March 26, 2020 - 8:00-9:30 am Teleconference: (647) 951-8467 or Long Distance: 1 (844) 304 -7743 Conference ID: 986393473
Description Presenter Time 1. Welcome & Meeting Objectives Sheila Jarvis 08:00 Recap of March 19 th meeting • COVID-19 System Planning Updates • Meeting Objective • 2. Progress Updates from each COVID-19 Cardiac Groups Dr. Madhu 08:05 Echocardiography Natarajan • Electrophysiology • STEMI • Structural Heart (TAVI/Mitral Clip) • CAD • CHF • 3. Overview of Data Related to Delays/Cancellation of Cardiac Activity Garth Oakes 08:45 4. Question and Answer Period All 09:00 5. Next Steps Jana Jeffrey 09:20 2
SHEILA JARVIS
“Each hospital, health system, and physician should review all scheduled elective procedures with a plan to postpone or cancel electively scheduled operations, endoscopies, or other invasive procedures until such time that hospitals are able to accommodate these additional procedures.” “Non -emergent activity should be reduced in a step-wise manner in order to preserve, to the greatest degree possible, access for time-sensitive care. This would include, but is not limited to: o Time-related disease like certain cancers, particularly if the outcome is treatment-related; o Cardiac procedures for which there is risk of significant morbidity or mortality if delayed; and o Non- emergent activity that will or may convert to emergent.” Definition and management of elective and non-emergent operations and proocedures (surgery, cath lab, and outpatient clinics) 4
• Non-Invasive Cardiac Diagnostics (Echo, ECG diagnostics) • Electrophysiology Services (Devices and Ablations) • Coronary Artery Disease (Cath, PCI, CABG), Valvular Heart Disease • STEMI • Structural Heart (TAVI, MC) • Rehab • Heart Failure • Outpatient Clinics 5
DR. MADHU NATARAJAN
• March 25: Recommendations for an Ontario Approach to Provision of Hospital Echocardiography Services During COVID-19 released and posted on CorHealth website • March 26 (TBD): Recommendations for an Ontario Approach to Provision of Non-Hospital Echocardiography Services During COVID-19 to be released and posted on CorHealth website 7
• March 20 th : COVID-19 Provincial EP Meeting • March 24 th : CorHealth COVID-19 Cardiac Memo #1: Recommendations for an Ontario Approach to Managing Cardiac Electrophysiology During COVID-19 • March 25 th : Available on CorHealth COVID-19 Resource Centre Next steps: • Update Recommendations as required based on COVID-19 status 8
• March 23 rd : COVID-19 Provincial STEMI Meeting • March 25 th : CorHealth COVID-19 Cardiac Memo #3: Recommendations for an Ontario Approach to Managing STEMI during COVID-19 • March 25 th : Available on CorHealth COVID-19 Resource Centre Next steps: • Update Recommendations as required based on COVID-19 status 9
• March 24 th : Draft document in progress CorHealth COVID-19 Cardiac Memo # : Recommendations for and Ontario Approach to Catheter Based Structural Heart: TAVI and Mitral Valve Clip During COVID-19 Next steps: • Finalize recommendations by March 27 th • Available on CorHealth COVID-19 Resource Centre • Update Recommendations as required based on COVID-19 status 10
• Recommendations in development for programs • Referral community knows what services are being maintained within the context of COVID-19 • Referrals for the purpose of wait-listing • Work with CorHealth on opportunities to leverage the CorHealth Registry for COVID-19 impacts 11
• First meeting was held Wednesday, March 25 (6-7 pm) – overview of meeting • Additional updates to share at the next meeting. 12
• Opportunities to leverage Rehab will need to be explored • Work to be determined 13
• Are these meetings still helpful? How could they be more helpful? • Are there other issues we should be considering/discussing? 24
• Next COVID-19 Cardiac Forum Meeting: Thursday, April 2, 2020; 8-9 am • Further engagement with Cardiac Rehab stakeholders to identify opportunities to manage care during the COVID-19 crisis 26
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