March 26, 2020 - 8:00-9:30 am Teleconference: (647) 951-8467 or Long - - PowerPoint PPT Presentation

March 26, 2020 - 8:00-9:30 am Teleconference: (647) 951-8467 or Long Distance: 1 (844) 304 -7743 Conference ID: 986393473

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Description Presenter Time 1. Welcome & Meeting Objectives

• Recap of March 19th meeting
• COVID-19 System Planning Updates
• Meeting Objective

Sheila Jarvis 08:00 2. Progress Updates from each COVID-19 Cardiac Groups

• Echocardiography
• Electrophysiology
• STEMI
• Structural Heart (TAVI/Mitral Clip)
• CAD
• CHF
• Dr. Madhu

Natarajan 08:05 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

SHEILA JARVIS

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“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:

• Time-related disease like certain cancers, particularly if the outcome is treatment-related;
• Cardiac procedures for which there is risk of significant morbidity or mortality if delayed; and
• 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)

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• 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

• DR. MADHU NATARAJAN

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• 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

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• March 20th: COVID-19 Provincial EP Meeting
• March 24th: CorHealth COVID-19 Cardiac Memo #1: Recommendations

for an Ontario Approach to Managing Cardiac Electrophysiology During COVID-19

• March 25th: Available on CorHealth COVID-19 Resource Centre

Next steps:

• Update Recommendations as required based on COVID-19 status

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• March 23rd: COVID-19 Provincial STEMI Meeting
• March 25th: CorHealth COVID-19 Cardiac Memo #3: Recommendations

for an Ontario Approach to Managing STEMI during COVID-19

• March 25th : Available on CorHealth COVID-19 Resource Centre

Next steps:

• Update Recommendations as required based on COVID-19 status

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• March 24th: 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 27th
• Available on CorHealth COVID-19 Resource Centre
• Update Recommendations as required based on COVID-19 status

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• Recommendations in development for programs
• Referral community knows what services are being maintained within the context
• f COVID-19
• Referrals for the purpose of wait-listing
• Work with CorHealth on opportunities to leverage the CorHealth Registry for

COVID-19 impacts

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• First meeting was held Wednesday, March 25 (6-7 pm) – overview of

meeting

• Additional updates to share at the next meeting.

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• Opportunities to leverage Rehab will need to be explored
• Work to be determined

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• Are these meetings still helpful? How could they be more helpful?
• Are there other issues we should be considering/discussing?

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• Next COVID-19 Cardiac Forum Meeting: Thursday, April 2, 2020; 8-9 am
• Further engagement with Cardiac Rehab stakeholders to identify
• pportunities to manage care during the COVID-19 crisis