A comprehensive heart program must have full EP services as a cornerstone of its clinical offerings. CFA can help guide you through the process of EP development, from evaluation to startup.
The field of Electrophysiology (EP) has expanded and matured over the past several years. EP diagnostic testing for arrhythmia treatment and ablation for SVT or VT has evolved rapidly to include the diagnosis and treatment of atrial fibrillation (AF) as well. Advanced techniques in electrophysiology today also include contact force-sensing ablation catheters that can improve the outcomes in AF ablation; the Watchman device (Boston Scientific), FDA approved in March 2015 as a substitute for anticoagulation therapy; leadless pacemakers (Nanostim, St. Jude Medical, not currently FDA approved and Micra, Medtronic), currently FDA approved; and advanced CRT-D (cardiac resynchronization therapy-defibrillator) devices shown to be more effective in treating cardiac rhythm/heart failure (CRHF) patients than past technologies. The rapid growth of these EP techniques creates a challenge for programs attempting to stay abreast of clinical trends in the field.
EP services, if offered locally, tend to stay local. Depending on local market circumstances, EP services can represent both a large opportunity for EP sub-service line growth, as well as an opportunity to better serve the community. The comprehensive heart program of the future will have comprehensive EP as one of the cornerstones of its clinical offerings.
For those hospitals not yet focusing on EP, it is prudent to incorporate this issue into their mid and longer range strategic planning. Hospitals seeking to add or expand their EP capabilities should consider the following:
An Electrophysiology Planning Team, including electrophysiologists and other cardiac subspecialties along with service line administration, should be convened to establish goals, targets for program growth, and development timelines. Once the general direction of development is outlined, specific and detailed analysis and planning can begin.
CFA provides experienced assistance to address issues of: