Patients with high cholesterol or triglycerides are referred to the Cholesterol Management Clinic. There are specialized and dedicated staff at IHP who monitor lab levels of patients (LDL, HDL, triglycerides, etc) and make phone calls or send MyChart messages to patients related the need to be on lipid-lowering medication. Patients are educated on the need for lipid-lowering medication based upon their diagnosis. Staff works with patients so they understand the importance of lowering their lipid levels to decrease their risk for heart-related problems.
Patients are enrolled in the Lipid Clinic by an IHP provider only. For primary care physicians wanting to have lipids managed by IHP, patients must be referred to cardiology.
Patients who take anticoagulation medication are referred to the Anticoagulation Clinic. There are specialized and dedicated staff at IHP who monitor patient lab levels (protime/INR or blood clotting time plus other relevant labs) and make phone calls or send MyChart messages to patients on the need for changing the medication dosage. Patients are educated on the need for anticoagulation medication based upon their diagnosis as well as being taught about dietary habits that may impact Protime levels and safety precautions while taking the medications. Staff works with patients so they understand the importance of taking the proper dosage of anticoagulation to decrease their risk for stroke or other cardiovascular events.
Patients are enrolled by IHP provider or select Franciscan Physician Network Providers only. For primary care physicians wanting to have anticoagulation managed by IHP, patients must be referred for a cardiac diagnosis such as Afib or history of valve replacement.
Patients who have heart failure may be enrolled in the Heart Failure Care Clinic. There are specialized and dedicated staff at IHP who are in frequent contact with these patients in face-to-face clinic visits, telephone conversations or through their MyChart account. The staff provides education on diet, daily weights, and medications to help patients manage their condition. The goal is for patients to stay out of the hospital with a good quality of life so the Heart Failure Care Clinic works closely with the Franciscan Health Hospital Heart Failure team to manage the care of the patient. The Heart Failure Care Clinic works with social service and/or home health agencies when patients need additional assistance in their homes and compassionately talks with patients about their goals of care, providing information on palliative and hospice care as they are treated for their condition.
Patients can be referred to the Heart Failure Care Clinic from any provider.
“Structural heart” disease is a term that covers the full scope of conditions caused by abnormalities or defects in the heart’s valves, walls and/or muscle. These structural heart issues can be present at birth (congenital) or can develop later in life due to aging, infection or by some other means. The Structural Heart Clinic is for patients who are possible candidates for a procedure on their valve, patent foramen ovale (PFO) or left atrial appendage occlusion (LAAO). Before a patient has a procedure, a team of specialists – an echocardiographer, interventional cardiologist and cardiothoracic surgeon – collaborate to review the patient case to determine the plan of care. The Structural Heart nurses coordinate any cardiac testing that needs to be done prior to having a procedure and educate the patient throughout the process – educating patients on their condition, preparing them for the procedure, and follow-up after the procedure is completed. The Nurses in the Structural Heart Clinic are available to answer the patient’s questions and will be available to them throughout the process.
Patients are identified through FPN IHP, referrals from CSA and other FPN or outside providers. Patients with valve disease, patent foramen ovale (PFO) and left atrial appendage occlusion (LAAO) may be referred to the Structural Heart Clinic.
Patients who have a pacemaker or defibrillator are enrolled in the Electrophysiology (EP) Device Clinic. There are specialized and dedicated staff at IHP who monitor the devices, communicating with patients through various technologies to ensure their pacemakers and/or defibrillators are working properly. Patients who have devices where signals are automatically sent back to the IHP office will be contacted if their pacemaker or defibrillator identifies a need for any changes to their settings. Other patient devices can be checked in the cardiology clinic or over the phone. These patients will be contacted by the IHP staff to set an appointment to see a cardiologist, electrophysiologist or advanced practice provider when review of their device is needed.
Cardio-oncology care focuses on the needs of cancer patients with a history of cardiovascular disease or those who may develop cardiac complications during or after treatment. The Cardio-oncology Clinic has a multi-disciplinary team who’s focus is to prevent, monitor and treat cardiovascular disease in patients going through cancer treatment because some cancer treatments may have unanticipated side effects on the heart or vascular system. Patients in the Cardio-oncology Clinic are monitored by a specialized team of oncologists, cardiologists and nurses who track patient treatment and intervene when a side effect is identified. The goal is to help the patient successfully get through cancer treatment and ensure long-term health.