2016 Sentara Heart Annual Report

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Interventional Cardiology

Sentara Heart Hospital provides a wide range of cardiac interventional procedures to treat coronary artery disease.The sooner a patient suffering from heart defects and disease gets interventional care, the better their chances of survival and complete recovery.

Each year, Sentara Heart performs more than 4,000 interventional procedures across 22 catheterization laboratories (cath labs) throughout the state of Virginia. These state-of-the-art cath labs significantly reduce radiation exposure.

Our cardiac teams provide specialized interventional catheterization for defects that have historically required open surgery, such as:

  • Atrial septal defects
  • Ventricular septal defects (VSD)—including implantation of a muscular VSD device
  • Patent foramen ovale
  • Intracoronary stents
  • Drug-eluting stents
  • Atrial, valvuloplasty, and percutaneous coronary interventions
  • Chronic total occlusion

STEMI Regionalization Program

Sentara Heart is a recognized leader for expedited treatment of ST- elevation myocardial infarction (STEMI) patients. American College of Cardiology and American Heart Association national guidelines state that hospitals treating STEMI patients with emergency PCI should reliably achieve a door-to-balloon time of 90 minutes or less. As a participating hospital in D2B: An Alliance for Quality™, Sentara Heart’s median time of 60 minutes for door-to-balloon was well below average in 2015.

2014-2016 Interventional In-Hospital Risk-Adjusted O/E Mortality Ratio

Source: Sentara Heart (Includes all Sentara hospitals except Sentara Albemarle Medical Center)

A ratio of less than 1.0 means that fewer patients died than expected based on the performance of other hospitals as adjusted for patients with the same types and severity of medical problems.

What does the O/E mortality ratio mean?

The observed-to-expected mortality outcome (O/E mortality ratio) is a risk-adjusted measure of a hospital’s mortality (death) rate. Risk adjustment takes into account how sick patients are upon entering the hospital.The mortality observed-to-expected measure tells us how we are performing on mortality relative to what is expected for our patients, given a variety of complicating characteristics, including their age, chronic conditions like diabetes or heart failure, or whether the patient was transferred from another hospital or admitted as an emergency. An O/E ratio less than 1.0 indicates better than expected outcomes and an O/E ratio greater than 1.0 indicates poorer than expected outcomes.(For example, an O/E ratio of 0.50 for mortality would mean that mortality was only 50% of the expected value; conversely a mortality ratio of 1.50 means that mortality was 150% of expected or 50% higher than expected.)

Total Number of Cath Labs in the System

1 – SAMC Sentara Albemarle Medical Center
2 – SCH Sentara CarePlex Hospital
5 – SHH Sentara Heart Hospital (SNGH)
2 – SHRH Sentara Halifax Regional Hospital
1 – SLH Sentara Leigh Hospital
2 – SMJH Sentara Martha Jefferson Hospital
2 – SNVMC Sentara Northern Virginia Medical Center
1 – SOH Sentara Obici Hospital
1 – SPAH Sentara Princess Anne Hospital
2 – SRMH Sentara RMH Medical Center
2 – SVBGH Sentara Virginia Beach General Hospital
1 – SWRMC Sentara Williamsburg Regional Medical Center
22 Total Cath Labs