approaches to Shock Care
Dr. Behnam Tehran provided an overview of the resources, tools, and mindset needed to implement a successful cardiogenic shock heart team. In addition to sharing his experiences in shock management, Dr. Tehrani also answered a number of questions that were submitted by VCSQI members.
VCSQI Members are invited to participate in a new workgroup focused on Shock Management. If you are interested in participating in this Shock Team Workgroup, please be sure to express your interest by completing this survey or by email firstname.lastname@example.org.
SHOCK MANAGEMENT WORKGROUP
Are you interested in working with other members of VCSQI on analyzing, tracking and developing standard shock protocols?
If so, sign up today to join the team!
Quarterly Quality Committee Meeting
Jennifer L. Kirby, MD-PhD
Division of Endocrinology & Metabolism
University of Virginia Health System
VCSQI welcomed Dr. Kirby as our guest speaker during the June 9 Quarterly Quality Committee Meeting. Dr. Kirby is a renowned endocrinologist who shared her experience and insights on treatment for diabetic patients and ERAS protocols.