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Implementing Multiple Heart Teams: The University of Ottawa Heart Institute Approach

  • Heather SherrardEmail author
  • Norvinda Rodger
Chapter

Abstract

The concept of “heart teams” is becoming more frequent in the literature and lexicon of healthcare providers. Some of the teams have historical roots in the management of complex patients (heart failure) and those needing complex technology such as transcatheter aortic valve replacement (TAVR). There is no clear definition of heart teams nor is there a clear organizational model for those wishing to implement multiple teams within an organization.

This chapter provides insights into the processes, challenges, and learnings of an organization which systematically implemented multiple heart teams as part of its corporate structure.

Keywords

Heart team Multidisciplinary teams Patient-centered care Team-based care 

References

  1. 1.
    Rich MW, Beckham V, Wittenberg C, Leven CL, Freedland KE, Carney RM. A multidisciplinary intervention to prevent the readmission of elderly patients with congestive heart failure. N Engl J Med. 1995;333:1190–5.CrossRefGoogle Scholar
  2. 2.
    Stewart S, Marley JE, Horowitz JD. Effects of a multidisciplinary, home-based intervention on planned readmissions and survival among patients with chronic congestive heart failure: a randomised controlled study. Lancet. 1999;354:1077–83.CrossRefGoogle Scholar
  3. 3.
    Kasper E, Gerstenblith G, Hefter G. A randomized trial of the efficacy of multidisciplinary care in heart failure outpatients at high risk of hospital readmission. ACC Curr J Rev. 2002;11:57.CrossRefGoogle Scholar
  4. 4.
    Titus A. The ‘heart team’-defined. In: Advisory Board. Available at: https://www.advisory.com/research/cardiovascular-roundtable/cardiovascular-rounds/2016/05/slsa-heart-team. [Cited 2018 Jul 29].
  5. 5.
    Kolh P, Wijns W. Joint ESC/EACTS guidelines on myocardial revascularization. J Cardiovasc Med. 2011;12:264–7.CrossRefGoogle Scholar
  6. 6.
    Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG, et al. 2011 ACCF/AHA guideline for coronary artery bypass graft surgery: executive summary: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2011;124:2610–42.CrossRefGoogle Scholar
  7. 7.
    Nishimura RA, Otto CM, Bonow RO, Carabello BA, Erwin JP, Guyton RA, et al. 2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014;129:e521–643.  https://doi.org/10.1161/cir.0000000000000031.CrossRefPubMedGoogle Scholar
  8. 8.
    Nallamothu BK, Cohen DJ. No "I" in heart team: incentivizing multidisciplinary care in cardiovascular medicine. Circulation. 2012;5:410–3.PubMedGoogle Scholar
  9. 9.
    Holmes DR, Mohr F, Hamm CW, Mack MJ. Venn diagrams in cardiovascular disease: the Heart Team concept. Eur Heart J. 2013;35:66–8.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Clinical ServicesUniversity of Ottawa Heart InstituteOttawaCanada

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