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Heart and Lung Transplantation Program Florida Hospital Medical Center Orlando

Heart and Lung Transplantation Program Florida Hospital Medical Center Orlando. Mark R. Milunski, MD, FACC Florida Heart Group, PA Associate Professor of Medicine University of Central Florida College of Medicine Seminole County Medical Society September 16, 2008.

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Heart and Lung Transplantation Program Florida Hospital Medical Center Orlando

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  1. Heart and Lung Transplantation ProgramFlorida Hospital Medical CenterOrlando Mark R. Milunski, MD, FACC Florida Heart Group, PA Associate Professor of Medicine University of Central Florida College of Medicine Seminole County Medical Society September 16, 2008

  2. Heart and Lung Transplantation ProgramFlorida Hospital Medical CenterOrlando • Why do we need one? • What’s involved? • Will it succeed?

  3. Heart and Lung Transplantation ProgramFlorida Hospital Medical CenterOrlando OTSA - Organ Transplant Service Area Source: AHCA Utilization Data for Pediatric and Adult Organ Transplantation Programs published April 4, 2008

  4. Heart and Lung Transplantation ProgramFlorida Hospital Medical CenterOrlando Source: AHCA Adult Organ Transplantation Program Utilization January 2003-December 2007

  5. Heart and Lung Transplantation ProgramFlorida Hospital Medical CenterOrlando Why do we need one? • About 30-40 people are referred for heart transplant evaluation out of District 3 every year • Nearest centers are 85-112 miles away • District 3 is the only region in the state with a major population center that doesn’t have a heart transplant program

  6. Heart and Lung Transplantation ProgramFlorida Hospital Medical CenterOrlando What’s involved? • Infrastructure • Bricks and mortar • $255 million Ginsburg Tower • ED area - 62,000 sq ft with 50 exam rooms • Cardiovascular Institute - 80,000 sq ft • 12 cath lab/OR’s with shell space for 3 more labs • 14 pre-cath beds and 59 post-cath recovery beds • Reinforced floor for cardiac MRI • Full-service outpatient cardiovascular testing • Dedicated unit for pre- and post-transplant patients

  7. Ginsburg Tower at Florida Hospital Orlando • 15 stories • Each floor the size of a football field • 440 new patient beds • Will open on November 20, 2008 • First cardiac catheterization planned for December 12, 2008

  8. Heart and Lung Transplantation ProgramFlorida Hospital Medical CenterOrlando What’s involved? • Solid organ transplantation expertise • 35 years of experience • Kidney, bone marrow, pancreas, liver • On-site tissue typing laboratory • Pathology expertise • Cardiothoracic transplants are a natural extension of both the cardiovascular and transplant programs

  9. Heart and Lung Transplantation ProgramFlorida Hospital Medical CenterOrlando What’s involved? • Experience • Busiest cardiovascular program in the U.S. • Over 82,000 cardiac surgical procedures over the last 40 years with <2% mortality • One year period ending 12/31/07 • 6,630 cardiac catheterizations • 1,488 cardiac surgical procedures • Second busiest thoracic program in the U.S. 2006 MedPAR data

  10. Heart and Lung Transplantation ProgramFlorida Hospital Medical CenterOrlando What’s involved? • Experience • Tissue typing facilities already well-established • Established outpatient Heart Failure Clinic • Multiple qualified medical and surgical subspecialists are already in place • Psychological and social services personnel already attuned to the transplant patient • Recruitment of 2 UNOS certified transplant cardiologists and pulmonologists and 2 surgeons

  11. Heart and Lung Transplantation ProgramFlorida Hospital Medical CenterOrlando What’s involved? • Relationships • Long-established cardiovascular research program - Florida Heart Institute • Affiliations with: • Emory University • Loma Linda University • University of Central Florida College of Medicine • Burnham Medical Research Institute

  12. Heart and Lung Transplantation ProgramFlorida Hospital Medical CenterOrlando Will it succeed? • Implementation • First heart transplant planned to take place before July 1, 2009 • 12 transplants planned for the first year • 18 transplants planned for the second year • A minimum of 10% of these will be Medicaid or charity cases • 10 transplants will be provided to Medicare enrollees without charge while awaiting Medicare approval • Medicare approval after 10 transplants done • Minimum volume of 10 transplants per year • Meet Medicare-specified patient survival standards

  13. Heart and Lung Transplantation ProgramFlorida Hospital Medical CenterOrlando References • CON application approval - Florida Administrative Weekly • Florida Hospital • CON #10026 (Heart) • CON #10028 (Lung) • ORMC • CON #10027 (Heart only) http://ahca.myflorida.com/MCHQ/CON_FA/Batching/pdf/10027.pdf http://ahca.myflorida.com/MCHQ/CON_FA/Batching/pdf/10028.pdf

  14. Heart and Lung Transplantation ProgramFlorida Hospital Medical CenterOrlando References • CMS • http://www.cms.hhs.gov/CertificationandComplianc/20_Transplant.asp

  15. Heart and Lung Transplantation ProgramFlorida Hospital Medical CenterOrlando

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