On MedAxiom HeartTalk, we are diving deeper with part two on the PEARLS Paper - a blueprint structural heart programs can use to optimize care. Host, Melanie Lawson, speaks with Elizabeth Perpetua, DNP, ACNP-BC, FACC, Patricia Keegan, DNP, NP-C, AACC, Roseanne Palmer, MSN, RN, and Susan Schnell, MSN, ACNP-BC, all co-authors of the paper. They share how their geographical challenges influenced their perspectives writing the paper and discuss practical steps that organizations can take now, to implement guidelines and care pathways for future crises.

Guest Bios:
 
Elizabeth Perpetua, DNP, ACNP-BC, FACC: Founder of Empath Health Services and faculty at University of Washington in Seattle – Dr. Perpetua led the efforts and development of the PEARLS paper and the first published study describing the Structural Heart Coordinator role and Coordination in the U.S. She is a Doctor of Nursing Practice with 15 years of experience in structural heart program development and research. She was the Director of the structural heart programs at Swedish Medical Center and University of Washington before starting her work in consulting and education. Dr. Perpetua has trained thousands of nurses, physicians, and administrators in structural heart disease.
 
Patricia Keegan, DNP, NP-C, AACC: the original coordinator and nurse practitioner at Emory Healthcare with the PARTNER trial, now the Director of Strategic and Programmatic Initiatives across all of Emory Heart and Vascular (system-wide). Many areas of expertise including but not limited to structural heart, congenital heart disease, nurse-led sedation, minimalist approach, same day discharge, program efficiencies, quality improvement, and clinical program development.
 
Roseanne Palmer, MSN, RN: the original coordinator and nurse leader at Dartmouth Hitchcock with the PARTNER trial, now the Program Manager for Structural Heart. Many areas of expertise including but not limited to structural heart, shared decision making, patient stated goals, crisis management including work with the Red Cross, clinical program development.
 
Susan Schnell, MSN, ACNP-BC: the original coordinator and nurse practitioner at Columbia University Irving Medical Center at the time when TAVR was in the first-in-man experience in 2007 (REVIVAL trial, preceded the PARTNER trial). Sue is currently the Chief Operating Officer for Columbia HeartSource. Many areas of expertise including but not limited to structural heart and interventional cardiology, system wide healthcare quality improvement and change management, clinical program development. 
 
Bonus Links:

PEARLS Paper - Elsevier: 
https://www.sciencedirect.com/science/article/pii/S2474870622008089
 
PEARLS Paper Video Extras - TCT: 
https://www.tctmd.com/PEARLS
https://www.tctmd.com/videos/pearls-the-heart-team-in-action.6270320173001