Hartford Business Journal

www.HartfordBusiness.com • May 14, 2018 • Hartford Business Journal 15 tals in Connecticut do diagnostic cath- eterization and primary angioplasty, which is done on patients in the midst of a heart attack, elective angioplasty is rare in community settings because they don't offer open heart surgery on- site if something goes wrong. Outside of major hospitals, only Lawrence + Memorial Hospital has been approved to offer the elective service. However, a 2012 John Hop- kins University study of nearly 19,000 patients in 10 states who received elective angio- plasty found that there was no difference in death rates at a community hos- pital vs. a major hospital. The partnership The proposed Manchester Memorial cath lab would in many respects be an extension of St. Francis' cardiac services. Diver, St. Francis' chief of cardiology, said that it's more common to move such advanced services to community set- tings because it's become safer. That's largely due to the evolu- tion of stents, which are wire mesh tubes inserted into arteries during an angioplasty to keep blood flowing through. Now, the odds of running into com- plications during an angioplasty, such as a sudden artery collapse — which would require emergency surgery — have fallen to somewhere around 1 percent or less, he said. It used to be as high as 6 percent. In addition, Manchester Memo- rial's and St. Francis' part- nership includes procedures for rapidly transfer- ring patients to Hartford if needed, Diver said. The state Office of Health Care Access still must approve the proposed lab. OHCA's decisions can boil down to geography. If a proposed service would take away too many cases from a nearby competitor, OHCA could deny an application. That's not the case here, says McCo- nville. Though Manchester Memorial would likely win some market share from Hartford's major hospitals, both have volumes that are high enough that it wouldn't trigger OHCA thresh- olds, he said. The Mandell Family Foundation Kathleen Bromage Community Partner – Lead Sponsor BE GREAT Graduate Club Sponsors Healthy Habits Club Sponsors Smart Girls Club Sponsors Passport to Manhood Club Sponsors Torch Club Sponsors ImageMakers Club Sponsors Zachs Family Foundation The Chase Family Foundations Ellen Jeanne Goldfarb Memorial Trust Sonya D Nwachukwa Memorial Foundation Aftermarket Specialty Company Amenta/Emma Architects, P.C. Barnes Group BlumShapiro CohnReznick, LLP Ernst & Young Eversource Hartford Yard Goats JHM Financial Group, LLC Jo-Di's Sound Systems Key Bank Allstate Insurance Brown Rudnick, LLP Central Connecticut State University Connecticare CREC Credit Insurance Management Corp. Downes Construction Law Firm of Morrison & Mahoney Laz Parking May, Bonee & Clark NBC Connecticut New England Asset Management People's United Bank Saint Francis Hospital and Medical Center Shipman & Goodwin, LLP Smith Brothers Insurance, LLC Woodland Anesthesiology Associates, P.C. Dunkin Donuts Federman, Lally & Remis Figure 8 Properties Flow-Tech, Inc. Freeman Companies, LLC Hartford Courant Media Group Mariella Creations Morgan, Lewis & Bockius, LLP PDS Engineering & Construction Powerstation Events Superior Energy SWI Glass & Metal Trinity College Wolff Financial Group GREAT FUTURES CELEBRATION – APRIL 18, 2018 For those who make GREAT Futures possible, thank you for your investment. Manchester Memorial's Service Projections Manchester Memorial Hospital wants to begin of- fering a suite of cardiac services in late 2019. After a ramp-up period, it expects to draw 929 patient cases a year. Here's a breakdown of the services and expected patient volumes: FY2022 estimate Diagnostic catheterization 674 Elective angioplasty 170 Emergency angioplasty 85 Total procedures 929 Source: OHCA filings Dennis McConville, ECHN's chief strategy officer (left), with Dr. Daniel Diver outside the Hoffman Heart and Vascular Institute of Connecticut inside St. Francis. HBJ PHOTO | BILL MORGAN

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