@Article{chd.12459,
AUTHOR = {Karen Texter, Jo Ann M. Davis, Christina Phelps, Sharon Cheatham, John Cheatham, Mark Galantowicz, Timothy F. Feltes},
TITLE = {Building a comprehensive team for the longitudinal care of single ventricle heart defects: Building blocks and initial results},
JOURNAL = {Structural and Congenital Heart Disease},
VOLUME = {12},
YEAR = {2017},
NUMBER = {4},
PAGES = {403--410},
URL = {http://www.techscience.com/schd/v12n4/39170},
ISSN = {3071-1738},
ABSTRACT = {<b>Introduction:</b> With increasing survival of children with HLHS and other single ventricle lesions,
the complexity of medical care for these patients is substantial. Establishing and adhering to best
practice models may improve outcome, but requires careful coordination and monitoring.<br/>
<b>Methods:</b> In 2013 our Heart Center began a process to build a comprehensive Single Ventricle
Team designed to target these difficult issues.<br/>
<b>Results:</b> Comprehensive Single Ventricle Team in 2014 was begun, to standardize care for children
with single ventricle heart defects from diagnosis to adulthood within our institution. The team is
a multidisciplinary group of providers committed to improving outcomes and quality of life for children with single ventricle heart defects, all functioning within the medical home of our heart
center. Standards of care were developed and implemented in five target areas to standardize
medical management and patient and family support. Under the team 100 patients have been
cared for. Since 2014 a decrease in interstage mortality for HLHS were seen. Using a team
approach and the tools of Quality Improvement they have been successful in reaching high protocol compliance for each of these areas.<br/>
<b>Conclusions:</b> This article describes the process of building a successful Single Ventricle team, our
initial results, and lessons learned. Additional study is ongoing to demonstrate the effects of these
interventions on patient outcomes.},
DOI = {10.1111/chd.12459}
}