1. BUILDING A HEART TEAM Paul J. Corso, M.D., FACS, FACC
Chief, Cardiac Surgery, Washington Hospital Center
Board Chair, MedStar Heart Institute

2. Paul J. Corso, MD
I have no real or apparent conflicts of interest to report.

3. Washington Hospital Center Heart Team
Working relationship
Communication Personal
Personal
Technology
Outcome Database
Clinical Research
Expertise
Volumes

4. Why Build a Heart Team Provide comprehensive care
If all you have is a hammer
If all you have is a screwdriver
Maximum utilization of resources
Healthcare policy - ACOs

5. Impediment to Building a Heart Team
Competition
Economics

6. Building an Effective Heart Team
Transcatheter Valve Program Members
Cardiac surgeon
Interventionalgists
Echo cardiologists
Vascular Surgeon
Anesthesiologist
Cath lab nurses & techs
Cardiac surgery OR nurses and assistants
Perfusion team
Industry

7. Building Effective Heart Team Keys to Success
Planning - routine & disaster
Training & cross training – simulation
Communication
Review - - before & after
Facilities
Each member needs to be an expert at what he or she does

8. Hybrid Cath Lab/OR

13. Rigorous Physician Training
Edwards THV
Training Simulator
Site preparation and staff training
Didactic and case review sessions
Complication planning
Live case observations
Patient screening oversite
Case proctoring
Critical scrutiny of clinical outcomes
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14. Building Effective Heart Team Problem or Opportunity
Heart care is changing
Health policy is changing
Payment is changing
Modern heart teams must include all stake holders including the institution