ANNUAL REPORT - Centra Health

2017ANNUAL REPORT

2 CENTRA CARDIAC

2017

04 A Network Designed for Better Care

06 CMG Stroobants Cardiovascular Center

08 A Year in Review

10 Cardiology Overview

15 Interventional Cardiology

18 Rhythm Center

21 Vein Center

24 Vascular Center

27 Congenital & Pediatric Cardiology

29 Structural Heart

32 Cardiothoracic Surgery

35 Congestive Heart Failure

38 Cardiac & Vascular Imaging

40 Preventive Cardiology

42 Cardiopulmonary Rehabilitation

44 In the Community

48 Going Places in 2018

50 Referral Pathway

2017 ANNUAL REPORT 3

Dear Colleagues,

The privilege of caring for residents of Central Virginia is something the providers and staff at Stroobants Heart & Vascular Center take extreme pride in. To demonstrate this, we are very

excited to present the inaugural outcomes book for the Stroobants Heart & Vascular Center. The purpose of this book will be to objectively demonstrate the excellent care our Heart Center offers.

We are very proud of the physicians, advanced practice providers, nurses, medical office staff and all other ancillary staff that make the heart center perform at a high level.

SOME OF THE ACHIEVEMENTS YOU WILL SEE HIGHLIGHTED IN THIS BOOK ARE:

When a patient in our community is presented with a need requiring expert cardiovascular care, you can rest assured they will be met with nothing less than excellence at every point in their journey through our health system.

Sincerely,

Chad Hoyt, MD, Executive Medical Director William Robert Price IV, Managing Director Stroobants Heart & Vascular Center Stroobants Heart & Vascular Center

CENTRA 2017 ANNUAL REPORT

• 50 Top hospital designation by IBM Watson health

• Society for Thoracic Surgeons (STS) awarded us 3 stars out of 3 stars in all 3 categories

• Recognized by national consumer publication as one of the top 3 cardiovascular practices in Southeast

• Incorporation of a fully functional hyperbaric certified wound care center into the Lynchburg campus

• Development of a Cardio-oncology initiative

• Development of a Mitra Clip program

• Top 99.2% in the nation for treatment of heart attacks

• Leading Virginia in treatment times for heart attacks

• Highest accreditation for chest pain, atrial fibrillation and congestive heart failure treatments

4 CENTRA CARDIAC

A NETWORK DESIGNED FOR BETTER CARE

Our integrated network throughout central Virginia allows us to deliver coordinated care in multiple specialties and across multiple

communities and regions in a way that emphasizes quality and personalized care. Whether it is care delivered right in your

living room via virtual visits, a free tobacco cessation program, innovative cosmetic treatments or lifesaving

procedures, Centra provides a comprehensive healthcare system for all stages of health and life.

Network Encompasses

4 HOSPITALS

16 PRIMARY CARE PRACTICES

4 EMERGENCY DEPARTMENTS

THROUGHOUT CENTRAL VIRGINIA

2 URGENT CARES

15 SPECIALTIES

4 OUTPATIENT MULTISPECIALTY

LOCATIONS

Virtual VisitsWITH CENTRA 24/7


Along with the US News & World Report Top Hospital in Virginia ranking,

recognized by national consumer publication as one of the top 3 cardiovascular

practices in Southeast and 50 Top hospital designation by IBM Watson health,

Centra Lynchburg General and Virginia Baptist Hospitals are receiving the

prestigious 5-star ranking. Through the elimination of hospital-acquired

condition penalties and achieving the best overall readmission performance in

the Commonwealth, these awards and rankings only further distinguish Centra

as a premier healthcare system. Rounding out Centra’s facilities, Southside and

Bedford hospitals improved from three stars to four stars.

Only 337 hospitals out of 4,000 across the country were awarded this highest

ranking. In Virginia, Centra is only one of eight in the state to be recognized

with five stars. These rankings can be found on the CMS Hospital Compare

website, that is provided to the public to help patients make educated

decisions. As the bar is continually raised, we look forward to continually

setting it.

Accomplished

OPENED COMMUNITY ACCESS NETWORK

RANKED TWO HOSPITALS AS 5-STAR AND TWO HOSPITALS

AS 4-STAR

NURSING MAGNET

CARDIAC 50 TOP HOSPITAL DESIGNATION BY IBM WATSON

HEALTH AT LYNCHBURG GENERAL HOSPITAL

RECOGNIZED BY NATIONAL CONSUMER PUBLICATION AS ONE

OF THE TOP 3 CARDIOVASCULAR PRACTICES IN SOUTHEAST

SOCIETY FOR THORACIC SURGEONS (STS) AWARDED 3 STARS OUT OF 3 STARS IN

ALL 3 CATEGORIES

CMG STROOBANTS CARDIOVASCULAR CENTER

7 Specialized Centers

RHYTHM VEIN/VASCULAR

CONGENITAL/PEDIATRICS STRUCTURAL

CARDIOTHORACIC SURGERY CONGESTIVE HEART FAILURE PREVENTIVE CARDIOLOGY

PART OF A LARGER INTEGRATED HEALTHCARE SYSTEM

7 Clinic LocationsBEDFORD DANVILLE FARMVILLE

GRETNA LYNCHBURG

MONETA SOUTH BOSTON

Who We Are

32 CARDIOVASCULAR PHYSICIANS

21 ADVANCED PRACTICE PROVIDERS

3 CT SURGEONS

Higher Quality Care

CENTRA MEDICAL GROUP STROOBANTS

CARDIOVASCULAR CENTER

1.34PERCENT

ADVANCED IMAGING & TESTING

Our Mission: Excellent Care For Life

NATIONAL AVERAGE

CENTRA MEDICAL GROUP STROOBANTS

CARDIOVASCULAR CENTER

38MINUTES

MEDIAN TIMETO PCI* FOR

STEMI PATIENTS

National Goal <90MINUTES

2.13PERCENT

PCI*RISK ADJUSTED

BLEEDINGEVENT RATE

4.01PERCENT

1.34PERCENT

PCI*RISK ADJUSTED

MORTALITY RATE

2.00PERCENT

* PercutaneousCoronary

Intervention2016 Q1-Q4

Highly Recognized & Accredited

The Joint CommissionADVANCED HEART FAILURE CERTIFICATION

ACUTE MYOCARDIAL INFARCTION CERTIFICATION

Society of Cardiovascular Patient CareCHEST PAIN CENTER ACCREDITATION

AFIB ACCREDITATION

American Heart Association (AHA)MISSION LIFELINE ACCREDITATION

CONGESTIVE HEART FAILURE GOLD PLUS AWARD

Society of Thoracic Surgeons3 STAR RATING OUT OF 3 STARS, IN ALL 3 CATEGORIES

American College of Cardiology (ACC)ACTION REGISTRY (AMI) PLATINUM AWARD

Society of Cardiovascular Patient CareONLY HOSPITAL IN VIRGINIA WITH FULL ATRIAL

FIBRILLATION CERTIFICATION STATUS

50 Top Hospital Designation by IBM Watson health

RECOGNIZED AS ONE OF THE 50 BEST CARDIOVASCULAR

HOSPITALS IN THE COUNTRY

National Consumer Publication

ONE OF THE TOP 3 LOCATIONS IN

SOUTHEAST FOR CARDIOTHORACIC

SURGERY

8 CENTRA CARDIAC

Accreditations MISSION LIFELINE ACCREDITATION PCI RECEIVING CENTER (BY THE AMERICAN HEART ASSOCIATION)

CHEST PAIN ACCREDITATION (BY THE AMERICAN COLLEGE OF CARDIOLOGY)

AFIB ACCREDITATION(BY THE AMERICAN COLLEGE OF CARDIOLOGY

STS 3 Star Rating BY THE SOCIETY OF THORACIC SURGEONS

Get with the GuidelinesCONGESTIVE HEART FAILURE – GOLD PLUS

STROKE GOLD PLUS AND TARGET STROKE HONOR ROLL ELITE

Society of Cardiovascular Patient Care ATRIAL FIB ACCREDITATION (ONLY HOSPITAL IN VIRGINIA TO HAVE THIS ACCREDITATION)

CHEST PAIN ACCREDITATION

A YEAR IN REVIEW

As we look back on 2017, we are humbled by how much was accomplished

thanks to a dedicated, multidisciplinary team that is patient-centered and

quality driven.

What has been accomplished is a direct result of individuals going the extra mile in all areas to

not only save lives but also provide patients with the best possible tools for success all the while

looking to serve more than just the physical needs that our patients bring with them. To

that end we expanded services, including pharmacogenetic testing and a licensed

social worker to provide the most comprehensive care possible, as well as expanded

service offerings at satellite locations and increased access. We are excited

by everything that has been accomplished in 2017 and look forward to

building upon that success. Highlights include:

• Added Enhanced External Counter Pulsation (EECP) for patients suffering from chronic Angina

• Launched a cardio-oncology initiative

• Further expanded our genetics offerings to include Pharmacogenomics testing

• Added Mitra Clip as a Structural Heart service

• Expanded the Lynchburg General Hospital Cath to now have a fifth EP lab room

• Added vascular and EP procedures to Farmville Cath Lab

• Joined other sub specialties as part of the new Danville Medical Center

• Added two new imaging cardiologists, one electrophysiologist, additional advance practice providers which then allowed an increase in providers and access to all clinics

• Imaging became a Signature Lab

• Added Licensed Clinical Social Worker (LCSW) for comprehensive care

• Brought wound care into the Lynchburg office


Centra Lynchburg General HospitalLynchburg, VA

Centra Lynchburg General Hospital Lynchburg, VACentra Lynchburg General

Hospital Lynchburg, VA

SOCIETY OF THORACIC SURGEONS

OF 3 POSSIBLE STARS

DOOR TO BALLOON TIME

CENTRA

38 90

AHA NATIONAL RECOMMEND-

ATION

American College of Cardiology RegistriesACTION PLATINUM AWARD (ALL MI PATIENTS)

CATHPCI

AICD

PVI

TVT (TAVR)

DOOR TO BALLOON (D2B)

2017 MEDIAN TIME 38 MINUTES (NATIONAL GOAL 90 MINUTES AND CENTRA GOAL 60 MINUTES)

Action Registry GWTG PERFORMANCE ACHIEVEMENT AWARD RECIPIENT PLATINUM RATING

The Joint Commission Disease Specific Certification ADVANCED HEART FAILURE

ACUTE MYOCARDIAL INFARCTION

Participates in ACC ICD REGISTRY

PVI REGISTRY

TVT

10 CENTRA CARDIAC

ROBBIE

PRIC

E, N

P

CHAD HO

YT, M

D

CARDIOLOGY OVERVIEW

With heart disease being the leading cause

of death in the United States, Stroobants

Cardiovascular Center is dedicated to

the prevention, diagnosis and treatment

of heart and vascular conditions.

Stroobants Cardiovascular Center, part

of Centra Medical Group, provides the

highest-quality care available to patients

throughout central Virginia.

Stroobants Cardiovascular Center delivers the

highest caliber of care, throughout central Virginia.

From a straightforward diagnosis to the more

complex cases, heart patients across the region are

referred to Stroobants Cardiovascular Center. Our

multidisciplinary and comprehensive approach,

advanced therapies and reservoir of collective

experience and knowledge drive our referring

provider and patient satisfaction. Our experienced

team of providers work with patients to develop a

personalized care plan based on individual

healthcare needs.

• Comprehensive cardiovascular evaluation

• Holter and event monitors

• Pro-time clinic

• Enhanced External Counterpulsation (EECP)

• Anti-coagulation clinic

• Device clinic

• Indigent medicine program that includes pharmacy assistance

• Hospital to Office (H2O) clinic

• Authorization department

• Pharm D services

• Pharmacogenomic testing

• High Risk Medication Clinic

• Available licensed clinical social worker

• Zio patch and Linq monitoring in collaboration with neurology

SERVICES

Executive Medical Director

of Stroobants Cardiovascular

Center

Managing Director, Strategy

& Operations of Stroobants

Cardiovascular Center


JOHN

HACKEN

BRACHT, M

D

STEPHEN

DAVIS

, MD

JOHN

HAAS, M

D

MATT H

UFFM

AN, M

D

JESSIC

A WATTS, M

S, CGC

WIL

LIAM

BRO

WN

, MD

JESSIC

A JARA, M

D

CHRISTO

PHER L

EWIS

, MD

CHAD HO

YT, M

D

LOCATIONS

BEDFORD

DANVILLE

FARMVILLE

GRETNA

LYNCHBURG

MONETA

SOUTH BOSTON

12 CENTRA CARDIAC

CARL M

OO

RE, M

D

GIRIS

H PURO

HIT, M

D

JOYCE

WHIT

E, N

P

HARITHA B

ABBURI,MD


MO

RIAH F

RAZEE, N

P

JEN

NIF

ER L

AMBKA, N

P

DORO

THY MURPHY,

NP

SARAH HARVEY

, NP

14 CENTRA CARDIAC

KELLE

Y ADAM

S, P

A

RYAN

WO

LFE,

PHARM

D

RACHEL Y

OM

TOB, P

A

LIN

DSEY W

ASHINGTO

N, P

A


INTERVENTIONAL CARDIOLOGY

• Radial artery catheterization

• Balloon angioplasty

• Coronary stent placement

• Carotid artery stenting

• Fractionated flow reserve measure

SERVICES

Centra’s interventional heart team offers the broadest suite of solutions

for today’s interventional cardiologists to treat patients of all degrees

of complexity. Our mission is to provide world-class, cutting-edge,

interventional care to our patients.

We provide a full spectrum of clinical services, ranging from catheter-based techniques

to diagnose the cause of chest pain in myocardial infarction to performing complex

percutaneous coronary intervention. This includes rotational atherectomy to

opening chronically occluded vessels, guided by intravascular ultrasound or optical

coherence tomography. Our state-of-the-art imaging for diagnostic and interventional

procedures utilizes five dedicated procedure rooms for cardiac intervention, vascular,

electrophysiology, structural and heart failure services.

AWARD

ACUTE AMI DISEASE SPECIFIC CERTIFICATION BY THE JOINT COMMISSION CHEST PAIN BY THE SOCIETY OF CARDIOVASCULAR PATIENT CARE D2B 38 MINUTES

LOCATIONS

FARMVILLE LYNCHBURG

16 CENTRA CARDIAC

OUTCOMES

MEDIAN TIME FOR PCI STEMI PATIENTS

38 minutes which is 99th percentile (compared to a U.S. median of 46.7)

PCI RISK ADJUSTED BLEEDING EVENT RATE

2.41 (compared to a U.S. median of 3.90)

PCI RISK ADJUSTED MORTALITY RATE


FIRST MEDICAL CONTACT TO PCI

61.8 minutes which is 90th percentile (compared to a U.S. median of 72)

RISK ADJUSTED MORTALITY FOR MI


RADIAL USE

69.62% (compared to a U.S. median of 43.86%)

SAMUEL

OM

OTO

YE, M

D

PETER

O’B

RIEN

, MD

RICHARD K

UK, MD

RAKESH JA

IN, M

D

MEDIAN TIME FOR PCI STEMI PATIENTS

CENTRA US MEDIAN

38 mins

99TH PERCENTILE

Stroobants Cardiovascular Center

Medical Director of the Acute MI program,

Lynchburg General Hospital Director Cardiac Cath Lab

Medical Director of Farmville

Cardiac Cath Lab


FADI E

L-AHDAB, M

D

BARRY BUI,

MD

EVAN

OW

NBY,

MD

BRINDER

KAN

DA, MD

RON

ALD M

ORFO

RD, MD

MIC

HAEL V

ALEN

TINE,

MD

MATTHEW

SACKET

T, M

D

18 CENTRA CARDIAC

Cardiac electrophysiology (EP) is the division of cardiology that

evaluates, diagnoses and manages heart rhythm disturbances.

Centra Medical Group Stroobants Cardiovascular Center’s

EP team is comprised of board-certified electrophysiologists

and cardiologists that are completely dedicated to the care of

patients with arrhythmias or implanted devices.

As part of our comprehensive cardiovascular services, Centra Medical Group

Stroobants Cardiovascular Center provides full heart rhythm services. Through

inpatient and procedural services at the Centra Medical Group Stroobants

Cardiovascular Center at Centra Lynchburg General Hospital and outpatient

testing and consultations at our state-of-the-art office, we provide a full

range of electrophysiology services. We have a dedicated EP lab with state-

of-the-art equipment including both St. Jude and CARTO systems for 3D

electroanatomic mapping for complex ablations such as VT, atrial tachycardia

and atrial fibrillation. Intracardiac echocardiography is also utilized for additional

non-fluoroscopic visualization during complex ablations. We have just added

a second fully dedicated EP suite to accommodate a higher volume of EP

procedures. For atrial fibrillation, we are incorporating preoperative cardiac

MRI and cardiac CT to help define pulmonary vein and left atrial anatomy.

We perform complex VT and PVC ablations including those requiring

epicardial access.

RHYTHM CENTER

• Outpatient and inpatient electrophysiology consultations

• Specialized atrial fibrillation services, including cardioversion, anti-arrhythmic drug managers and radiofrequency ablation for the prevention of AF recurrences and AV node ablation with pacemaker implantation for refractory atrial fibrillation

• Device follow up for pacemakers and implanted defibrillators to monitor, including in office and remote interrogations

• Advanced outpatient cardiac monitoring for syncope and cardiac arrhythmias including holter monitoring, event monitoring and continuous outpatient telemetry monitoring

• Implantable cardioverter defibrillators (ICD) for prevention of sudden cardiac arrest

• Radiofrequency ablation therapy for SVT, atrial tachycardia, atrial flutter, atrial fibrillation and ventricular tachycardia including epicardial VT ablation

– Cryptogenic stroke program with implanted loop recorders for detection of silent atrial fibrillation

– Tilt table testing for syncope

• Advanced diagnostic imaging including CT/MR imaging

– Genetic counseling and testing for inherited arrhythmias and cardiomyopathy syndromes with a licensed genetics counselor

• Pacemaker implantation with the most advanced MRI compatible pacemakers, including HIS bundle pacing

• Cardiac resynchronization therapy for patients with congestive heart failure

• Satellite heart rhythm clinics in Danville, Farmville, Bedford, Gretna and Moneta with pacemaker, ICD and loop recorder implantations also performed at Centra Southside Community Hospital in Farmville

SERVICES


C. MIC

HAEL V

ALEN

TINE,

MD

MATTHEW

SACKET

T, M

D

SAMUEL

OM

OTO

YE, M

D

RICHARD K

UK, MD

LOCATIONS

BEDFORD

DANVILLE

FARMVILLE

GRETNA

LYNCHBURG

MONETA

AWARD

AFIB ACCREDIDATION


Medical Director of Electrophysiology

and Medical Director Cardiac Pavilion

BARY BUI,

MD

20 CENTRA CARDIAC

JESSE

NAPLE

S, PA

ELIZ

ABETH L

AMB, N

P

HALEY W

ILSO

N, N

P

OUTCOMES

AF ABLATION RESULTS

81% in normal sinus rhythm 12 months post ablation procedure

AF ABLATION TOTAL COMPLICATION RATE

2.3% (3/129)

PVC ABLATION ACUTE SUCCESS RATE

67% including EPI; 73% excluding EPI

DEVICE COMPLICATION RATES FOR ICD AND PACERS

1.3%

IN-LAB MORTALITY FOR LEAD EXTRACTION

0%

ACUTE ENDOCARDIAL PVC ABLATION SUCCESS RATE

73%

OUTCOMES CONTINUED

VOLUMES

918 Device Implants

129 AF Ablations

45 PVC Ablations

1,881 Total EP Procedure Volume

All data is internally tracked and calculated – reporting 2016 data

LORI M

cVAY,

PA


Centra’s Vein Center, embedded in the Stroobants Cardiovascular Center,

focuses on the diagnosis, management and treatment of venous disease.

Our multidisciplinary team consists of board-certified cardiologists, advanced practice

providers and an RN navigator who are dedicated to creating a team approach that

strives to provide expert venous care to our patients.

The Vein Center offers a full continuum of care. This care ranges from noninvasive

diagnostic imaging to outpatient consultation to inpatient intervention. Our

providers are driven to provide care for patients who suffer from venous disease

and support them in improving their quality of life and their overall health.

VEIN CENTER

• EVLT (Laser) Ablation

• Ultrasound Guided Sclerotherapy

• Visual Sclerotherapy

• Phlebectomy

• Guideline driven treatment protocols

• On-site access to premier noninvasive imaging services

• RN Coordinator/Navigator to guide patients prior to, during and post treatment procedures

• Deep Vein Intravascular Ultrasound and Stenting for iliac compression (May Thurner)

• Highly trained and certified non-invasive imaging services with same-day access slots

• Access to DVT diagnosis and treatment protocol

• Accelerated access to DVT Clinic for patients with acute DVT

• Acute DVT Intervention using the latest technology

• Pulmonary Embolism Intervention – Ultrasound assisted thrombolysis

SERVICES

LOCATIONS

DANVILLE

FARMVILLE

GRETNA

LYNCHBURG

22 CENTRA CARDIAC

EDW

ARD BO

NYA

K, MD

AMBER

MAW

YER, R

N

MIK

E PET

RIKO

NIS

, NP

EVAN

OW

NBY,

MD

RON

ALD M

ORFO

RD, MD

Medical Director of Vein and

Vascular Centers


OUTCOMES – SUPERFICIAL VEIN

VOLUMES

320 vein consults; 339 vein procedures

ULCER HEALING RATES

66%* in 2016 (*Healing rates for patients with ulcers that did not resolve with standard wound care. Yearly cost of a non-healing venous ulcer is the $33,907, and the AVERAGE cost for treating all venous ulcers is the $15,732 **per J Vasc Surg Venous Lymphat Disord. 2014 Oct;2(4):355-61. doi: 10.1016/j.jvsv.2014.04.006. Epub 2014 Jun 24)

COMPLICATION RATES

0.4% major complication (includes ulcerations or VTE)

LASER ABLATION CLOSURE RATES

98% closure rate; 95% complete closures

AWARD Non-invasive imaging lab is ICAVL certified

OUTCOMES – DEEP VEIN

VOLUMES

105 IVC filter placements/removals;

64 EKOS proceedures to treat Acute Pulmonary Embolus;

32 Acute DVT Interventions (2016–2017)

COMPLICATION RATES

0% (includes severe bleeding, major perforation, emergency surgery; 2016–2017)

DEVELOPED DVT PROTOCOL TO ASSIST REFERRING PRACTICES WITH OUTPATIENT MANAGEMENT

Interested in referring a patient? Read about our referral pathway on page 50.

LASER ABLATION CLOSURE RATES COMPLETE CLOSURE RATES

95%98%

24 CENTRA CARDIAC

Centra’s Vascular Center is comprised of a large team of

physicians, advanced practice providers, nurses and vascular

technicians all dedicated to providing comprehensive vascular

care to our patients.

This includes a consultation, state-of-the-art diagnostic testing and guideline

driven therapies. Our goal is to provide the absolute best care to optimize

outcomes and prevent morbidity and mortality. We provide specialty

management and expertise covering the entire spectrum of vascular disease.

All of our interventional, and some of our noninvasive physicians, have

added sub-specialty board certifications in vascular disease and endovascular

interventions1 so you can rest assured that your patient’s care is state-of-the-art.

1. American Board of Vascular Medicine

VASCULAR CENTER

• Peripheral angiograpy and intervention:

– Carotid, renal, mesenteric, upper extremity, lower extremity arteries

– Deep veins of the upper and lower extremities

– Procedural modalities include angioplasty, stenting, rotational atherectomy, mechanical thrombectomy, thrombolysis, drug-eluting balloon and drug-eluting stent therapies, Shockwave Lithoplasty™

• Acute DVT intervention

• IVC filter placement and removal

• Angio-Vac™ procedures for large vessel thrombus and foreign material extraction

SERVICES

RON

ALD M

ORFO

RD, MD*

LOCATIONS

BEDFORD

DANVILLE

FARMVILLE

GRETNA

MONETA


EVAN

OW

NBY,

MD*

PETER

O’B

RIEN

, MD*

RON

ALD M

ORFO

RD, MD*

JASO

N H

IGEY

, MD**

JUSTIN

AN

DERSO

N, M

D**

THOM

AS MEY

ER, M

D**

MIK

E PET

RIKO

NIS

, NP**

JAM

ES W

ARNER

, MD**

*Interventional

**Noninvasive

26 CENTRA CARDIAC

OUTCOMES

VOLUMES

322 procedures (Q2 2016–Q1 2017)

TECHNICAL SUCCESS RATE

90% (Successful access and intervention with residual stenosis < 30%)

MAJOR COMPLICATIONS

1.5% (National average is 3% — includes major bleeding or access complications)

PERCENTAGE OF PATIENTS RECEIVING THE LOWEST DOSE OF RADIATION (< 2 GY)

97.7% (National average is 87%)

MAJOR COMPLICATIONS

1.5%

CENTRA NATIONAL AVERAGE

PERCENTAGE OF PATIENTS RECEIVING THE LOWEST DOSE

OF RADIATION (< 2 GY)

97.7%



Stroobants Cardiovascular Center offers comprehensive care for children and

adults with congenital (from birth) and acquired heart disease. Congenital heart

disease is the most common category of birth defects, affecting 1–2% of the

general population.

Thanks to advances in medicine and surgery, a great majority of children born with even the most

complex heart defects now survive into adulthood. Our team provides formal clinical care for CHD

patients (and for many healthy patients deserving specialized evaluation) in three dedicated clinics:

fetal, pediatric and adult congenital cardiology.

Fetal Cardiology: The diagnosis of congenital heart disease is increasingly made prior to delivery.

Identifying and characterizing a heart condition before birth promotes coordination of care and

improved health outcomes for affected newborns.

Pediatric Cardiology: Infants and children are seen and followed in our pediatric cardiology clinic.

Comprehensive surgical and inpatient care is coordinated with regional academic institutions.

Adult Congenital Cardiology: A formal transition process to our adult congenital cardiology clinic

is introduced in adolescence and occurs at age 18. Each patient’s detailed understanding of his or

her unique history — including diagnoses, therapies and prognoses — is a priority. Some adults

who have had surgical correction of congenital heart defects live with a misconception that they

have been “cured,” however, most people born with heart disease are best served by ongoing,

comprehensive care.

CONGENITAL & PEDIATRIC CARDIOLOGY

SERVICES

• Fetal echocardiography and coordination of perinatal care

• Pediatric and adult imaging studies including echo, CT, MRI and lung perfusion

• Rhythm monitoring including holter, event/loop recording and stress ECG

• Genetic counseling and testing

• Interventional cardiology for adult structural disease

• Preventative and therapeutic care for obesity, hypertension and high cholesterol

• Evaluation and management of murmurs, chest pain, palpitations, syncope and failure to thrive

28 CENTRA CARDIAC

LOCATIONS

BEDFORD

DANVILLE

FARMVILLE

LYNCHBURG

SOUTH BOSTON

BRENT C

AROTHER

S, M

D

JESSIC

A WATTS, M

S, CGC

OUTCOMES

MAJOR DISCREPANCIES IN FETAL ECHOCARDIOGRAPHY 2014–2016

0.29% (non-reporting of major anomaly, shunt, intra- or extra-cardiac mass which would affect

patient care)

MAJOR MORBIDITY OR MORTALITY IN A PATIENT WITH DUCTAL-DEPENDENT CONGENITAL HEART DISEASE BETWEEN THE TIMES OF DELIVERY AND TRANSFER TO TERTIARY CARE 2014–2016

0.0%

2016 CLINIC VOLUMES

Combined new/follow-up pediatric: 1158

ACHD visits: 438

Transthoracic echo: 1405

AWARDS

MEETS CRITERIA FOR ACHD COMMUNITY CENTER DESIGNATION

ACCREDITED IMAGING LAB THAT IS STAFFED BY REGISTERED PEDIATRIC/FETAL/ADULT CONGENITAL HEART DISEASE SONOGRAPHERS

MARK T

OW

NSEN

D, MD

Medical Director of Pediatric

and Congenital Cardiology

Associate Medical Director of

Cardiovascular Services and

Medical Director of Operations


The Structural Heart Center offers evaluations to

determine the most effective treatment strategy for

Mitra and aortic valve disease. Patients are assessed

for minimally-invasive therapies versus conventional

surgical procedures.

Our utilization of this customized and multidisciplinary approach

gives patients the best opportunity for a successful outcome as

well as a plan for continued local care management. A recent

clinical study of patients who underwent a TAVR procedure was

shown to have a lower incidence of death and stroke compared

to open heart surgery. TAVR may shorten recovery time to

allow patients to return to everyday activities. Patients reported

quality-of-life improvements within 30 days, including the ability

to take care of themselves. As a result, TAVR is shifting from a

niche therapy for only the sickest patients to a mainstream, and

more often, preferred therapy.

STRUCTURAL HEART

SERVICES

• TAVR

• Mitra Clip

• Atrial Septal Defect Closure

• TAVR with conscious sedation instead of general anesthesia, patients can now ambulate soon after the procedure and go home the next day in most cases

LOCATIONS

DANVILLE

FARMVILLE

LYNCHBURG

30 CENTRA CARDIAC

FADI E

L-AHDAB, M

D

KENN

ETH S

AUM, M

D

BRINDER

KAN

DA, MD

RON

MO

RFORD, M

D

HOUM

AN T

AVAF, M

D

JUDY T

AYLOR, P

A

CRYSTAL

RANSO

N, N

P

Medical Director of Structural Heart Center


JUDY T

AYLOR, P

A

CRYSTAL

RANSO

N, N

P

OUTCOMES

30 DAY MORTALITY (ALL-CAUSE) – TAVR

1.6% (Q1 2016–Q3 2017)

30 DAY STROKE

0.5% (Q1 2016–Q3 2017)

VOLUME – TAVR (CUMULATIVE)

188 (Q1 2016–Q3 2017) Started the Mitra clip program in the first quarter of 2017 and exceeded our volume projections for the first year of this new program

30 DAY MORTALITY (ALL-CAUSE) – TAVR

1.6%

30 DAY STROKE

0.5%

GORDO

N V

ORDER

MARK, N

P

32 CENTRA CARDIAC

Centra Cardiothoracic Surgery holds the highest rating by the Society of Thoracic Surgeons for quality in cardiac surgery.

With every advanced treatment we offer, we further strengthen our dedication to multidisciplinary care for our heart patients, an approach that lends

itself to superior patient outcomes. This multidisciplinary approach to lung cancer treatment includes a lung cancer screening program and a lung

nodule clinic. We collaborate with our world-class colleagues in areas like cardiology and vascular surgery. Together, we develop innovative strategies

that result in the highest level of care for our patients.

CARDIOTHORACIC SURGERY

• Coronary artery bypass grafting with minimally-invasive vein harvest

• Aortic valve replacement including minimally-invasive techniques

• Mitral valve repair/replacement including minimally-invasive techniques

• Ascending aorta repair replacement including aortic dissections

• Ablation of arrhythmia including Maze Procedure and Convergent Hybrid ablation techniques

• Left atrial appendage ablation including minimally-invasive techniques

• Treatment of cardiac masses and tumors

• Treatment of cardiac failure with ventricular assist devices (VAD, Impella, VA-ECMO)

CARDIAC SERVICES

KENN

ETH S

AUM, M

D

AWARD

3 STAR STS RATING IN ALL 3 CATEGORIES

Medical Director of

Cardiothoracic Surgery

• Minimally-invasive lung resections using Video Assisted Thoracoscopy (VAT’s)

• Wedge resection, lobectomy, bilobectomy and pneumonectomy

• Resection of mediastinal masses and tumors

• Mediastinoscopy for diagnostic and staging purposes

• Rigid and flexible bronchoscopy for diagnostic and therapeutic purposes

• Treatment of pleural space infections, masses and effusions

• Treatment of all cardiac and thoracic trauma

• Treatment of fractured ribs and sternum

THORACIC SERVICES


BRADLEY L

ITKE,

MD

KENN

ETH S

AUM, M

D

AIMEE

STRO

NG, N

P*

HOUM

AN T

AVAF, M

D

KAYLA B

ANYA

S, PA

LOCATION

LYNCHBURG

*Thoracic only

MIC

HAEL M

ATTESO

N, P

A

MARK W

ATSON

, PA

34 CENTRA CARDIAC

OUTCOMES – CARDIAC SURGERY

ISOLATED CABG PATIENTS All data is from the Society of Thoracic Surgeons Database reported Nov 2016–Oct 2017 and is statistically significant in comparison to the national STS outcomes

VOLUME

176

OPERATIVE MORTALITY

0.57% compared to 2.32% nationally

PROLONGED VENT

2.84% compared to 7.62% nationally

MAJOR MORBIDITY

7.95% compared to 12.09% nationally (includes operative mortality, re-operation, renal failure, stroke, prolonged ventilation and wound infections)


The Congestive Heart Care Center helps manage patients with congestive

heart failure (CHF) through a multidisciplinary team composed of

board-certified cardiologists, nurse practitioners and physician assistants

collaborating with medical social workers, pharmacists and specialized

nurses to treat CHF.

The CHF team has a dedicated CHF inpatient rounding service that provides care

for hospitalized patients with acute heart failure as well as those with cardiogenic

shock. At Centra Lynchburg General Hospital we have a dedicated shock team that

utilizes the most up-to-date treatment modalities including temporary mechanical

circulatory support to care for critically ill patients.

Post hospitalization our CHF team of specialized nurses and pharmacists

work to ensure a smooth transition out of the hospital. This

multidisciplinary approach is continued in our dedicated CHF

clinic in an effort to improve quality of life and reduce the

morbidity and mortality rates associated with CHF. At the CHF clinic

we utilize the most up-to-date, guideline-directed medical and device

therapy including remote monitoring with both thoracic impedance and

CardioMems to improve outcomes and optimize care for CHF patients

and families.

CONGESTIVE HEART FAILURE

LOCATION

LYNCHBURG

AWARDS

ADVANCED HEART FAILURE CERTIFICATION BY THE JOINT COMMISSION

AHA GET WITH THE GUIDELINES GOLD PLUS AWARD

36 CENTRA CARDIAC

STEPHEN

REN

NYSO

N, M

D

BRIAN

SCHIE

TINGER

, MD

RON

ETTA

MARHO

OVER

, NP-C

ALICIA

BO

GGS, PA-C

OUTCOMES

MORTALITY

3.56% vs 3.89% (when compared to a cohort of over 3,600 hospitals; rolling 12 months Nov 2016–Oct 2017)

30 DAY HEART FAILURE TO HEART FAILURE READMISSION RATE

1.62% vs. 4.12% (when compared to a cohort of over 3600 hospitals; rolling 12 months Nov 2016–Oct 2017)

Medical Director of the CHF

Center


SERVICES

• Impella mechanical circulatory support for cardiogenic shock

• Multidisciplinary dedicated CHF clinic

• CardioMEMS

• SharedCare clinic for mechanical circulatory support for both HeartMate and HeartWare LVADs

• Research trials involving both in-patient and out-patient medical therapy for CHF

30 DAY ALL-CAUSE READMISSION RATE

14.79% vs 18.78% (when compared to a cohort of over 3,600 hospitals; rolling 12 months Nov 2016–Oct 2017)

ADHERENCE TO GUIDELINE DIRECTED MEDICAL THERAPY BETA BLOCKERS

96.2% vs 91.7% (nationally 2017)

RAAS INHIBISON

97% vs 92.1% (nationally 2017)MORTALITY


3.56%

30 DAY HEART FAILURE TO HEART FAILURE READMISSION RATE


1.62%

ADHERENCE TO GUIDELINE DIRECTED MEDICAL THERAPY

BETA BLOCKERS


97%

30 DAY ALL-CAUSE READMISSION RATE


14.79%

3.89%

4.12%

18.78%

92.1%

38 CENTRA CARDIAC

Centra’s imaging serves as the starting point to some

of the most accurate and advanced cardiovascular

treatments available in the country as recognized by

50 Top hospital designation by IBM Watson health.

Serving much of the central Virginia region (four hospitals and

seven specialty clinics), Centra’s imaging offers a high-volume

program where close to 3,000 images are performed monthly.

Centra’s imaging is set apart through its commitment to being

the standard of excellence through:

• Adhering to the most stringent registration and accreditation requirements

• Technicians that are specifically trained to echo, vascular and/or congenital echochardiography

• Consistently developing quality initiatives

– Orders are reviewed prior to patient appointments

– Weekly peer review to ensure standardization of protocols

– Monthly QA meetings where reading cardiologists and sonographers collaborate and further develop guidelines for quality measures

CENTRA’S IMAGING IS ACCREDITED WITH THE INTERSOCIETAL ACCREDITATION COMMISSION (IAC) IN:

• Echocardiography

– Echocardiograms

– Stress echocardiograms

– TEE

• Pediatric echocardiography

• Vascular studies

– Carotid

– Arterial

– Venous

• Nuclear studies

CARDIAC & VASCULAR IMAGING


LOCATIONS

BEDFORD

DANVILLE

FARMVILLE

GRETNA

LYNCHBURG

MONETA

SOUTH BOSTON

Centra’s imaging team consists of specialized imaging cardiologists as well as

26 registered* sonographers, who all have membership in an Ultrasound Society,

enabling us to maintain a Signature Lab status.

Having the best people is a large part of how we can deliver the best service, as

well as, ensuring that we have the best equipment. One of the quality initiatives

is a routine equipment upgrade as an established program to ensure the best

technology is available to our patients and providers. Our most recent update is

to the GE Logic for vascular imaging and GE Vivid e95 for cardiac imaging.

*Accredited with either American Registry for Diagnostic Medical Sonography (ARDMS) or Cardiovascular Credentialing International (CCI). Accreditation within two years is a condition of employment for Centra Sonographers

OUTCOMES

VOLUME

3,000 images per month

SERVICES

4 hospitals, 7 specialty clinics

40 CENTRA CARDIAC

Preventing heart disease is possible. Our expert cardiologists

offer an integrated approach to patient care.

Our doctors specialize in many areas of cardiovascular care, including

hypertension, high cholesterol, heart disease in women, diabetes and

prediabetes, blood clotting disorders and physical activity. We care for people

who are at high risk of developing cardiovascular disease and those who have

already experienced a heart attack, stroke, heart or vascular surgery.

The Preventive Cardiology Center is dedicated to helping improve the overall

cardiac health of patients so they can enjoy an improved quality of life.

Providing state-of-the-art, personalized risk assessment for coronary artery

disease is one more way we’re addressing all aspects of cardiac care.

PREVENTIVE CARDIOLOGY

• Pharmacogenomics testing

• Refractory hypertension clinic

• Refractory hyperlipidemia clinic

• Metabolic clinic

• Wellness programs: HeartAware screening, N.E.W. nutrition program, Healthy Steps, tobacco cessation

• Women’s heart health

SERVICES

LOCATIONS

BEDFORD

DANVILLE

FARMVILLE

GRETNA

LYNCHBURG

MONETA


DAVID T

RUITTE,

MD

JESS

ICA JA

RA, MD

THOM

AS MEY

ER, M

D

JAM

ES W

ARNER

, MD, E

dD

ALLIS

ON

HEL

GESO

N, F

NP

SARAH GO

SNEL

L, N

P

Medical Director of Preventive

Cardiology Center, Nuclear Cardiology

Director, and Physician Executive

Counsel Chair

42 CENTRA CARDIAC

CARDIOPULMONARY REHABILITATION

More than just guide patients through recovery after a heart-related event, the cardiopulmonary

rehabilitation team at Centra serves the central Virginia region at multiple facilities by helping patients

move into overall lifestyle changes to not just survive, but thrive.

Research has shown that cardiopulmonary

rehabilitation significantly reduces the risk of heart

problems reoccurring. Our certified team members

take pride in creating individualized plans of care and

treating more than just the physical. While the core of

cardiac rehabilitation is exercise, the program also targets

nutrition, diet and weight management, as well as

handling the emotional aspects of recovery.

PROGRAM BENEFITS:

• Improve overall strength

• Understand symptoms and medications

• Return to daily activities

• Improve quality of life

• Help our patients do more of what they enjoy!

Pulmonary rehabilitation is an individually

designed program to help patients improve

their overall health by working to

increase strength and endurance. The

program is overseen by a team of medical

professionals who are specifically trained to treat

people who have lung disease.

PROGRAM INCLUDES:

• Exercise sessions designed for people with chronic lung disease

• Education to learn about lung conditions, medications and how to prevent infection

• Breathing and relaxation techniques to reduce shortness of breath

• Dietary support for weight management

• Social support and engagement with others

WIL

LIAM

BRO

WN

, MD

Medical Director of Cardiac

Rehab

2017 ANNUAL REPORT 43ALB

ERT B

AKER, M

D

WIL

LIAM

BRO

WN

, MD

Healthy StepsA PERSONALIZED, STRUCTURED EXERCISE PROGRAM AIMED AT

PREVENTING CHRONIC DISEASE TO REDUCE HEALTH RISKS

WELLNESS IS FOR EVERYONE AND THE CARDIOPULMONARY TEAM IS PROUD OF THE RESOURCES THEY ARE ABLE TO PROVIDE TO THE COMMUNITY AS WELL AS THEIR PATIENTS:

Smoking Cessation: Be Tobacco Free

FREE HOUR LONG PROGRAM FOR PEOPLE CONSIDERING A

TOBACCO FREE LIFE TO EDUCATE ON CESSATION TECHNIQUES

N.E.W.EIGHT-WEEK PROGRAM BASED ON

THE VOLUMETRIC EATING PLAN THAT INCLUDES ASSISTANCE IN

NUTRITION, EATING AND WEIGHT MANAGEMENT

HeartAwareFREE ONLINE RISK ASSESSMENT

PROGRAM WITH CLINICAL FOLLOW-UP AND SUPPORT FOR

AT-RISK PATIENTS

For more information please call 434.200.3430

Director of Pulmonary Rehab

44 CENTRA CARDIAC

IN THE COMMUNITY

Stroobants Cardiovascular Center’s commitment to our communities

to pursue heart health goes far beyond our walls. Preventing

and treating heart disease is just the start because a healthy

community is more than just the absence of illness.

Through our community programs we seek to educate on heart health

as well as healthy living, provide support to those living with and

effected by heart disease, create awareness, and effect change

not only in our local communities but globally as well.

CMG Stroobants Cardiovascular Center is proud to

support Mended Hearts, the largest peer-to-peer

heart patient support network in the world.

Mended Hearts is a national community-

based organization that has been

offering the gift of hope to

heart disease patients, their

families and caregivers for

over 65 years by providing

education and support.

The local chapter has monthly

lunches, open to the community, that

aim to raise heart disease awareness

and provide education.

of Blue Ridge

IT ALL STARTS WITH THE HEART!

HeartAware is our free heart risk assessment where community members

are welcome to schedule a free clinical follow-up. The assessment can be

taken on our website, in person at one of our many community events or

on a mobile device. At the clinical assessment, the nurse navigator can give

direction to helpful resources that Stroobants Cardiovascular Center offers at

low or no cost, such as the free smoking cessation classes or the Nutrition,

Eating and Wellness (N.E.W.) program.

Should a patient be severely at-risk, additional tests such as calcium scoring

can be ordered at a much reduced cost and a visit with a cardiologist can be

set up. Other risk assessments are also available through our nurse navigator

and encompass everything from DiabetesAware, SleepAware, to PADAware.

The key to beating heart disease is preventing it and this is one way we can

actively engage and educate our community on just that.


MAKING THE NEXT BREATH EASIER AND MORE ENJOYABLE

One of our pulmonary rehab groups, called “Harmonicas

For Health,” is now available for community bookings.

This group of COPD patients brings awareness

to lung disease and highlights what can be

accomplished by playing their hearts out

all around the community including a

recent performance at a Lynchburg

Hillcats baseball game!

HEART MONTH 2017

During the 2017 Heart Month we posed the question to

the community “What makes your heart sing?” and created

a series of engaging print advertisements, radio spots, and

regional community luncheons where we spoke to not only

the importance of physical health, but also the benefits

to your heart that a positive mindset and perspective will

give you. The luncheons reached over 400 community

members who were all treated to acapella performances

and heart health talks by Stroobants Cardiovascular Center

cardiologists. We also celebrated in the community, through

talks and community fairs:

• National Atrial Fibrillation Month September

• The Great American Smoke Out as well as National COPD Month in November

• Presentations and live cooking demonstrations on healthy eating throughout the area

• Partnered with the American Heart Association and supported their Lynchburg walk

• Primary sponsor of the Jim Cameron Memorial Walk that raises support to help the underprivileged in Bedford, Pittsylvania and Bedford communities

46 CENTRA CARDIAC

PETER O’BRIEN, MD is co-chair of the

Virginia Heart Attack Coalition and has worked

with the American Heart Association’s National

Guideline Writing Committee for System of Care

Development for Myocardial Infarction and on

the American College of Cardiology’s Door to

Balloon initiative workgroup. As co-chair of the

Virginia Heart Attack Coalition, Dr. O’Brien has

brought together:

• The Virginia Chapter of the American College of Cardiology

• American Heart Association

• The Virginia Office of Emergency Medical Services

• Virginia Hospital and Healthcare Association

• The Virginia College of Emergency Physicians

• The Virginia Department of Health Heart Disease

• Stroke Prevention Project

and many other partners across the state. These

groups work together to improve systems of care

for the early recognition and treatment of all

Virginia residents having heart attacks.

Centra is proud to have hosted the 2017 Virginia

Heart Attack Coalition annual meeting where

approximately 100 experts from across the

Commonwealth participated in the 8th annual

meeting, held at Centra Lynchburg General in

Lynchburg, Virginia.

Additionally, you can find

Dr. O’Brien serving as Medical

Director of Madaktari. Madaktari serves the country

of Tanzania by having expert medical staff in

specialty fields such as cardiology and neurosurgery

work with Tanzanian physicians and the local

government on developing advanced medical

programs and their infrastructure. In practical terms,

this means that they train local medical staff in both

medical interventions and how to effectively teach

their newly acquired skills to others.

Dr. O’Brien also enjoys bringing with him to Tanzania

support from the Centra Foundation as well as many

of our other physicians such as Chad Hoyt, MD SCC

Executive Medical Director, and Michael Valentine,

MD president of the American College of Cardiology.

As an active volunteer, Dr. O’Brien led a team that

performed the first heart cardiac catheterization

ever in the history of Tanzania and the first PCI at

the Jakaya Kikwete Cardiovascular Institute. As the

current Medical Director of Madaktari, he continues

to work to advance cardiovascular education and

care in that region.

SPOTLIGHT ON SOME OF OUR PROVIDERS WHO GO ABOVE & BEYOND:


CHAD HOYT, MD not only serves as the

Stroobants Cardiovascular Center’s Excutive

Medical Director but he has also been involved

in international health care initiatives in

Tanzania, Vietnam and China. In Tanzania,

he developed a database in conjunction with

the ACC for the new cardiac catheterization

lab program at Muhimbili National Heart

Hospital. In Vietnam, he co-founded Healing

Hearts Vietnam, a nonprofit organization that

has financed over 150 open heart surgeries for

underprivileged Vietnamese children.

NANCY CALDWELL leads our

pulmonary rehab group, “Harmonicas

For Health,” and sits on one of our cardio-

pulmonary boards. This board aims to

promote awareness and assist respiratory

students. It is comprised of patients, their

families and healthcare professionals who are

affected by chronic respiratory illness.

48 CENTRA CARDIAC

As great a year as 2017 has been we do not want to stop

there. We serve the growing communities of central Virginia

and as these communities expand in size and need we look to meet

those unique needs. Our goal is to set the bar in access, innovation, service

quality, and patient experience. We are excited by opportunities to partner with

primary care providers and other specialties to give our communities the very best.

INITIATIVES FOR NEXT YEAR INCLUDE:

GOIN

G

PLACES

IN

• Integrating vascular surgery to our Lynchburg office as part of our comprehensive approach to care

• Adding additional satellite locations

• Expanding Outcome Media services that include interactive education wallboards and cardiovascular specific programming to satellite clinics

• Platinum sponsor to the American Heart Association walk in Danville and a series of community talks

• Expanding cardiovascular services to the Danville and Halifax areas

• Adding new services in the Bedford region

• Continue to add providers to meet the growing needs of the community

• Expanding congenital service to include a fetal clinic to the Farmville area

VisionDELIVERING THE FUTURE

OF CARDIOVASCULAR CARE TO YOU TODAY

• Michael Valentine, MD cardiologist and Centra physician leader, Centra Medical Group Honorary Chair of Medicine and Surgery, will begin his term serving as the American College of Cardiology (ACC) President

• Dan Carey, MD cardiologist and past chief medical officer at Centra, has begun serving as Secretary of Health and Human Resources under Virginia Governor, Ralph Northam

• Chris Lewis, MD cardiologist and a previous Executive Medical Director of Stroobants Cardiovascular Center will begin serving in March of 2018 as Centra’s Vice President of Medical Affairs

• Expanding the scope of clinical research trials this year in addition to the ongoing clinical trials we already participate in

2018


VisionDELIVERING THE FUTURE

OF CARDIOVASCULAR CARE TO YOU TODAY

MissionCARING FOR YOU — CARING FOR EACH OTHER

Values

INTEGRITY RESPECT PATIENT-CENTERED

PASSION

INNOVATION TEAMWORK DRIVE FOR EXCELLENCE

FPO

50 CENTRA CARDIAC

PHYSICIAN LEADERSHIP

Stroobants Executive Medical Director: Chad Hoyt, MD

Associate Medical Director and Medical Director of Operations:Mark Townsend, MD

CARDIOVASCULAR CENTERS

Cath Lab Director:Peter O’Brien, MD

Vein and Vascular Center Medical Director:Ron Morford, MD

Congenital Center Medical Director:Brent Carothers, MD

Congestive Heart Care Center Medical Director:Stephen Rennyson, MD

Rhythm Center Medical Director:Matthew Sackett, MD

Preventative Cardiology Center

Co-Medical Director:David Truitte, MDCo-Medical Director:Thomas Meyer, MD

Structural Heart Center Medical Director:Fadi El-Ahdab, MD

Cardiothoracic Surgery Center Medical Director:Kenneth Saum, MD

Imaging Medical Director:Thomas Meyer, MD

REGIONAL SERVICES

Danville Clinic Medical Director:Evan Ownby, MD

Farmville Clinic Medical Director:Jason Higey, MD

Moneta Clinic Medical Director:Christopher Lewis, MD

Bedford Clinic Medical Director:Jessica Jara, MD

Gretna Clinic Medical Director:James Warner, MD

NON-INVASIVE CARDIOLOGY

Justin Anderson, MDHaritha Babburi, MDEdward Bonyak, MDWilliam Brown, MDStephen V. Davis, MDJohn Haas, MDJason Hackenbracht, MDJason Higey, MDChad Hoyt, MDMatthew Huffman, MDJessica Jara, MDChristopher Lewis, MDThomas Meyer, MDCarl Moore, MDGirish Purohit, MDDavid Truitte, MDC. Michael Valentine, MDJames Warner, MD

VASCULAR DISEASE

Justin Anderson, MDEdward Bonyak, MD Vein ClinicJason Higey, MDThomas Meyer, MDRon Morford, MD, Interventionalist, Vein ClinicPeter O’Brien, MD, InterventionalistEvan Ownby, MD, Interventionalist Vein ClinicJames Warner, MD

ELECTROPHYSIOLOGY

An Hong Bui, MD, ElectrophysiologistRichard Kuk, MD, ElectrophysiologistSamuel Omotoye, MD, ElectrophysiologistMatthew Sackett, MD, ElectrophysiologistC. Michael Valentine, MD, Electrophysiologist

STRUCTURAL HEART*

Fadi El Ahdab, MD, InterventionalistBrinder Kanda, MD, InterventionalistRon Morford, MD, Interventionalist

* The structural team includes our CT surgeons

PEDIATRIC & ADULT CONGENITAL CARDIOLOGY

Brent Carothers, MD, Pediatric CardiologistMark Townsend, MD, Adult Congenital Cardiologist

HEART FAILURE CLINIC

Stephen Rennyson, MDBrian Schietinger, MD

INTERVENTIONAL CARDIOLOGY

Fadi El Ahdab, MDRakesh Jain, MDBrinder Kanda, MDRon Morford, MDPeter O’Brien, MDEvan Ownby, MD

CARDIOTHORACIC SURGEONS

Bradley Litke, MDKenneth Saum, MDHouman Tavaf, MD

CARDIOVASCULAR PROVIDER GUIDE

REFERRAL

PATHWAY

REFERRAL PATHWAY

The choice for Cardiovascular

Care — Collaboration and

patient-centered care are

at the heart of our referral

process.

Need to refer a patient? CMG


offers life-saving care throughout

central Virginia as part of the Centra

Health System. We welcome the

opportunity to collaborate closely

with referring providers throughout

the treatment process up to when

the patient is transitioned back for

ongoing care.

To make a referral or for additional

information call 434.200.5252 or

email StroobantsCardiology@

direct.centrahealth.com.


General Cardiology CenterEXECUTIVE MEDICAL DIRECTOR: CHAD HOYT, MD (434.401.9013)

Cardiovascular Evaluation Appropriate Referral*:• Abnormal electrocardiogram• Abnormal echo or

stress test• Chronic atrial fibrillation• Undiagnosed cardiac symptoms

* Required prior to seeing specialist (except Peds, Fetal and Adult Congenital, and some EP evaluations).

Vein & Vascular CenterMEDICAL DIRECTOR: RON MORFORD, MD (434.401.9282)

Vein Consult Appropriate Referrals:• Varicose veins• Venous ulcers• Deep vein thrombosis• Venous obstruction/May Thurner

syndrome• IVC filter placement/retrieval

Vascular Evaluation Appropriate Referrals:• Carotid disease• Peripheral artery disease/claudication• Critical limb ischemia/arterial ulcers• Renal vascular disease

Congenital CenterMEDICAL DIRECTOR: BRENT CAROTHERS, MD (434.944.7095)

Adult Congenital Evaluation Appropriate Referrals:• 22 and older• Connective tissue disorder• Maternal evaluations• Single ventricles• History of cardiac surgery as a child• Sports cardiology• Valve defects• Tetralogy of Fallot• Patent ductus arteriosus• Coarctation of the aorta• Ebstein anomaly• Atrial and ventricular septal defects• Pulmonary artery stenosis

Pediatric Evaluation Appropriate Referrals:• Birth to 21 years old• Sports cardiology• Murmur• Family history of heart disease• Chest pain• Hypertension• Syncope• Arrhythmias• Hyperlipidemia

Fetal Evaluation Appropriate Referrals:• Fetal echo• Pregnancy• Abnormal fetal heart rhythm• Family history of heart disease• Fetal heart abnormalities• Abnormality of other major organs• Diabetes mellitus• Advanced maternal age• Exposure to certain drugs/toxins in

early pregnancy• Abnormal amniocentesis• Material obesity

Congestive Heart Care CenterMEDICAL DIRECTOR: STEPHEN RENNYSON, MD (434.841.0207)

Congestive Heart Failure Evaluation Appropriate Referrals*:• New diagnosis of CHF• Advanced CHF patient• Recent hospitalization for CHF

* Please order echo prior to appointment.

Rhythm CenterMEDICAL DIRECTOR: MATTHEW SACKETT, MD (434.515.3311)

EP Evaluation Appropriate Referrals:• Implantable device/loop recorder• Supraventricular tachycardia (SVT)• Pacemaker or ICD• Syncope*• Undiagnosed palpitations*• Risk of cardiac arrest• Bradyarrythmias

* General cardiology consult suggested prior to EP evaluation.

Cardiovascular Disease Prevention CenterCO-MEDICAL DIRECTOR: DAVID TRUITTE, MD (434.941.9700)

CO-MEDICAL DIRECTOR: THOMAS MEYER, MD (434.841.7494)

Preventative Cardiology Evaluation Appropriate Referrals:• Refractory hypertension• Familial hyperlipidemia• Cardio metabolic syndrome• Women’s heart health• Pharmacogenetics testing

Cardio-Oncology Evaluation Appropriate Referrals:• Cancer/chemotherapy

Structural Heart CenterMEDICAL DIRECTOR: FADI EL-AHDAB, MD (434.841.0875)

Valve Evaluation Appropriate Referrals:• Aortic valve disease

Mitra Valve Evaluation Appropriate Referrals:• Mitra valve disease• ASD/PFO

Cardiothoracic Surgery CenterMEDICAL DIRECTOR: KENNETH SAUM, MD (434.942.6056)

• Highest rating by the Society of Thoracic Surgeons for quality in cardiac surgery

• Diagnostic services, treatment, and follow-up expertise for a full range of cardiac conditions, including CABG, minimally-invasive vein harvest, valve repair, and surgical treatment for arrhythmias

Cardiopulmonary RehabilitationSCHEDULING: (434.200.3430)

Appropriate Referrals:• Post myocardial infarction/heart attack• Post transluminal coronary angioplasty

(stent)• Post valve repair/replacement surgery• Heart failure patients w/ejection

fraction <35%• Stable angina• Post coronary artery bypass graft

surgery• Post heart transplant• COPD• Pulmonary hypertension• Asthma• Interstitial lung diseas

CENTERS OF EXCELLENCE

FOR MORE INFORMATION OR TO REFER A PATIENT:

stroobantscardiovascularcenter.com

434.200.5252

ANNUAL REPORT - Centra Health

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