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ADVANCES IN TECHNOLOGY




                                                                                 Cover Story: Image-Guided Therapy
             PLAZA HEALTH NETWORK  -
                                                                                 Transforms Cardiovascular Care
                       Communicating with
                                                                                  Continued from page 1
                              Telemedicine                                        facility for the future.            glass walls through which medical educa-
                                                                                    The goal was to create an environment  tors and students in theater-style gallery
                                                                                  that exploits the similarities that exist  seating can watch the action, using inter-
                                                                                  among cardiovascular specialties, from the  active controls that support on-site learn-
            Plaza Health Network (PHN), South                                     treatment of acute stroke and acute
          Florida's largest, not-for- profit, network                             myocardial infarction, to treatment for a  ing and real-time, worldwide webcasting.
          of rehabilitative care and skilled nursing                              cold leg or ruptured vessel. This consoli-  Technology has made possible advances
          centers serves a diverse population.                                    dation of specialty treatment within a sin-  in the field. The interventional suites are
            Plaza's mission is to provide restorative,                            gle physical plant benefits both patients  equipped with a new image-guided plat-
          high quality care. That standard is even                                and physicians.                     form, which represents the manufacturer’s
          higher now with the inclusion of continu-                                In the Institute’s Center for Advanced  global launch. Called Azurion, the system
          al changes in medical technology, such as                               Endovascular Therapies, which houses  offers quality images at ultra-low X-ray
          telemedicine.                                                           new interventional suites, technology and  doses and real-time image processing on
            This new HIPPA-compliant technology                                   specialized lighting were placed thought-  multiple work spots within the interven-
          provides real time, remote monitoring for                               fully and precisely to enable physicians  tional lab. In addition, procedure cards
          patients as needed at all seven facilities                              from different disciplines to work together  allow clinicians to pre-program routine
          within Plaza Health Network. The clinical                               on an unprecedented range of procedures.  tasks and user preferences to make proce-
          team can monitor vital signs and receive                                The concept marries an interventional  dures quicker and more efficient, which
          immediate information that shows a sud-                                 approach with a full surgical capacity , inte-  ultimately benefits the patient.
          den or irregular change. That data can                                  grating the diversity of image-guided pro-  As part of the Institute expansion, a 36-
          then be immediately transmitted to the                                  cedures that can be accomplished.   bed, pre- and post-care unit was added to
          appropriate physician or care provider as   Dr. Leonard J. Pianko        The suites are set up for such procedures  create a more comfortable and seamless
          well as placed in the cloud. Video confer-                              as a transcatheter aortic valve replacement  experience for the many outpatients
          encing features can also allow specialists to communicate with the PHN team.  (TAVR) or hybrid coronary artery bypass  undergoing interventional procedures.
          The benefits show a decline in hospital re-admission rates, reducing patient  grafts (CABG), as well as the treatment of  The interventional suites, which can be
          stress as well as medical costs.                                        all types of aortic aneurysms with less-  intimidating to patients, also were
            “The role of telemedicine is extremely important today, and we are at the fore-  invasive therapies. A surgical procedure  designed to soften and improve the feel of
          front,” said Leonard Pianko, Chief Medical Officer for Plaza Health Network.  like femoral endarterectomy may be com-  the high-tech environment. A conscious
          “We value each patient that turns to us for care, and that is why we remain com-  bined with a superficial femoral artery  patient brought into the room for a proce-
          mitted to providing the types of services they expect and deserve.”    (SFA) angioplasty and stenting. Together, a  dure is greeted with music and pleasant
            The flexibility of telemedicine is also important to the continuum of care.  team of neurointerventionists and neuro-  video scenery on the monitors.
          Traditionally, a primary care physician might order a transfer of a resident who  surgeons can collaborate to treat a com-  Even more important for the patient, the
          reported chest pain to a hospital for further evaluation. Now, on-site our nurses  plex stroke or ruptured brain aneurysm,  future of image-guided therapy will focus
          or advanced registered nurse practitioners have the capability of connecting that  preparing to take any approach necessary  on continuing to seek less-invasive proce-
          resident to a portable electrocardiogram device and immediately sharing results  to give the patient the best chance of sur-  dures. The trajectory of advanced technol-
          with that patient’s primary care doctor, and/or a remote specialist.   vival and recovery .                 ogy used by innovative physicians and
            “Members of the clinical team have greeted this seamless communication  The interventional suites at the Institute  staff suggests more breakthroughs are on
          model, warmly, as it gives them quicker access and more opportunities for inter-  are ready to facilitate procedures that don’t  the horizon.
          personal contact with patients and clinical providers,” stated Claudia Innocent,  even exist yet, but can be imagined. In
          PHN Chief Clinical Officer.                                            addition, the suites create a better environ-  Dr. Barry T. Katzen is Founder and Chief
            Plaza Health Network facilities include Arch Plaza, Aventura Plaza, Jackson  ment for patients by providing more com-  Medical Executive at Miami Cardiac &
          Plaza, Ponce Plaza, Sinai Plaza, South Pointe Plaza, and University Plaza.                                     Vascular Institute. For more information,
                                                                                 fort and reducing the invasiveness.               call (786) 596-2700, email
                                                                                   Peer review and transparency are impor-    MCVI@BaptistHealth.net or visit
                             For more information, call 305-917-0400 or plazahealth.org.
                                                                                 tant elements at any clinical and research          BaptistHealth.net/Heart.
                                                                                 facility . Two of the Institute’s suites have




              Orange Care Group’s Independent ACOs and IPA Become the First to

                 Collaborate with a Major Health System on a Shared Epic Platform


           Orange Care Group LLC’s independent Accountable Care Organizations and  to Orange providers, combining the strength of an integrated population health sys-
         Independent Physician Association have become the first to collaborate with a major  tem with the industry’s top-rated EHR. The technology will allow providers within
         health system to adopt Epic’s Healthy Planet through the Connect program. The  their independent ambulatory practice to identify and close gaps in patient care by
         adoption is made possible through a technology partnership between Orange and  utilizing the tools within Epic to stratify patients, integrate care management and
         Memorial Healthcare System, which will positively impact the health of patients and  coordination, and ultimately promote better outcomes.
         private practices participating in Orange’s various value-based contracts in South  This innovative alliance between Orange and Memorial, in one of the most highly
         Florida, New York, and New Jersey.                                      competitive and fragmented healthcare markets in the nation, will provide access to
           While many Accountable Care Organizations and Clinically Integrated Networks  the nation’s largest interoperability framework to actively share information with
         use Epic’s Healthy Planet platform to manage patients across their disparate  more than half of the US patient population.
         Electronic Health Records (EHRs) and networks, Orange Care Group and Memorial  “We are thrilled to work alongside a health system that shares the same commit-
         Healthcare System will be the first independent healthcare organizations in the  ment to value-based care transformation,” said Frank Exposito, Executive Vice
         country to share the comprehensive population health management platform to  President and Chief Operating Officer at Orange Care Group. “This partnership
         manage the care of patients both collectively and at an individual level. For patients  allows us to leverage Memorial’s established expertise, investment, and innovation
         shared between the two organizations, Healthy Planet will bring disparate health  with Epic’s Healthy Planet Connect platform.”
         information together to establish more continuous health records. For those patients  “As a health system, Memorial aims to provide optimal transitions throughout the
         unique to Orange Care Group, the organization will be able to independently man-  continuum of care,” added Matt Muhart, Executive Vice President and Chief
         age their own patients through a robust care management platform and predictive  Administrative Officer at Memorial Healthcare System. “Launching our efforts in
         analytics, as well as inform the company’s internal operations, patient engagement,  shared technology with Orange was a natural decision as they have proven to be a
         and provider empowerment strategies across their value-based contracts throughout  national leader in the field of value-based care.”
         the states they serve.
           From the same platform, Orange Care Group will also be able to offer Epic’s EHR                   For more information, visit www.orangecaregroup.com.


        South Florida Hospital News                                                              southfloridahospitalnews.com                                                                July 2017                          21
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