Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| AFP Innovation Fund | OTHER |
Not provided
Not provided
Not provided
Not provided
This is a prospective Quality Improvement (QI) study using the Model for Improvement framework.
The objective of this study is to implement a structured, comprehensive, innovative, and sustainable approach to the management of patients with advanced mitral valve (MV) disease and heart failure (HF) in Southeastern Ontario and to improve healthcare delivery, patient care, and patient outcomes in the context of structural surgical and percutaneous MV interventions. This will be achieved through the strategic implementation, promotion, and evaluation of:
i.The first local Southeastern Ontario Structural Mitral Valve Clinic using an Interdisciplinary heart team (IHT) at the Kingston Health Sciences Centre (KHSC) and its integration with the KHSC's existing Heart Failure Clinic; ii.The first provincial Structural Mitral Valve Clinic electronic referral service on the Ontario electronic services platform; and iii.The promotion of the above through targeted KT (Knowledge Transfer) outreach activities.
Patients for this study will be recruited through medical referral within the south eastern Ontario, Canada region.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MitraClip procedure | Procedure | MitraClip is surgical procedure to repair the mitral valve in your heart. During the procedure, the doctor will access the mitral valve using a thin tube (called a catheter) that is guided through a vein in your leg to reach your heart. A small implanted clip is attached to the mitral valve to reduce the leaking across the valve and to reduce symptoms and stress on the heart. |
| Measure | Description | Time Frame |
|---|---|---|
| Wait time 1 | The time between date referral made and date acknowledged by cardiologist. | At week three following study entry. |
| Wait time 2 | The time from acceptance for a procedure to time of pre-procedure imaging. | At week sixteen following study entry. |
| Wait time 3 | The time from acceptance for a procedure to time of procedure. | At week sixteen following study entry. |
| Measure | Description | Time Frame |
|---|---|---|
| Morbidity 1 | Morbidity = all cause hospitalization and heart failure hospitalization post procedure. | At 30 days post procedure. |
| Morbidity 2 | Morbidity = all cause hospitalization and heart failure hospitalization post procedure. |
| Measure | Description | Time Frame |
|---|---|---|
| Electronic referral patient experience survey | A survey of patient experience and satisfaction with the electronic referral method. Comments: The survey will be developed by the study investigator and each patient experience related question will be answered using the following scale: Strongly agree ☐ Agree ☐ Neither agree or disagree ☐ Disagree ☐ Strongly disagree. ☐ NA | At day one (study entry). |
Inclusion Criteria:
All adults (≥18 years of age) patients with primary and secondary moderate to severe MR with HF (preserved or reduced ejection fraction with New York Heart Association (NYHA) Class >II), who have had at least one previous hospitalization for HR, require specialist advisement, and have provided signed informed consent.
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Patients with primary and secondary moderate to severe MR with heart failure (HF) (preserved or reduced ejection fraction with New York Heart Association (NYHA) Class >II), who have had at least one previous hospitalization for HF, require specialist advisement.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Brigita Zile, RN, CCRP | Contact | 613-549-6666 | 7109 | bvz@queensu.ca |
| Wael Abuzeid, MD | Contact | 613-548-1383 | wael.abuzeid@queensu.ca |
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kingston Health Sciences Centre | Recruiting | Kingston | Ontario | K7L 2V7 | Canada |
Not provided
| ID | Term |
|---|---|
| D008944 | Mitral Valve Insufficiency |
| ID | Term |
|---|---|
| D006349 | Heart Valve Diseases |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
Not provided
Not provided
Not provided
Not provided
Not provided
| At one year post procedure. |
| Mortality 1 | Mortality = all cause mortality | At 30 days post procedure. |
| Mortality 2 | Mortality = all cause mortality | At one year post procedure. |
| Electronic referral usage - eReferrals answered | Proportion (%) of eReferral answered | At day one (study entry). |
| Electronic referral usage - response time | median specialist response interval time (days). | At day one (study entry). |
| Electronic referral usage - inappropriate eReferrals | proportion (%) of inappropriate eReferrals. | At day one (study entry). |
| Electronic referral usage - specialist time | median time (hours) spent by specialist on eReferral. | At day one (study entry). |
| Cost comparison 1 | Cost comparison between eReferral and traditional referrals based on number of baseline (pre-procedural) lab tests and investigations. | At one day post procedure. |
| Cost comparison 2 | Cost comparison between eReferral and traditional referrals based on number of missed clinic visits. | On the day prior to procedure. |