The rise of transcatheter procedure options for structural heart conditions has dramatically impacted the market landscape for CV programs. Leading programs are making significant investments in facilities, technologies, and staff to launch structural heart centers; however, many aren't capturing maximum value from these investments.

CV leaders must develop a comprehensive structural heart program strategy that maximizes outcomes, efficiency, and patient experience at each stage in the continuum.

Whether you are just starting a structural heart center or have a well-established program, use this research report and the following implementation resources to build and optimize your structural heart or valve program.

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11 imperatives for increasing structural heart program value

Develop the infrastructure for program success

Define your service offerings for structural heart care (p. 18)

• Cardiovascular Roundtable 2016 Structural Heart Center Benchmarking Report
• CV Clinical Technology Compendium
• CMS National Coverage Decisions: TAVR; Transcatheter mitral valve repair; Percutaneous left atrial appendage (LAA) closure therapy

Build a cohesive multidisciplinary heart team (p. 24)

• Valve Clinic Nurse Coordinator Job Description (HonorHealth)
• Structural Heart Disease Coordinator Job Description (OhioHealth)
• Valve-CHF Patient Education Instructions (Beth Israel Deaconess Medical Center)

Enhance structural heart patient care across the continuum

Engage referring providers in patient identification (p. 29)

• Valvular Heart Disease Referral Toolkit (American College of Cardiology)

Build an efficient screening clinic model (p. 32)

• Screening Schedule for Local and Traveling Patients (OhioHealth)
• Two-Visit Screening Schedule (Beth Israel Deaconess Medical Center)

Enhance operational efficiency of procedures (p. 36)

• Hybrid OR Investment Pro Forma
• Two-Room Procedure Schedule (Aurora St. Luke's Medical Center)

Develop clinical protocols to reduce procedural complexity (p. 41)

• 2017 Expert Consensus Decision Pathway for TAVR (American College of Cardiology)

Streamline patient recovery (p. 44)

Discharge patients to the appropriate location (p. 47)

Coordinate long-term patient management (p. 49)

• Post-Operative TAVR Home Instructions (CHI Memorial Hospital)
• TAVR Home Discharge Instructions (Centura Health)

Track and evaluate outcomes

• Ensure appropriate documentation (p. 52)
• Monitor the comprehensive halo effect (p. 55)

Profiles of innovative programs

• CHI Memorial Hospital (p. 58)
• Aurora St. Luke's Medical Center (p. 63)
• Massachusetts General Hospital (p. 69)

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