Shady Grove Adventist Hospital Receives Approval to Participate in Study on Elective Heart Procedure - Adventist HealthCare

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Media Contact: Tom Grant

Published on September 19, 2008

News Release

Shady Grove Adventist Hospital Receives Approval to Participate in Study on Elective Heart Procedure

Hospital is one of four in state selected for clinical study based on cardiac program's high quality and excellent outcomes

Rockville , MD - A vote this week from the Maryland Health Care Commission (MHCC) has put Shady Grove Adventist Hospital on its way to offering an elective heart procedure that will be part of a multi-state clinical study. 

On Sept. 18, the MHCC approved the recommendation of its Executive Director to grant Shady Grove Adventist a two-year waiver to perform non-primary (elective) percutaneous coronary interventions (PCI) as part of a multi-state clinical study.  Shady Grove was one of only four hospitals in Maryland to receive approval from the MHCC to participate in the clinical study based on the high-quality of the hospital's cardiac program as well as the excellent patient outcomes in the cardiac program.

"We thank the commission for granting Shady Grove Adventist Hospital this waiver and for recognizing the quality of the care and high volume of patients in our PCI program," said Shady Grove President Dennis Hansen.  "Our hospital has a long-standing commitment to deliver high-quality cardiac care to our community.  We are pleased to expand access to an important elective cardiac procedure."

PCI involves the insertion of a balloon-type device into a patient's artery to open a blockage.  Primary PCI is performed in emergency situations, such as when a patient arrives at a hospital suffering from a heart attack.  Elective PCI, also known as elective angioplasty, is used to improve quality of life and lessen symptoms for patients with angina and other conditions related to coronary artery disease.  In Maryland, elective PCI is only allowed in hospitals that have on-site cardiac surgery, unless they are granted a waiver by the MHCC.

Primary PCI has been performed at Shady Grove Adventist Hospital since 1996, with some of the best quality measures and highest patient volumes in Maryland.  For example, out of the seven hospitals that applied for a waiver to perform elective PCI, Shady Grove was one of only two hospitals to demonstrate high quality along with high patient volumes in its primary PCI program.

One of the important quality measures used by the MHCC and other organizations to assess primary PCI program is door-to-balloon time (DTB), which measures the time between when a heart attack patient enters the hospital and when a balloon-type device crosses the blockage in the artery.  Shady Grove's DTB in 2006, 2007 and through August 2008 demonstrates the quality of the hospital's PCI program.  For example, hospitals nationally average a DTB of less than 90 minutes only 63 percent of the time.  In 2008 (through August) Shady Grove has achieved a DTB of less than 90 minutes in 85 percent of its PCI cases.  This means that most patients who arrive at Shady Grove suffering from a heart attack receive a life-saving procedure faster than in many hospitals around the country.

In obtaining the waiver to perform elective PCI, Shady Grove Adventist Hospital becomes a research site for the Atlantic Cardiovascular Patient Outcomes Team (C-PORT).  This group is currently performing a randomized, multi-state clinical research trial to determine whether non-primary PCI performed in hospitals without on-site cardiac surgery services is safe and as effective as non-primary PCI performed in hospitals with on-site cardiac surgery services.  Hospitals are selected for the C-PORT study based on the overall quality and outcomes of their cardiac program.

"Obtaining this waiver to perform elective PCI at Shady Grove Adventist Hospital is acknowledgement that our hospital and all members of our cardiac team have performed in an exemplary manner in providing primary PCI to our patients over the past 12 years," explains Dr. Dennis Friedman, Medical Director of Cardiac Services at Shady Grove Adventist Hospital.  "This waiver now allows us the privilege to participate in the CPORT study and to enhance our cardiac program by offering a new treatment to our community with added convenience."

Shady Grove's comprehensive cardiac program includes a broad range of cutting-edge treatments for cardiac conditions such as coronary artery disease and peripheral vascular disease, as well as electrophysiology, investigational drug and device research and one of the area's largest cardiac rehabilitation programs. 

The three other hospitals selected today to receive waivers for elective PCI are Anne Arundel Medical Center, Southern Maryland Hospital Center and St. Agnes Hospital.

To obtain a full copy of the MHCC report on elective PCI, please visit

Shady Grove Adventist Hospital , is a not-for-profit, acute care facility with 293 licensed beds that is located in Rockville, Maryland.  Shady Grove is committed to delivering excellent health care through a ministry of physical, mental and spiritual healing.  The hospital offers a broad range of health services and is recognized for excellence in emergency care; high-risk obstetrical and neonatal care; cardiac and vascular interventional care; as well as a broad range of surgical specialties.  Also, Shady Grove Adventist Hospital for Children, which is located within Shady Grove Adventist Hospital encompasses a broad range of specialized services for children, including the first Pediatric Emergency Department in Montgomery County and the only Pediatric Intensive Care Unit in the county.  The Shady Grove Adventist Emergency Center in Germantown opened in 2006 and is providing increased access to emergency medical care for upcounty residents.  Shady Grove Adventist Hospital is part of Rockville, Maryland-based Adventist HealthCare, an integrated health care delivery system that is one of the largest employers in the state of Maryland.

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