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NewYork-Presbyterian Congenital Heart Center 2018 Outcomes and Quality Report Highlights

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NewYork-Presbyterian Morgan Stanley Children’s Hospital
NewYork-Presbyterian Komansky Children’s Hospital

  • Among nation’s best in every pediatric specialty featured in U.S.News & World Report Best Children’s Hospitals

  • Top-ranked in pediatric heart care and experience in treating high-risk defects

  • Rated Excellent in congenital heart program and heart transplant program

  • Only ECMO program in the tri-state area designated a Platinum Center of Excellence by the Extracorporeal Life Support Organization

  • Designated as a Regional Perinatal Center by the State of New York, the highest hospital classification level

  • Designated a CCF-Accredited Center of Care by the Children’s Cardiomyopathy Foundation

  • Recognized as an official Pediatric Marfan Center by the Marfan Foundation

For More Information

NewYork-Presbyterian
Morgan Stanley Children’s Hospital

3959 Broadway
New York, NY 10032
Pediatric Cardiology
(212) 305-4622
Pediatric Cardiac Surgery
(212) 305-2688

NewYork-Presbyterian
Komansky Children’s Hospital

525 East 68th Street
New York, NY 10065
Pediatric Cardiology
(212) 746-3561
Pediatric Cardiac Surgery
(212) 746-5014

Physician-to-Physician Transfer
1-800-NYP-STAT (1-800-697-7828)
nyp.org/pediatrics

Dr. Ralf J. Holzer, Dr. Julie A. Vincent, and Dr. Emile A. Bacha

Dear Colleague:

We are pleased to bring you highlights from the 2018 Outcomes and Quality Report of NewYork-Presbyterian’s Congenital Heart Center. During the past year, NewYork-Presbyterian – in collaboration with our distinguished medical schools, Columbia University Vagelos College of Physicians and Surgeons and Weill Cornell Medicine – continued to build on the strengths of its many clinical and scientific endeavors to advance care for patients with congenital heart disease.

Emile A. Bacha, MD
Chief, Thoracic and Vascular Surgery
NewYork-Presbyterian/Columbia University Irving Medical Center
Director, Congenital and Pediatric Cardiac Surgery
Co-Director, NewYork-Presbyterian Congenital Heart Center
NewYork-Presbyterian
Calvin F. Barber Professor of Surgery
Columbia University Vagelos College of Physicians and Surgeons
Adjunct Professor of Surgery
Weill Cornell Medicine

Julie A. Vincent, MD
Alexandra and Steven Cohen Chief of Pediatric Cardiology
NewYork-Presbyterian Morgan Stanley Children’s Hospital
Co-Director, NewYork-Presbyterian Congenital Heart Center
NewYork-Presbyterian
Welton M. Gersony Professor of Pediatric Cardiology
Columbia University Vagelos College of Physicians and Surgeons
Adjunct Professor of Pediatrics
Weill Cornell Medicine

Ralf J. Holzer, MD, MSc
Chief, Pediatric Cardiology
NewYork-Presybterian Komansky Children’s Hospital
Director, Pediatric Cardiac Catheterization
Co-Director, NewYork-Presbyterian Congenital Heart Center
NewYork-Presbyterian
Professor of Clinical Pediatrics
Professor of Pediatrics in Clinical Medicine
David Wallace-Starr Foundation Professor of Clinical Pediatric Cardiology
Weill Cornell Medicine

Measures of Distinction

Clinical Care (2017)

  • 4 Congenital Heart Surgeons

  • 46 Pediatric Cardiologists

  • 1,270 Pediatric and Adult Cardiac Catheterization Procedures

  • 1,371 Pediatric and Adult Congenital Cardiac Surgeries

  • 30 Heart Transplants (in 2018)

  • 143 Neonatal (<30 days) Cardiac Surgery Procedures

  • 17 Infant Cardiac ICU Bassinets

U.S.News & World Report Ratings

  • Excellent

    • Number of high complexity heart surgeries

    • Congenital heart program

    • Adult congenital heart program

    • Advanced clinical services offered

    • Advanced technologies available

    • Specialized clinics and programs available, including balloon angioplasty and stent implantation

    • Fulltime subspecialists available

    • Commitment to best practices

    • Active fellowship program

    • Commitment to clinical research

    • Patient support

  • Very High

    • Number of catheter procedures

    • Number of Norwood or hybrid surgeries

    • Survival after heart transplant

    • Survival after Norwood or hybrid surgery

Graduate Medical Education

15 fellows
in a three-year pediatric cardiology fellowship, a combined program of NewYork-Presbyterian Morgan Stanley Children’s Hospital and NewYork-Presbyterian Komansky Children’s Hospital, featuring subspecialty training in:

  • Adolescent and adult congenital heart disease

  • Cardiac intensive care

  • Electrophysiology

  • Fetal cardiology

  • Heart failure/cardiac transplant

  • Interventional cardiology

  • Non-invasive imaging

  • Preventive cardiology

  • Pulmonary hypertension

Innovations at a Glance

  • Leaders in the care of babies born with a single ventricle, which includes a comprehensive treatment algorithm to transition the infant through three reconstructive surgeries and a follow-up program to monitor them through to adulthood

  • Expanding use of 3D pre-surgical planning models to guide surgery and interventional procedures in children born with complex heart lesions, including ventricular assist device placement planning

  • Pioneers in the initial and ongoing development of transcatheter valve replacement in congenital heart disease

  • Performing the Ozaki aortic valve repair in children in which the diseased aortic valve leaflets are removed to create a new aortic valve

  • One of a few centers in the U.S. to establish a formal pediatric hybrid program, with particular expertise performing the approach for hypoplastic left heart syndrome

  • Developing a fetal cardiac intervention program to alter the natural course of certain cardiac anomalies in utero

  • Leaders in treating low-birthweight infants with early complicated conditions involving either a ventricular septal defect or aortic arch anomalies

  • First to implant a Berlin Heart as a bridge to transplant in the youngest patient ever to receive one – an infant only three days old

  • Developed and continue to refine pediatric interventional procedures as treatment for an increasing number of congenital heart defects

  • One of only a few institutions in the world to perform comprehensive multidisciplinary heart valve repair and replacement, including the latest percutaneous interventions, for children and adults with congenital malformations

  • Established the only cardiac ICU in the nation exclusively dedicated to the care of newborn infants with congenital heart disease

  • At the forefront of examining the impact of heart failure on adult congenital heart disease and helping to guide a national effort to improve patient outcomes through funded research and team based clinical care

Outcomes

In 2017, our interventionalists performed more than 1,300 pediatric and adult catheter interventions and our heart surgeons performed more than 700 pediatric and adult congenital heart surgeries. This volume and experience support the high rates of survival and outstanding outcomes compared to national benchmarks.

Cardiac Catheterization Procedures


Volume Pediatric and Adult
2013 - 2017


*Does not include biopsies as they are considered non-interventional

Congenital Cardiac Surgery


Volume Pediatric and Adult
2013 - 2017


Neonatal Cardiac Surgery - Age <30 Days


In 2017, NewYork- Presbyterian’s survival rate after the Norwood procedure was 92%, which is among the best in the country.

Volume
2013 - 2017


Mortality
2013 - 2017


Source: Society of Thoracic Surgeons (STS) National Database 2017

Mortality Based on Complexity of Cases
2014 - 2017


Survival Following Arterial Switch Operation
2013 - 2017


Norwood Procedure Hospital Discharge Mortality
2013 - 2017


Pediatric Heart Surgery


Families from around the world come to NewYork-Presbyterian’s Congenital Heart Center, where they find the most advanced treatment methods for pediatric and adult congenital heart disease.

Overall Hospital Discharge Mortality
2013 - 2017


Volume by Procedure
2013 - 2017


Survival by Procedure
2017


Discharge Mortality Rate
2017


Source: Society of Thoracic Surgeons (STS) National Database 2017

NewYork-Presbyterian has one of the few programs with the depth and breadth of expertise to address the complex anatomical abnormalities in infants and children with congenital heart disease.

Volume by Procedure
2017