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Performance and Volume Data

Inova Heart and Vascular Institute [KEEP THIS BANNER IMAGE]
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Acute Myocardial Infarction (AMI)

AMI 30-Day All-Cause Risk Adjusted  Readmissions (Medicare 65+)

ami readmissions chart

YTD 1/1/21 - 9/30/21


AMI Mortality Performance

ami mortality chart

YTD 1/1/21 – 9/30/21

Vizient Healthcare Database is one of the most comprehensive healthcare databases and is routinely utilized by the pharmaceutical and device industries, academia, healthcare insurers, and healthcare policymakers for clinical, financial and outcomes analyses. Expected readmissions and mortality performance are based on Vizient’s Standard Practice Risk Methodology.

NCDR seals


Patient Transfers

One Call 24/7  I  Adult: 703-776-5905  I  Pediatric: 877-900-9543 

Direct admission • Transfer • Specialized transport

Advanced Heart Failure and Transplant

Ventricular Assist Device (VAD) and Heart Transplant Volume

  2019 2020 2021 2022
VAD Volume – Durable Devices 19 24 23 16
Heart Transplant Volume 30 43 55 58
Heart - Lung Transplant Volume 0 1 1 3

January 2023 SRTR report

gold seal The Joint Commission Gold Seal of Approval® for Ventricular Assist Device

 

Heart Transplant Patient Survival Rates

  Expected Observed HR Index
One-Year Patient Survival 90.96% 92.96% 0.81%

January 2023 SRTR Report


Mitch Psotka, MD, PhD

Mitch Psotka, MD, PhD


Heart Transplant and VAD Volumes chart

Urgent Access Heart Failure Clinics Offering Same-Day or Next-Day Appointments – Now at Three Inova Hospitals

Complex Course of Treatment Showcases IHVI's Team Approach


Refer a Patient

703-776-6453 I heartfailure@inova.org
inova.org/ahf

Advanced Lung Disease and Transplant Services

"Our unique combination of expertise and experience constituted by highly talented individuals across multiple disciplines within our advanced lung disease team allows us to offer a breadth of subspecialized services for complex lung diseases that is difficult to match. Our approach is one of comprehensive, seamless, integrated and individualized care throughout the patient journey.” – Steven Nathan, MD, FCCP, Medical Director, Inova Advanced Lung Disease and Lung Transplant Program

Unique Patients Folllowed in 2021: 1,964

unique lung patients followed pie chart


1 of 20 centers in U.S. to hold all 5 designations

2021 Lung Transplant Volume:  28
2021 Heart – Lung Transplant Volume: 1


Lung Transplant Survival – Adult

  Observed US Average
Adult Patient Survival (1 year) 95.24% 88.76%

Scientific Registry of Transplant Recipients survival data as of release date 1/6/2022.

After a Lung Transplant, a Mother Gets a Second Chance

Inova's Multidisciplinary Approach to Treating Chronic Thomboembolic Pulmonary Hypertension (CTEPH)


Refer a Patient

703-776-7939  I  ltxreferrals@inova.org | inova.org/lung

To Discuss a CTEPH Case or Refer a Patient

703-776-6168 I phreferrals@inova.org I inova.org/ph

Cardiac and Respiratory Failure

gold sealGold Level ELSO Award for Excellence in Life Support:

The cardiac, critical care and lung services teams at Inova Fairfax Medical Campus have been designated a Gold Level Center of Excellence by the Extracorporeal Life Support Organization by demonstrating the highest level of performance, innovation, satisfaction and quality.

 

ECMO

  2018 2019 2020 2021 2022
Total ECMO Runs 91 113 130 157 127
Adult ECMO Runs 83 93 116 141 107
    Adult Days of Support 788 908 1,442 1,526 1,227
    Adult Hours of Support 17,916 20,663 33,200 35,002 28,190
Pediatric ECMO Runs 8 20 14 16 20
    Pediatric Days of Support 60 139 58 201 339
    Pediatric Hours of Support 1,353 3,134 1,248 4,659 7,932

Full-year data


Impella® Implants and Cardiogenic Shock Patient Volume

  2018 2019 2020 2021 2023
Impella Volume 110 100 70 60 57
Cardiogenic Shock Volume 158 220 192 350 405

Full-year data


Cardiogenic Shock Patient Survival

1/1/21 – 12/31/21

cardiogenic shock patient survival chart

A Regionalized Network to Improve Care for Cardiogenic Shock

Complex Course of Treatment Showcases IHVI's Team Approach


Patient Transfers

One Call 24/7 I Adult: 703-776-5905 I Pediatric: 877-900-9543

Direct Admission • Transfer • Specialized Transport

Cardiac Surgery

STS National Database Participant logo

red stars

Society of Thoracic Surgery
Quality Ratings

3 Stars | Highest Rating: Better Than Expected

  • CABG
  • Aortic Valve Replacement
  • Coronary Artery Bypass Surgery: 2016, 2017, 2018, 2019, 2020, 2021
  • Aortic Valve Replacement + Coronary Artery Bypass Grafting (CABG): 2017, 2018, 2019, 2020, 2021
  • Aortic Valve Replacement: 2021
  • Mitral Valve Repair or Replacement (MVRR) + CABG: 2017-2019

The Society of Thoracic Surgery (STS) is a national leader in health care transparency and accountability that has developed a comprehensive rating system for the quality of cardiac surgery care among hospitals across the country for survival, complications and other measures. 2022 ratings not yet available at time of publication. Approximately 12 – 15 percent of hospitals receive a “3-Star” rating, which denotes the highest category for quality. Further details can be found at publicreporting.sts.org.

Photo of two doctors

(L to R)
Eric Sarin, MD, Section Chief Adult Cardiac Surgery; Co-Director, Structural Heart Program; Co-Director, Cardiothoracic Surgery Research
Alan Speir, MD, Senior Associate Director, IHVI; Director, Cardiac Surgery


Mitral Valve Repair sealThe 2022 Mitral Valve Repair Reference Center Award recognizes the nation’s best hospitals and surgeons for mitral valve repair surgery based on objective performance measures.

Total Surgical Valve Volume – Isolated and Combined Procedures
YTD 1/1/21 – 9/30/21

Total Surgical Valve Volume – Isolated and Combined Procedures

Isolated CABG Mortality
YTD 1/1/21 – 9/30/21

Isolated CABG Mortality

Isolated CABG Intra-Op Blood Products Used
YTD 1/1/21 – 9/30/21

Isolated CABG Intra-Op Blood Products Used

Isolated CABG Post-Op Blood Products Used
YTD 1/1/21 – 9/30/21

Isolated CABG Post-Op Blood Products Used

CABG Combined Volume

CABG Combined Volume

*STS benchmark data for 2021 were not yet available at time of publication.


Refer a Patient

703-472-4600
inova.org/cvsurg

Congenital Cardiology

Thanks to advances in pediatric cardiac care, there is a growing population of adults with congenital heart disease who previously might not have survived childhood.

Established in 1994 as a partnership between Inova Children’s Hospital and IHVI, Inova’s Adult Congenital Heart Disease (ACHD) Program was one of the first such programs in the country. Today, the ACHD program provides complete continuity of care for patients with a variety of congenital heart defects, including those complicated by heart rhythm problems, heart failure and pulmonary hypertension.

The ACHD program also partners with Inova Women’s Hospital to achieve the safest delivery possible for mothers with congenital heart defects and their babies.

The ACHD clinic is located in IHVI’s Advanced Disease Management Clinic, on Inova Fairfax Medical Campus. This provides patients seamless access to the collective expertise of Inova’s highly skilled pediatric and adult specialists in a single location, to improve outcomes and enhance quality of life.

Areas of specialization cover the full range of IHVI’s advanced cardiac therapies including:

  • Adult congenital cardiac catheterization
  • Adult congenital EP
  • Adult congenital surgery
  • Proactive evaluation of tetralogy patients
  • Maternal-fetal medicine

Neonatal Procedures

Complex Cardiac Repairs 13
PDA Ligations – Premature Infant 7
Total 20

YTD Jan. 1 – Dec. 15, 2022


Pediatric Congenital Heart Surgery

Procedure 2022
Anomalous Coronary Surgery 0
ASD 11
ASO 2
AVC (Complete, Partial) 7
AVR/Supra-Sub AS 4
COA/Hypoarch 0
COA Nonpump 4
ECMO Cannulation 19
ECMO Procedures 23
Glenn/Fontan 4
MV Repair/Replacement 1
NORWOOD/STAT 5 1
Pacer/ICD 7
PAPVR 1
PDA 9
PVR/Conduit/RVOT Procedure 4
Systematic Pulmonary Shunt 0
TAPVR 2
Thoracic Procedure 1
TOF 6
Tricuspid Valve 0
VSD 6
Other STAT Categories 6
Other Cardiac Nonpump 23
Total 141

YTD Jan. 1 – Dec. 15, 2022
ECMO procedures include any re-exploration, cannula adjustments, associated procedures and eventful decannulations.


Adult Congenital Heart Surgery

Procedure 2022
Anomalous Coronary Surgery 3
ASD 4
AVC (Complete, Partial) 0
AVR/ASAA/Sub AS 8
MVR 1
PVR 2
PAPVR 3
VSD 1
Other 14
Total 36

YTD Jan. 1 – Dec. 15, 2022

Congenital Heart Disease Patient Gets Second Surgery and Second Chance


Refer a Patient

Adult Congenital Heart Program I 703-776-3599
Pediatric Congenital Heart Program I 703-776-4428
Fetal Congenital Heart Program I 703-776-6371
inova.org/chd

Electrophysiology

Adult and Pediatric Ablation Volumes
2021 Annualized YTD 1/1/21 – 9/30/21

ablation volumes

Adult and Pediatric Device Implant Volumes
2021 Annualized YTD 1/1/21 – 9/30/21

device implant volumes

IAC seal cardiac electrophysiology2021 Lead Extraction Procedures for cardiovascular implantable electronic devices (CIED): 55

2021 WATCHMAN™ Left Atrial Appendage Closure Implant Procedures: 111

Accredited for:

  • Testing and Ablation
  • Device Implantation
  • Chronic Lead Extraction

Atrial Fibrillation (AFib) Ablation Consultations and Procedures Now Available at Inova Loudoun Hospital

Inova's Innovative Multidisciplinary Approach to AFib Care


Refer a Patient

571-472-3270  I  arrhythmia@inova.org | inova.org/arrhythmia

Inova AFib Center

571-472-2342 I afib@inova.org I inova.org/afib

Interventional Cardiology

2022 Cardiac Catheterization and Percutaneous Coronary Intervention (PCI) Volume
Q1 2022 – Q3 2022 annualized

Facility Total Patients
Inova Fairfax Medical Campus 3,855
Inova Alexandria Hospital 1,085
Inova Loudoun Hospital 1,073
Inova Heart and Vascular Institute Total 6,013
 

 

interventional cardiology data

Structural Heart Disease Program

Eric Sarin, MDOur highly experienced team is dedicated to improving survival and quality of life for people suffering from structural heart disease.

Using the combined expertise of cardiac surgeons, interventional cardiologists, radiologists specializing in cardiac imaging and nurse practitioners, we focus on providing a comprehensive assessment to identify the best course of treatment for patients with valvular heart disease or AFib patients undergoing a procedure for stroke risk reduction.

Pictured: Eric Sarin, MD, Co-Director, IHVI Structural Heart Program; Section Chief, Adult Cardiac Surgery; Co-Director, Cardiovascular Research

We utilize a minimally invasive approach whenever possible for the following procedures:

  • Transcatheter repair of intracardiac structures
  • Repair or replacement of mitral, aortic, pulmonic and tricuspid valves
  • Left atrial appendage closure (LAAC) for stroke risk reduction in patients with AFib

IHVI has a state-of-the-art hybrid operating room where cardiac surgeons, cardiologists and electrophysiologists operate together, resulting in fewer complications and shorter recovery periods for patients.

"When we talk about structural heart and valve disease, we’re referring to dysfunctions related to the valves or walls separating the chambers of the heart. Historically, these were managed with open heart surgery. With the explosion in technology over the last decade, we can now treat these patients just as effectively using a minimally invasive approach."

– Eric Sarin, MD

Clinical Trial: Repairing Tricuspid Valves Without Open Surgery

Clinical Trial: Inova Heart and Vascular Institute Explores Implant’s Potential to Replace Anticoagulants in AFib Stroke Prevention

TAVR 30-Day Mortality
YTD 1/1/21 – 9/30/21

TAVR 30-Day Mortality

Combined Aortic Valve Cases

Combined Aortic Valve Cases

TAVR Median Postprocedure Length of Stay
YTD 1/1/21 – 9/30/21

TAVR Median Postprocedure Length of Stay

MitraClip®and WATCHMAN Procedures
1/1/21 - 12/31/21

MitraClip®and WATCHMAN Procedures


Minimally Invasive PFO Closures in 2021: 104


Refer a Patient

571-472-4669  I  valve@inova.org
inova.org/structuralheart

Vascular Services

Vascular Procedure Volumes

  2021
Carotid Endarterectomy 229
Endovascular Abdominal Aortic Aneurysm (AAA) Repair * 62
Infrainguinal Bypass 120
Peripheral Vascular Interventions (PVI) ** 2,017

2021 rolling 4Q ending Q2 2021
2021 PVI annualized from YTD January – September data
*Performed by aortic team – vascular surgery and interventional radiology
**Volumes combined for vascular surgeons and interventional radiology

The Society for Vascular Surgery Vascular Quality Initiative (VQI®) is a collaboration intended to improve the quality, safety, effectiveness and cost of vascular healthcare. Data displayed here represent only procedures and surgeries performed at IHVI’s Inova Fairfax Medical Campus. The timeframe covers only Q1 and Q2 data for both Inova Fairfax Medical Campus and the benchmark data. Q3 and Q4 data were not yet available at time of publication.

Endovascular AAA Repair – Periprocedural Mortality

Inova All Other Regional Participants All Other National Participants
0% 1.10% 0.60%
 

Endovascular AAA Repair – Periprocedural Length of Stay

Inova All Other Regional Participants All Other National Participants
2.0 + 2.9; 1.0 2.4 + 3.5; 1.0 2.7 + 11.6; 1.0
 

Carotid Endarterectomy – Perioperative Mortality

Inova All Other Regional Participants All Other National Participants
0.0% 0.20% 0.60%
 

Carotid Endarterectomy – Perioperative Length of Stay

Inova All Other Regional Participants All Other National Participants
2.3 + 2.9; 1.0 2.6 + 4.1; 1.0 3.1 + 10.0; 1.0
 

Infrainguinal Bypass – Periprocedural Mortality

Inova All Other Regional Participants All Other National Participants
0.00% 1.20% 1.30%
 

Infrainguinal Bypass – Perioperative Length of Stay

Inova All Other Regional Participants All Other National Participants
5.6 + 4.7; 3.0 7.8 + 8.4; 5.0 9.7 + 63.7; 6.0
 

Value of the variables are displayed as mean + standard deviation; median.

Urgency of Endovascular AAA Repair

urgency of endovascular aaa repair

 

Intersocietal Accreditation Commission sealOutpatient Vascular Ultrasound Studies 14,944
January - December 2021

Inova Wound Healing Centers and Limb Preservation

Coordinated Treatment Saves Patient from Double Amputation


Refer a Patient

571-472-4600 l vascular@inova.org | inovavascular.org

Inova Wound Healing Centers

703-664-8025 I inova.org/wound

Refer/Transfer

Patient Transfers – One Call 24/7

Call: 703-776-8000

  • Direct Admission
  • Transfer
  • Specialized Transport
  • Cardiogenic Shock Transfers