TY - JOUR
T1 - Building an Adult Congenital Heart Program
T2 - Critical Components and Important Allies
AU - Thakkar, Akanksha
AU - Fuentes-Rojas, Stephanie
AU - Karanja, Eunice
AU - Ebunlomo, Ebun
AU - Millette, Allison
AU - Lee, Christine H.
AU - Shen-Lin, Y. Serena
AU - Monteiro, Gary
AU - MacGillivray, Thomas
AU - Lin, C. Huie
N1 - Funding Information:
Our ACHD anesthesiologist is formally trained in both adult and pediatric cardiothoracic anesthesia with experience in mechanical support and heart/lung transplant and is supported by two other attending anesthesiologists with ACHD experience and certified nurse anesthetists with special interest in ACHD. In addition to cardiac and non-cardiac surgeries in ACHD patients, this team also participates in obstetric delivery plans on a case-by-case basis. Developing ACHD programs may consider partnering with a pediatric cardiovascular anesthesiologist. Deferring high complexity patients to other centers may be advisable during the early stages of program development.
Publisher Copyright:
© 2018, The Author(s).
PY - 2018/10/11
Y1 - 2018/10/11
N2 - Purpose of the Review: The purpose of this review is to illustrate specific challenges and opportunities in the building of an adult congenital heart disease (ACHD) program and to highlight critical components and important allies. Recent Findings: With more than 1.4 million adults with congenital heart disease in the USA alone, access to specialized, compassionate, high-quality comprehensive care requires a shift toward more aggressive expansion of ACHD care, especially in the context of sparse ACHD provider representation in the vast majority of adult medical centers. Summary: The effective build of an ACHD program requires measured escalation in management of ACHD complexity matched with cultivation of key resources and clinical services ranging from congenital cardiac surgery and interventional cardiology to acquired heart disease as well as partnerships with non-cardiac specialists. By reframing ACHD care as a shared goal between patients, providers, hospitals, pharmaceutical and device industry, and payers, a potent business model can be built around the developing ACHD program to facilitate acquisition of these key resources.
AB - Purpose of the Review: The purpose of this review is to illustrate specific challenges and opportunities in the building of an adult congenital heart disease (ACHD) program and to highlight critical components and important allies. Recent Findings: With more than 1.4 million adults with congenital heart disease in the USA alone, access to specialized, compassionate, high-quality comprehensive care requires a shift toward more aggressive expansion of ACHD care, especially in the context of sparse ACHD provider representation in the vast majority of adult medical centers. Summary: The effective build of an ACHD program requires measured escalation in management of ACHD complexity matched with cultivation of key resources and clinical services ranging from congenital cardiac surgery and interventional cardiology to acquired heart disease as well as partnerships with non-cardiac specialists. By reframing ACHD care as a shared goal between patients, providers, hospitals, pharmaceutical and device industry, and payers, a potent business model can be built around the developing ACHD program to facilitate acquisition of these key resources.
KW - ACHD
KW - Adult congenital cardiac anesthesia
KW - Adult congenital cardiac surgery
KW - Adult congenital interventional cardiology
KW - Business models
KW - Transition medicine
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U2 - 10.1007/s11886-018-1080-x
DO - 10.1007/s11886-018-1080-x
M3 - Review article
C2 - 30311002
AN - SCOPUS:85054650861
SN - 1523-3782
VL - 20
JO - Current Cardiology Reports
JF - Current Cardiology Reports
IS - 12
M1 - 134
ER -