CARDIOVASCULAR UPDATE FALL 2008 Environment • One dedicated entrance with a concierge desk for easy access and attentive service. • Calm, soothing, adaptable hotel-like rooms with mountain views. Comprehensive Services, Programs, and Clinical Care • Cardiac catheterization labs • Cardiothoracic and vascular operating suites • Invasive and non-invasive cardiac testing • Comprehensive cardiovascular services including prevention, diagnostic, treatment and rehabilitation in one location. • An expert staff with special training in caring for heart and vascular patients. • Accredited Chest Pain Center • Heart Failure Clinic • Nuclear cardiology • Cardiac rehabilitation • Echocardiography • Laboratory services • New 42-bed acute care area featuring: 13 intensive cardiovascular care, 25 coronary care, and four observation beds. • Short stay unit for observation and post-procedure recovery. SPECIAL EXPANDED ISSUE: HEART HOSPITAL OPENING Tacoma General Opens Region’s First Dedicated Heart Hospital Years of research, planning and design come together with the November 2008 opening of the Tacoma General Heart Hospital, the first of its kind in the region. The state of the art “hospital within a hospital” is located in the L wing of Tacoma General Hospital. The heart hospital is dedicated exclusively to the prevention and treatment of cardiovascular diseases while thoughtfully meeting the needs of patients and families. The heart hospital will have all of its heart and vascular services under one roof, allowing for easier access and focused patient care. WHAT MAKES US DIFFERENT The Tacoma General Heart Hospital at a Glance Technology • The most up-to-date medical technology including: cardiac robotic surgery, minimally invasive surgery, heart support devices, state-of-the art electrophysiology lab, endovascular suite for vascular and chest surgeries, and cardiac catheterization labs. • EPIC electronic health record system. • Digital image management system. • Advanced 64-Slice Cardiac CT Scanner. Patient-Focused Care The Tacoma General Heart Hospital provides for patients first. The comfort of our patients and their families, along with advanced diagnosis, treatment, and therapy, are the most important objectives of the heart hospital. From admission through discharge and rehabilitation our care focuses on personal needs, safety, quality, and health improvement. Clinical Research The Tacoma General Heart Hospital is involved in a number of groundbreaking clinical research studies to help advance the knowledge of our staff and the care of our patients. Allenmore Hospital ~ Good Samaritan Hospital ~ Mary Bridge Children’s Hospital & Health Center Tacoma General Hospital ~ Good Samaritan Clinics ~ MultiCare Clinics
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SPECIal EXPaNDED ISSUE: HEaRT HOSPITal OPENING … · ... HEaRT HOSPITal OPENING ... Heart Hospital Tour Catheterization laboratory ... across the aortic valve, into the left ventricle.
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Heart Hospital Entrance, lobby, and Concierge Desk(2nd Floor L Wing)Inthelobbyofthehearthospitalaconciergegreetsallofourpatients,families,andvisitors.Ifit’sinformation,registration,directions,orawheelchairourconciergewillbetheretoassist.
Imaging Services(3rd Floor L Wing)Imagingservicesprovidesspecializedcardiacproceduresthatincludecardiacnuclearimagingandthelatestcardiaccomputerizedtomographicangiography.
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HeartHospitalTourCatheterization laboratory(7th Floor L Wing)Thehearthospitalhasfourstate-of-the-artcatheterizationlabstohelpphysiciansdiagnoseandtreatcardiovasculardisease.Someoftheservicesperformedinthecatheterizationlabsare:• Cardiaccatheterization• PTCA–percutaneoustransluminalcoronaryangioplasty(balloon)
• Heartandvascularstents
Electrophysiology laboratory(7th Floor L Wing)Thehearthospitalelectrophysiologylabincludeshighlyadvancedequipmentdesignedtotreatirregularheartrhythms.Someoftheservicesperformedintheelectrophysiologylabsinclude:• AICD(Implantablecardiodefibrillators)• Electrophysiologystudies,includingablation(surgicalremoval)
• Pacemakers
Preventive Cardiology, Diabetes Services and laboratory Services(4th Floor L Wing)Thepreventivecardiologydepartmentprovidesarangeofservicesincludingcardiacrehabilitation,cardiacstresstesting,holterandeventheartmonitoring,ambulatorybloodpressuremonitoring,andmen’sandwomen’sHeartAdvantagepreventionscreenings.
Chest Pain Unit and Cardiovascular Short Stay Unit(7th Floor L Wing)Thehearthospital’snationallyaccreditedchestpainunitisdesignedtoprovidefocusedcare,observation,andevaluationforpatientswithchestpain.
Heart failure Clinic(7th Floor L Wing)Thehearthospital’sheartfailureclinicprovidesoutpatientcare,treatment,andsupportforthosepatientswithheartfailure.Theclinicstrivestohelpreducepatientreadmissionstothehospitalandtoimprovequalityoflife.
Cardiac, Thoracic and Vascular Operating Rooms(7th Floor L Wing)Thehearthospital’ssurgicaloperatingsuitesarestateoftheartandincludeuseofleadingedgeproceduressuchasroboticcardiacsurgeryandventricularassistdevices.Servicesinclude,butarenotlimitedto:• CABG(heartbypasssurgery)• Valvereplacement/repair• Aneurysmrepair• Othercardiothoracicsurgeries
Cardiovascular Intensive Care Unit and Coronary Care Unit(8th Floor L Wing)Thehearthospital’snewlyconstructedcardiovascularintensivecareunitandcoronarycareunitarelocatedonefloorabovethediagnosticandoperatingsuites,allowingforeasytransportationandcareofpatients.Theseunitsprovidethelatestmedicaltechnologywhileprovidingforacaringandcomfortableenvironmentforpatientsandfamilies.
Late 1950s–FirstcatheterizationlabinWashington;firstcardiaccathprocedureperformedinthebasementofMaryBridgeChildren’sHospital.Late 1950s–Firstheartsurgeryutilizingheart/lungmachineperformedatTacomaGeneralHospital.(FirstinthestateofWashington.)1981–Firstinstatetohaveahospital-basedoutpatientcardiacrehabilitationprogram.1982–TacomaGeneralHospitalperformsthefirstangioplastyinPierceCounty.1995–TacomaGeneralHospitalperformsthefirstcoronarystentimplantinPierceCounty.1995–TacomaGeneralCardiacCathLabbecomesoneofthefirsthospitalsinWashingtontobecome“film-less.”1996–TacomaGeneralCardiacCathLabisthefirstlabintheUnitedStatestosendapatientstudyoncompactdisctotheClevelandClinic.1996–SecondheartfailureclinicinWashingtonState,firstinPiercecountyandSouthwesternWashington.
Tacoma General Hospital and area physicians have a long history of leading the way for heart and vascular medicine in the Puget Sound region.
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HistoryofHeartCareExcellence
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MedicalLeadership
Thomas k. Murphy, MDAugust16,1957–June26,1991
CardiacSurgeon
Gail B. Strait, MDFebruary9,1973–December26,1999
Cardiologist
Clarence l. anderson, MDSeptember20,1966–June30,1998
Cardiologist
John P. Nagle, MDJune21,1971–June18,2007
Cardiologist
Cordell H. Bahn, MDDecember14,1972–July1,1998
CardiacSurgeon
Eugene S. lapin, MDJuly31,1975–February1,2008
Cardiologist
“Honoring the past while we build for the future”OnNovember11,2008,MultiCareHealthSystemPresidentandCEODianeCecchettini,RN,willunveilaLeadershipLegacyWalltorecognizetheextraordinarycontributionofsixpastmedicalstaffmemberswhowereinstrumentalinthedevelopmentofcardiaccareandcardiacsurgeryatTacomaGeneralHospitalandinthecommunity.Thephysiciansbeinghonoredare:
lisa MarchInvasiveCardiovascularTechnologistProgramCoordinator
CardiovasCular update
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These include:
Chest Pain Center AccreditationSociety of Chest Pain Centers (2008)TacomaGeneralHeartHospitalrecentlyreceivedreaccredidation.Accreditationfollowsarigorousclinicalreviewofpracticesandproceduresandasitesurvey.Fullaccreditationisawardedtothosehospitalsthatdemonstrateexcellencewithclinicalpracticeguidelinesandstandardsinthetreatmentofchestpain,unstableangina,andmyocardialinfarction(heartattack).NotableaccomplishmentswerethehospitalsCode“STEMI”quickheartattackcareanditsLowRiskChestPainProtocol.
Cardiac Rehabilitation Program CertificationAmerican Association of Cardiac and Pulmonary Rehabilitation (2008)TacomaGeneralHeartHospital’sCardiacRehabilitationservicehasreceivednationalrecertification.Inordertoreceivethisprestigiousdesignationaprogrammustmeetrigorousstandardsofcareandmeettheclinicalpracticeguidelinesforcardiacrehabilitation.
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CommitmenttoQuality
Team Collaboration Award “Code STEMI”Volunteer Hospital Association (2006)Thecardiacservicesteamwonthisawardforitsgroundbreakingworkinheartattackcare.CodeSTEMIaimstoprovidefastheartattacktreatmenttominimizedamagetotheheartmuscle.
Award of Excellence in Healthcare QualityQualis Health (2006) “Code STEMI” Project
Blue Distinction Center for Cardiac CarePremera Blue Cross and Regence Blue Shield (2007)BlueDistinctionCentersforCardiacCarehasmetorexceededcriteriabasedonnationalguidelinesandhavebetteroveralloutcomesforpatients.
Designated Mentor Hospital for Acute Myocardial InfarctionInstitute for Healthcare Improvement (2006)
President’s Award for Clinical Quality (Code STEMI Project)MultiCare Health System (2006)
Finalist Gold Standard Award: Best Practices (Women’s Heart Center)Volunteer Hospital Association (2005)
Certificate of Achievement: Care of Patients with Acute MI, Critical Care and Heart FailureVolunteer Hospital Association/American Hospital Association (2005)
Three Star Rating for ElectrophysiologyUnited Health Care (2007)
Award for Clinical Poster Presentation: “Beyond Awareness: Helping Women Personalize Their Risk for Heart Disease”Preventive Cardiovascular Nurses Association (2008)
Team Collaboration Award: Heart Failure Transition ProgramVolunteer Hospital Association (2008)
CommunityPartnershipsHeart failure Community Transition ProgramPacific Lutheran University School of Nursing (2008)ThisisauniquecollaborativeeffortbetweentheHeartFailureCommunityTransitionprogramandthePLUSchoolofNursing.Theprogramisdesignedtoprovideanopportunityfornursingstudentstogainexperiencewithheartfailurepatientsandinturnhelpprovidesupportforthisvulnerablepatientpopulation.Advanced-levelstudentsfollowupwithaheartfailurepatientupondischargefromhome.UnderthesupervisionoftheTGHeartFailureNurseNavigator.theyprovidephoneandhomevisitfollow-upcontactwiththepatient.Studentsfollowpatientsfortwoandhalfyears.Theprogram
Go Red for Women CampaignAmerican Heart Association (Pierce County) (2008-2009)MultiCareandtheTacomaGeneralHeartHospitalhavepartneredwiththeAmericanHeartAssociationtopromote“GoRedForWomen,”anationalcampaigntoincreaseawarenessandpreventionofheartdiseaseinwomen.MultiCareisinvolvedinseveraleventsovertheyearwhichincludetheGoRedForWomenLuncheon,proclamationeventswithlocalcityandcountygovernments,nationalGo-Redday,andothercommunityawarenessevents.
Cardiac Rehabilitation Partnership with the YMCaYMCA Gig HarborCardiacrehabilitationservicesarenowofferedinGigHarborthankstoapartnershiptousetheYMCAfitnessfacilityintheMultiCareGigHarborMedicalPark.Cardiacrehabilitationincludesmedicallymonitoredexercisetherapy,education,andsupportforpatientswhohaveheartdisease.Thepart-timeprogramismadepossiblethroughtheuseofYMCAexerciseequipmentandthecardiacrehabstafffromtheTacomaGeneralHeartHospital.
Cardiovascular Update is published periodically for physicians and health care professionals by MultiCare Cardiovascular Services. For more information on our services please call 253.403.1109 or email [email protected]
ADMINISTRATOR,CARDIOVASCULARSERVICESChristi McCarrren RN, MBa
EDITORGlenn Bean MS, faaCVPR
MultiCareHeartCenter’sOutpatientServicesallENMORE HEaRT & lUNG CENTER
Innocoll Cardiac Surgery Study: ThisstudyisbeingdonetodeterminewhethertheGentamicin-CollagenSpongereducespost-operativesternalwoundinfections.Theprincipleinvestigator(PI)isDr.AllenGraeve.
Einstein DVT/PE Study:ThisstudyisbeingdonetodeterminewhetheroralRivaroxabanisaseffectiveasSQLovenoxtransitionedtoWarfarininthetreatmentofDVTand/orPE.ThePIisDr.DavidChen.
SaTURN Trial:(To open soon)ThisstudywillincludepatientswithmoderatecoronaryarterydiseasetodeterminewhethermaximaldoseLipitorvs.maximaldoseCrestorismoreeffectiveintreatingcoronaryarterydisease.ThePIisDr.ValLev.
SaMMPRIS Trial:(To open soon)StentingandAggressiveManagementforPreventingRecurrentStrokeinIntracranialStenosis.ThisstudywillincludepatientswithintracranialstenosiswhohavehadTIAsorCVAs.ThePIsforthisstudyareDr.BrianKottandDr.JohnHuddlestone.