TAVR has seen significant transformation in a short period of time and has driven the widespread development of structural heart disease centers. Yet the market continues to evolve and present unique challenges and opportunities for programs to achieve value in TAVR care delivery.

This white paper reviews the latest market trends and clinical updates impacting TAVR, as well as strategies identified from advanced programs for enhancing TAVR programs to improve long-term sustainability and outcomes.

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Lessons for enhancing TAVR program value

Use the strategies below to optimize valve center infrastructure and TAVR performance and efficiency across each stage in the continuum.

Build the effective multidisciplinary heart team (p. 14)

• Effectively distribute valve coordinator responsibilities to accommodate increasing volumes
• Engage ancillary providers in collaborative patient care

Ensure appropriate patient identification and referrals (p. 15)

• Support referring physicians in timely patient identification
• Leverage echo monitoring to identify at-risk patients

Optimize the screening clinic (p. 16)

• Pre-screen patients to maximize valve clinic capacity and reduce unnecessary testing
• Develop a patient-centered screening schedule
• Evaluate comprehensive clinical and non-clinical risk factors during screening
• Initiate patient and family education at the valve clinic

Improve procedural efficiency (p. 17)

• Optimize procedure scheduling based on physician and lab availability
• Evaluate transitioning to moderate sedation
• Implement clinical protocols that reduce procedural complexity

Enhance post-procedure recovery (p. 19)

• Streamline recovery care pathways
• Empower post-procedure staff to manage expedited recovery time
• Develop rhythm management protocols for earlier identification and treatment

Coordinate discharge and long-term management (p. 20)

• Prioritize home discharge whenever possible
• Reinforce the importance of cardiac rehab
• Hardwire a coordinated long-term follow-up strategy

Leverage data to drive value (p. 21)

• Prioritize complete and timely TVT registry submission
• Ensure accurate documentation for full revenue capture
• Monitor program impact through comprehensive halo effect tracking

Comprehensive program profiles

• HonorHealth (p. 23)
• Aurora Health Care (p 27)
• University of Kansas Hospital (p. 32)
• New York University Langone Medical Center (p.36)

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