Blueprint for Building and Sustaining a Cardiogenic Shock Program: Qualitative Survey of 12 US Programs

Raymond M. Yau, MD; Robyn Mitchell, ACNP; Aasim Afzal, MD; Timothy J. George, MD; Syed Siddiqullah, MD; Aditya S. Bharadwaj, MBBS; Alexander G. Truesdell, MD; Carolyn Rosner, MSN, NP-C, MBA; Mir B. Basir, DO; Ruth Fisher, MBA; Allison Dupont, MD; Carlos Leon Alviar, MD; Haval Chweich, MD; Navin K. Kapur, MD; Rajan A.G. Patel, MD; Scott Silvestry, MD; Sandeep M. Patel, MD; Jacob Abraham, MD

Journal of the Society for Cardiovascular Angiography & Interventions (Nov 2024)

Blueprint for Building and Sustaining a Cardiogenic Shock Program: Qualitative Survey of 12 US Programs

Raymond M. Yau, MD,
Robyn Mitchell, ACNP,
Aasim Afzal, MD,
Timothy J. George, MD,
Syed Siddiqullah, MD,
Aditya S. Bharadwaj, MBBS,
Alexander G. Truesdell, MD,
Carolyn Rosner, MSN, NP-C, MBA,
Mir B. Basir, DO,
Ruth Fisher, MBA,
Allison Dupont, MD,
Carlos Leon Alviar, MD,
Haval Chweich, MD,
Navin K. Kapur, MD,
Rajan A.G. Patel, MD,
Scott Silvestry, MD,
Sandeep M. Patel, MD,
Jacob Abraham, MD

Affiliations

Raymond M. Yau, MD: Heart Hospital of New Mexico, Albuquerque, New Mexico; Corresponding author
Robyn Mitchell, ACNP: Heart Hospital of New Mexico, Albuquerque, New Mexico
Aasim Afzal, MD: Heart Recovery Center, Baylor Scott & White The Heart Hospital − Plano, Plano, Texas
Timothy J. George, MD: Heart Recovery Center, Baylor Scott & White The Heart Hospital − Plano, Plano, Texas
Syed Siddiqullah, MD: Heart Recovery Center, Baylor Scott & White The Heart Hospital − Plano, Plano, Texas
Aditya S. Bharadwaj, MBBS: Division of Cardiology, Loma Linda University, Loma Linda, California
Alexander G. Truesdell, MD: Virginia Heart, Falls Church, Virginia; Inova Schar Heart and Vascular, Inova Fairfax Medical Campus, Falls Church, Virginia
Carolyn Rosner, MSN, NP-C, MBA: Inova Schar Heart and Vascular, Inova Fairfax Medical Campus, Falls Church, Virginia
Mir B. Basir, DO: Division of Cardiovascular Diseases, Henry Ford Hospital, Detroit, Michigan
Ruth Fisher, MBA: Heart & Vascular Center, Moses Cone Hospital, Greensboro, North Carolina
Allison Dupont, MD: Northside Hospital Heart Institute, Atlanta, Georgia
Carlos Leon Alviar, MD: The Leon H. Charney Division of Cardiology, New York University Grossman School of Medicine & Bellevue Hospital, New York, NY
Haval Chweich, MD: Division of Pulmonary, Critical Care and Sleep Medicine, Tufts Medical Center and Tufts University School of Medicine, Boston, Massachusetts
Navin K. Kapur, MD: Department of Cardiology, The CardioVascular Center, Tufts Medical Center, Boston, Massachusetts
Rajan A.G. Patel, MD: John Ochsner Heart and Vascular Institute, Ochsner Medical Center, New Orleans, Louisiana
Scott Silvestry, MD: Department of Surgery, College of Medicine, University of Arizona, Tucson, Arizona
Sandeep M. Patel, MD: Mercy Health, St. Rita’s Medical Center, Lima, Ohio
Jacob Abraham, MD: Center for Cardiovascular Analytics, Research + Data Science (CARDS), Providence Heart Institute, Providence Research Network, Portland, Oregon

Journal volume & issue: Vol. 3, no. 11
p. 102288

Abstract

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Background: Multidisciplinary cardiogenic shock (CS) programs have been associated with improved outcomes, yet practical guidance for developing a CS program is lacking. Methods: A survey on CS program development and operational best practices was administered to 12 institutions in diverse sociogeographic regions and practice settings. Common steps in program development were identified. Results: Key steps for program development were identified: measuring baseline outcomes; identifying subspecialty champions; gaining leadership and team buy-in; developing institution-specific CS protocols; educating staff and referring providers; consulting with external experts; and developing quality assessment and process improvement. Conclusions: An assessment of 12 US CS programs highlights a blueprint for establishing and maintaining a successful, multidisciplinary shock program.

Published in Journal of the Society for Cardiovascular Angiography & Interventions

ISSN: 2772-9303 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-the-society-for-cardiovascular-angiography-and-interventions

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