The Indirect Impact of COVID-19 on Cardiac Care and Outcomes: Lessons From a Stretched System

Graham, Michelle M.; Simpson, Christopher S.

doi:10.1016/j.cjca.2021.06.002

Cited by 3 publications

(6 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This has implications for how to address the decrease in procedure volumes from the pre-pandemic era as measures to increase procedural capacity without similar efforts to address upstream barriers in diagnostic testing and access to ambulatory care will not be successful. [ 54 ] This is an important contradistinction to the strategies currently being proposed by the Canadian Medical Association and policy makers to address waitlists for orthopedic, cancer, or cataract surgeries. [ 55 ]…”

Section: Direct Impact Of Sars-cov-2 Infection On Future Cardiovascul...mentioning

confidence: 99%

Health Care Implications of the COVID-19 Pandemic for the Cardiovascular Practitioner

McAlister

Parikh

Lee

et al. 2023

Canadian Journal of Cardiology

View full text Add to dashboard Cite

Section: Direct Impact Of Sars-cov-2 Infection On Future Cardiovascul...mentioning

confidence: 99%

Health Care Implications of the COVID-19 Pandemic for the Cardiovascular Practitioner

McAlister

Parikh

Lee

et al. 2023

Canadian Journal of Cardiology

View full text Add to dashboard Cite

“… 12 14 16 17 Comprehensive documentation and delivery of complete patient information contributes to better insight of patients and their conditions, priority and risk of adverse events. 14 18 It is therefore necessary to organise waitlists adequately, which can be achieved at the start of the care pathway concomitant with the HT.…”

Section: Introductionmentioning

confidence: 99%

“…This again could affect the entire care pathway, since suboptimal preparation of patients can lead to last-minute cancellations 11. Due to the COVID-19 pandemic, the time to treatment is increased since resources and capacity are progressively limited 12–15. Prolonged time to treatment for patients with severe CAD and valve pathology can plausibly lead to more adverse events (both prior the invasive procedure and perioperatively) 12 14 16 17.…”

Section: Introductionmentioning

confidence: 99%

“…Due to the COVID-19 pandemic, the time to treatment is increased since resources and capacity are progressively limited 12–15. Prolonged time to treatment for patients with severe CAD and valve pathology can plausibly lead to more adverse events (both prior the invasive procedure and perioperatively) 12 14 16 17. Comprehensive documentation and delivery of complete patient information contributes to better insight of patients and their conditions, priority and risk of adverse events 14 18.…”

Section: Introductionmentioning

confidence: 99%

“…Prolonged time to treatment for patients with severe CAD and valve pathology can plausibly lead to more adverse events (both prior the invasive procedure and perioperatively) 12 14 16 17. Comprehensive documentation and delivery of complete patient information contributes to better insight of patients and their conditions, priority and risk of adverse events 14 18. It is therefore necessary to organise waitlists adequately, which can be achieved at the start of the care pathway concomitant with the HT.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Quality and process improvement of the multidisciplinary Heart Team meeting using Lean Six Sigma

et al. 2023

View full text Add to dashboard Cite

IntroductionThe Heart Team is a multidisciplinary meeting for shared decision-making in cardiology and cardiothoracic surgery. A quality improvement project to optimise the Heart Team was initiated after the merger of the cardiac centres of Amsterdam University Medical Centre.MethodsLean Six Sigma was applied with the purpose of improving efficiency and quality of care. Qualitative and quantitative analyses supported the multidisciplinary team during quality improvement sessions. Lean Six Sigma tools included process mapping, gemba walks, root cause analysis, line balancing, first time right, standardised work and poka-yoke.InterventionsSeven areas of improvement were introduced. Key elements were the improvement of the patient referral process, introduction of a structured agenda, task division and balanced planning of patients, better exchange of information, improved availability of diagnostics and supportive tools and information technology. Work agreements were introduced to support a positive work culture and mutual respect.ResultsLean Six Sigma designed an optimised Heart Team to improve efficiency by better resource utilisation, first time right decision-making, patient selection, complete and better access to information and elimination of waste. It leads to higher quality of decision-making by involving physicians in a more structured preparation, attendance of an imaging cardiologist, meeting duration within limits, installation of standard operating procedures, increased involvement of the referring cardiologists and a better engaged team.ConclusionsHeart Teams are essential to make evidence-based, patient-centred treatment plans for optimal patient outcomes. However, clinical practice and experience showed that it is challenging to have an efficient and effective discussion with complete patient information and to bring together healthcare professionals. The application of Lean Six Sigma resulted in an optimised Heart Team and created a best practice design for patient-centred, evidence-based decision-making. After implementation and process stability, a postintervention analysis could clarify long-term success and sustainability.

show abstract

The Impact of COVID-19 on the Social Determinants of Cardiovascular Health

Faghy¹,

Ashton²,

Gough³

et al. 2023

Canadian Journal of Cardiology

View full text Add to dashboard Cite

The Indirect Impact of COVID-19 on Cardiac Care and Outcomes: Lessons From a Stretched System

Cited by 3 publications

References 8 publications

Health Care Implications of the COVID-19 Pandemic for the Cardiovascular Practitioner

Health Care Implications of the COVID-19 Pandemic for the Cardiovascular Practitioner

Quality and process improvement of the multidisciplinary Heart Team meeting using Lean Six Sigma

The Impact of COVID-19 on the Social Determinants of Cardiovascular Health

Contact Info

Product

Resources

About