Sutter Medical Foundation

Helping Mind the Gap on Cardiovascular Diseases

Posted on Feb 7, 2020 in Alta Bates Summit Medical Center, California Pacific Medical Center, Cardiac, Expanding Access, Innovation, Quality, Research, Scroll Images, Sutter Medical Center of Santa Rosa, Sutter Medical Center, Sacramento, Sutter Medical Foundation, Sutter Roseville Medical Center

Heart valve imaging
Heart valve imaging

Lifesavers appear in big sizes and small. For patient Adam Livingstone, rescue was a dime-sized clip that restored his heart’s normal rhythm and size. For months, Livingstone had been experiencing shortness of breath, chest pain and fatigue. Diagnosed with mitral valve regurgitation, a minimally invasive procedure to repair the valve was performed at Sutter Medical Center, Sacramento—one of Sutter’s sites where researchers evaluate new devices for treating damaged or diseased heart valves.

The Heart’s Finely Orchestrated Blood Flow

Heart valves
Heart valves

Like a musical conductor, the heart oversees rhythm and flow, circulating blood to each of its chambers in a coordinated, unidirectional symphony.

THE MITRAL VALVE

Mitral regurgitation, the most common type of heart valve disorder, occurs when blood leaks backward through the mitral valve when the left ventricle closes.

Some patients undergo non-surgical heart valve repair with transcatheter mitral valve repair (TMVR) with MitraClip®.2 During the procedure, doctors thread a catheter into a large leg vein reaching the heart. Then a dime-sized clip clamps the improperly working valve, allowing it to close more tightly with less backward blood flow.

“Some research participants recover faster and resume normal activities within a week of the procedure, and may not require lifelong anticoagulant medications, repeat surgeries, or re-hospitalization,” says David Roberts, M.D., FACC, FSCAI, medical director of cardiovascular services at Sutter in the Valley Area.

A new clinical trial at Sutter called PASCAL CLASP IID/IIF will test the safety and effectiveness of TMVR with the PASCAL Transcatheter Valve Repair System® compared with MitraClip® in patients with mitral regurgitation.3

For patients with severe mitral regurgitation, Sutter’s CPMC seeks to enroll patients in a clinical trial called SM3, which assesses the safety and efficacy of the SAPIEN M3 System™.4

“In this study, we are evaluating a new type of mitral valve that may provide a minimally invasive alternative to surgery for high-risk patients with severe mitral valve disease,” says David Daniels, M.D., co-director of Sutter’s Structural Heart Program in the Bay Area, and principal investigator of the SM3 clinical trial at Sutter.

Some patients develop mitral valve disease when calcium deposits accumulate on the fibrous ring attached to the mitral valve leaflets. For these patients with mitral annular calcification (MAC), Sutter will begin offering enrollment in the Summit clinical trial, which will test the safety and effectiveness of the Tendyne™ transcatheter mitral valve.5

“Previous approaches to treat patients with MAC have mainly involved the off-label use of transcatheter aortic valves,” says Dr. Roberts. “But this strategy may lead to residual mitral regurgitation and the need for open-heart surgery. Sutter’s participation in Summit may lead to novel ways to care for this hard-to-treat subset of patients.”

THE TRICUSPID AND AORTIC VALVES

Although a skilled conductor, sometimes the heart needs help to maintain proper blood flow for musical perfection. To the rescue: Sutter researchers test interventional devices designed to treat patients with diseased or damaged tricuspid and aortic valves.

In one new clinical trial, Sutter researchers will collect information about treatment for severe aortic regurgitation, a condition typically treated with aortic valve replacement surgery.

This study will examine the use of TAVR (Transcatheter Aortic Valve Replacement), a minimally invasive procedure designed to replace the aortic valve inside the heart. In this study, TAVR will be performed using the JenaValve™ Pericardial TAVR System, designed to help treat patients with severe aortic regurgitation or severe aortic stenosis.6

“Until now, all commercially available TAVR valves have focused on aortic stenosis, or a restricted valve,” says Dr. Daniels, co-principal investigator of the TAVR with JenaValve™ clinical trial at Sutter. “The JenaValve™ may allow researchers to treat patients with a leaky valve in the absence of any calcium. Currently these patients are only candidates for open-heart surgery.”

Additionally, Sutter researchers at CPMC and Sutter Medical Center are seeking to enroll patients who have tricuspid regurgitation in a clinical trial called TRILUMINATE.

The TRILUMINATE study will evaluate the safety and effectiveness of the Tricuspid Valve Repair System™ (TVRS) for treating moderate or severe tricuspid regurgitation in patients currently on medical management and who are deemed appropriate for percutaneous transcatheter intervention.7

  • Learn more about Sutter cardiovascular diseases research and clinical trials.
  • If you are suffering from mitral or tricuspid valve regurgitation, aortic valve stenosis or other heart valve disorder, talk to your cardiologist to see if research participation and/or valve replacement or repair is right for you.

References:

  1. American Heart Association.
  2. MitraClip™ is manufactured by Abbott Medical Devices.
  3. The PASCAL clinical trial is sponsored by Edwards Life Sciences, makers of the Transcatheter Valve Repair System®.
  4. The S3 clinical trial is sponsored by Edwards Life Sciences, makers of the SAPIEN M3 System™.
  5. The Summit clinical trial is sponsored by Abbott Medical Devices, makers of the Tendyne System™.
  6. The JenaValve™ clinical trial is sponsored by JenaValve Technology, Inc., makers of the Pericardial Transcatheter Aortic Valve Replacement (TAVR) System.
  7. The TRILUMINATE clinical trial is sponsored by Abbott Medical Devices, makers of the Tricuspid Valve Repair System™.

Research at Sutter Health Brings New Hope to People with Cardiovascular Diseases

Posted on Sep 3, 2019 in Affiliates, Carousel, Innovation, People, Quality, Research, Scroll Images, Sutter Medical Foundation, Sutter North Medical Group, Sutter Pacific Medical Foundation

SAN FRANCISCO – New discoveries in cardiovascular diseases can arise in a heartbeat, and few researchers across Sutter Health know this better than David Roberts, MD, FACC, FSCAI, Medical Director of Cardiovascular Services (Valley Region) at Sutter Health. Dr. Roberts’ 25-year career at Sutter parallels the leading-edge advances in cardiovascular diseases care and research aimed at treating patients with illnesses such as hypertension (high blood pressure), heart valve diseases, heart failure, myocardial infarction (heart attack), and coronary artery disease.

Read More

Solar Power to Provide More Than Half of Yuba City Campus’ Electricity

Posted on Aug 16, 2019 in Innovation, People, Scroll Images, Sutter Medical Foundation, Sutter North Medical Group

Large Project Is Part of Sutter Health’s Commitment to the Environment and Public Health

Sutter, Engie and community leaders flipped the switch on the solar powered project at the Sutter Medical Foundation Plumas Avenue campus that includes Sutter Surgical Hospital North Valley.

YUBA CITY, Calif. – Sutter Medical Foundation’s Yuba City campus “flipped the switch” today on an on-site solar power-generating system that will provide more than half of the electrical power needs for the medical campus. The solar panel installation is part of Sutter Health’s ongoing efforts to provide a cleaner energy source at its hospitals and medical office buildings, demonstrating the Northern California healthcare network’s commitment to environmental stewardship.

Sutter partnered with ENGIE Services U.S. to install solar panels on carports and a ground mount array on adjacent vacant land at SMF Yuba City. The solar powered system will reduce the campus’ carbon footprint while positively impacting Sutter’s core mission to provide excellence in patient care.

As a result of the new solar power installations, SMF Yuba City and Sutter Surgical Hospital North Valley are expected to reduce greenhouse gas emissions by 1,880 metric tons annually, the equivalent of removing 400 cars from the road. The 2.7 million kWh of clean energy produced is the equivalent of powering 225 homes for a year. In total, the solar power installations will provide 56 percent of the campus’ electrical power.

“Sutter Health and Sutter Yuba City have been looking for ways to continue our mission of superior health services to the community while at the same time contributing to a healthier environment,” said Stephen H. Lockhart, M.D., Ph.D., Sutter Health Chief Medical Officer and Executive Sponsor of Sutter Health’s environmental stewardship program. “The main reason for bringing this renewable energy source her and to other locations is to reduce our carbon footprint in the communities that we serve.”

The Yuba City renewable energy project is one of six Sutter Health locations throughout Northern California that are part of a pilot program in the network’s ongoing efforts to reduce its use of fossil fuels for power generation.

The solar paneling also provides shade for vehicles and visitors, keeping folks cooler on sunny, hot Yuba City days.

“We’re proud to be generating more than half our electricity needs by using this renewable, clean energy source,” said Sandra Adams, Service Area Director, Sutter Medical Foundation. “With our new solar power program, we will use energy generated by the sun—a renewable source—while at the same time reducing harmful emissions. It’s a win-win for everyone.”

The energy savings created from the solar panel installations will be redirected to resources that directly impact patient care and other mission-critical needs on the Yuba City campus, Dr. Lockhart says. Sutter Health has also locked in a favorable rate for 20 years, hedging against the risk of fluctuating energy prices in the future, assisting in Sutter’s mission to provide quality healthcare at affordable prices.

In addition, the new solar carports systems that provide clean energy to Sutter Health’s vital healthcare operations will also provide shaded parking for hospital vehicles, staff vehicles and the general public. This will save in maintenance costs for facility transportation and reduce the use of automobile air conditioning.

Sutter Surgical Hospital North Valley offers award-winning personalized surgical care in the Yuba-Sutter community. It is owned by Sutter Medical Foundation and offers the following surgical specialties: orthopedics, podiatry, general surgery, plastic surgery, ENT, gynecology, spine surgery, pain management and urology. SMF is part of Sutter Health, a family of not-for-profit hospitals, physician organizations and other medical services that share resources and expertise to advance health care quality and access. Visit the Sutter Surgical Hospital-North Valley website at www.sshnv.org.

ENGIE Services U.S., a division of ENGIE, the #1 energy services provider in the world, is a national energy infrastructure and building services company that helps education, government, commercial and industrial customers become more efficient, productive and sustainable.

Robot Now Assisting Yuba City Surgeons

Posted on Jul 1, 2019 in Innovation, Quality, Scroll Images, Sutter Medical Foundation, Sutter North Medical Group

Sutter Surgical Hospital North Valley Offers Robotic-Arm Assisted Total Joint Surgeries

 

Harinder Dhanota, D.O., and his fellow surgeons at Sutter Surgical Hospital North Valley are now using a Mako robot to help them in total joint replacements.

YUBA CITY, Calif. — Sutter Surgical Hospital North Valley surgeons now have access to an advanced treatment option designed to relieve the pain caused by joint degeneration due to osteoarthritis — a disease that affects more than 30 million adults in the United States.

In 2017, the Mako System became the first and only robotic technology that can be used across the joint replacement service line to perform total knee, total hip and partial knee replacements. Sutter Surgical Hospital North Valley is the only hospital in the Yuba-Sutter region — and one of a small number of hospitals in Northern California — to offer this technology.

“We’re proud to be among the first hospitals in Northern California to offer this highly advanced robotic technology,” said Sutter Surgical Hospital North Valley Chief Administrative Officer Dennis Sindelar. “This addition to our orthopedic service line further demonstrates our commitment to providing the community with outstanding healthcare.”

Using a virtual 3-D model, the Mako System allows surgeons to create a patient’s personalized surgical plan pre-operatively before entering the operating room. During surgery, the surgeon can validate that plan and make any necessary adjustments while guiding the robotic-arm to execute that plan.

“With Mako, we can provide each patient with a personalized surgical experience based on their specific diagnosis and anatomy,” said Sutter Medical Foundation orthopedic surgeon Dr. Harinder Dhanota. “It’s exciting to be able to offer this transformative technology across the joint replacement service line to perform total knee, total hip and partial knee replacements.”

Five orthopedic surgeons who practice at Sutter Surgical Hospital have been trained to use the Mako System. The first procedure, a total knee replacement, was performed by Dr. Dhanota on June 25.

For more information, call (530) 749-5746 or email Mako@sutterhealth.org.

Eight Sutter Medical Network Organizations Achieve IHA Top Quality Honors

Posted on May 20, 2019 in Palo Alto Medical Foundation, Quality, Scroll Images, Sutter East Bay Medical Foundation, Sutter Gould Medical Foundation, Sutter Medical Foundation, Sutter Pacific Medical Foundation

SACRAMENTO, Calif. —Integrated Healthcare Association (IHA) has recognized eight Sutter Medical Network (SMN) organizations for reaching a high level of quality care for Medicare Advantage patients.

The following five SMN organizations achieved 4.5-star ratings for performance across a subset of 12 quality measures during the 2017 reporting year:

  • Sutter East Bay Medical Foundation – Sutter East Bay Medical Group
  • Sutter Gould Medical Foundation – Gould Medical Group
  • Sutter Medical Foundation – Sutter Medical Group
  • Sutter Pacific Medical Foundation – Sutter Medical Group of the Redwoods
  • Sutter Palo Alto Medical Foundation – Palo Alto Foundation Medical Group

Three other Sutter Medical Network organizations received 4-star ratings:

  • Brown & Toland Physicians
  • Central Valley Medical Group
  • Sutter Palo Alto Medical Foundation – Mills-Peninsula Division/Mills-Peninsula Medical Group

Nearly 200 physician organizations participate in IHA’s Medicare Advantage Measurement Program. IHA is a statewide, multi-stakeholder leadership group that promotes quality improvement, accountability and affordability in healthcare. IHA collects clinical quality data and provides it to the Office of Patient Advocate (OPA) for the Health Care Quality Report Card. OPA considers physician organizations “very good” for achieving 4.5 and 4-star ratings.

To learn more, visit the OPA website.

SMN consists of the Sutter medical foundations, their exclusively contracted medical groups, and contracted independent practice associations. These organizations agree to work collaboratively with the goal of achieving sustainable high quality outcomes and services at an affordable price.

Dinger a Hit as New Sutter Walk-In Care’s First Patient

Posted on May 1, 2019 in Expanding Access, Quality, Scroll Images, Sutter Medical Foundation

It’s a Whole New Ballgame for Sacramento as New Clinic Brings Healthcare Close to Home

 

SACRAMENTO, Calif. – Baseball mascots need to be in tip-top shape to bust a move, run the bases and get the crowd excited. So the Sacramento River Cats’ mascot, Dinger, went this week to the most convenient location in Sacramento to get a quick physical: the newest Sutter Walk-In Care. (See Dinger’s visit on “Good Day Sacramento” here.)

Dinger poses with the Sutter Walk-In Care staff: (from left) Araceli Navarro, N.P., Keri Nunez, Kelly Foss, Steffany Vilas, Marcy Nieto, Tyla Healton, N.P.

Designed to make staying healthy easier and more convenient, Sutter Health opened its seventh Walk-In Care clinic in the Sacramento area on Tuesday, April 30. Located in the popular Loehmann’s Plaza at Fair Oaks Boulevard and Fulton Avenue, this Sutter Walk-In Care serves an area that has few options for the treatment of everyday illnesses and other health needs. These include youth physicals for sports and summer camps, pre-employment physicals for adults, as well as measles and other vaccinations.

The Walk-In Care clinic is located at 2537 Fair Oaks Blvd., Sacramento, and is the seventh Sutter Walk-In Care in the Valley area. Other clinics are located in Citrus Heights, El Dorado Hills, Elk Grove, Rancho Cordova and two clinics in Roseville. It will serve residents of Arden-Arcade, East Sacramento and Carmichael.

“These locations offer easy access to treatment for a whole host of needs, whether it’s treating the flu or an ear infection or wellness services like sports or pre-employment physicals,” said Kelly Foss, Sutter Walk-In Care regional manager. “We hope that by providing more convenient access to care, in places where many people are already running their errands, patients won’t put off getting the care they need to stay healthy.”

Sutter Walk-In Care offers an innovative approach to healthcare:

  • Nurse practitioners or physician assistants provide treatment for common illnesses, health screenings, vaccinations and wellness services such as smoking-cessation support.
  • Each location is open 8 a.m. to 8 p.m., seven days a week, with reduced hours on most major holidays. Thanksgiving and Christmas Day are the only days when Sutter Walk-In Care clinics are closed.
  • Patients can call ahead or visit the Walk-In Care website to save their spot, or simply just walk in to the location.
  • Sutter Walk-In Care locations offer a comfortable lobby with outlets to charge laptops or phones, as well as complimentary Wi-Fi, fruit, coffee, tea and fruit-infused water.
  • Sutter Walk-In Care is available to adults and children 18 months and older – patients do not need to be an existing Sutter Health patient.
  • Sutter Walk-In Care accepts most major insurance plans, and patients would be responsible for their standard co-pay or co-insurance. For those who prefer to pay out of pocket or have not yet met their deductible, pricing is clear and simple, with a standard office visit at a flat rate of $129.

Sutter is committed to creating numerous access points to care. For the past several years, Sutter has explored new ways to meet consumers where they are for their care needs. In addition to the Sutter Walk-in Care locations, other convenient options include Sutter urgent care centers or video visits, in addition to traditional office visits with a primary care doctor within Sutter’s network of care.

Sutter Walk-In Care Nurse Practitioner Tyla Healton checks Dinger’s heartbeat during his physical exam.

With all of these options, sometimes consumers ask which location is most appropriate.  For example, a Sutter Walk-in care visit could help address seasonal allergy needs, while a Sutter urgent care visit could help someone with asthma who is short of breath. For someone suffering from chest pain, an emergency department visit may be best for a patient.

Additional points of access, like Sutter Walk-In Care clinics, also have the potential to relieve pressure on overcrowded emergency rooms.

“We want to reserve emergency departments for complex and life-threatening illnesses, rather than having people with minor medical problems going there because they have no other option,” Foss said. “At the same time, allowing patients to receive non-urgent care and vaccinations quickly, near where they live or work, should help free up doctor-office visits for those with more serious issues.”

While Sutter Walk-In Care provides a wide variety of healthcare services, patients with serious problems or illnesses that require more immediate attention, such as severe cuts or broken bones, should visit an urgent care clinic, or their nearest hospital emergency department.

Additional Sutter Walk-In Care clinics located in the Sacramento Valley:

  • Citrus Heights: 5406 Sunrise Blvd., Citrus Heights, CA 95610
  • El Dorado Hills: 3919 Park Drive, El Dorado Hills, CA 95762
  • Elk Grove: 4810 Elk Grove Blvd., Elk Grove, CA 95758
  • Rancho Cordova: 4040 Sunrise Blvd., Rancho Cordova, CA 95742
  • Roseville: 4010 Foothills Blvd., Roseville, CA 95747
  • Roseville: 781 Pleasant Grove Blvd., Roseville, CA 95678

And how did Dinger do? Besides being a hit with the staff, Dinger was deemed safe to continue his duties during the River Cats season.

To learn more about Sutter Walk-In Care, please visit www.sutterhealth.org/walk-in or call 1-800-972-5547.