BryanLGH Heart Institute Annual Report 2011

28
2011 ANNUAL REPORT

description

2011 Annual Report of the BryanLGH Heart Institute.

Transcript of BryanLGH Heart Institute Annual Report 2011

Page 1: BryanLGH Heart Institute Annual Report 2011

2 01 1 annual report

Page 2: BryanLGH Heart Institute Annual Report 2011

Patients First.

Page 3: BryanLGH Heart Institute Annual Report 2011

Our commitment to quality outcomes

We’re pleased to present our 2011 Annual Report. We look

forward to discussing these results with you, answering your

questions about our continued growth and hearing how we

can further improve both the patient experience and our service

to you and your practice. In the meantime, we encourage you

to refer to your preferred quality and safety rating organization

to learn about the exceptional care being provided at BryanLGH

Heart Institute.

As your locally owned and governed provider of heart care,

we value our partnership — one that ensures quality care for

our citizens and reinvests in future services for our state.

Sincerely,

Clyde Meckel, MD Edward Raines, MD, JD

Our thanks and best wishes to

our partner, cardiovascular surgeon

David Hughes, MD, who retires from

BryanLGH Heart Institute in 2011.

Dr. Hughes attended the Baylor College of Medicine and was a general surgery

resident and later a thoracic surgery resident at the University of Michigan

Hospitals in Ann Arbor. He completed a fellowship in cardiovascular surgical

research at the Texas Heart Institute in Houston where he helped investigate

the potential for nuclear-powered artificial hearts.

Since finishing residency, Dr. Hughes has served as Chief of the Cardiac and

Thoracic Surgery Division at Creighton University School of Medicine, as

assistant clinical professor of surgery at the University of Nebraska College of

Medicine and as Chief of Cardiothoracic Surgery at Clarkson Hospital in Omaha.

Dr. Hughes specializes in valve surgery, coronary artery bypass graft surgery,

aortic root surgery, and surgical treatment of lung cancer. He is board certified

by the American Board of Surgery and the American Board of Thoracic Surgery.

pictured left to right

Scott Coatsworth, MD; W. Michael Kutayli, MD; Robert Hibbard, MD;

Clyde Meckel, MD; Andrew Merliss, MD; Steven Krueger, MD; Ryan

Whitney, MD; Joseph Kummer, MD; Keith Miller, MD; Dale Hansen, MD;

Todd Tessendorf, MD; Timothy Gardner, MD; Nadarajah Srikumar, MD;

David Hughes, MD; Edward Raines, MD

Page 4: BryanLGH Heart Institute Annual Report 2011

Clyde Meckel, MD

Growth

Page 5: BryanLGH Heart Institute Annual Report 2011

We have expanded our services in Lincoln, offering

more preventative and community- based services.

These include our firefighter heart disease

prevention program, mobile screening, HeartAware

early detection services offered online and on-site,

health screenings at local businesses and our special

“Cooking with the Cardiologists” program. In

addition, we provide educational symposiums for

physicians in Nebraska and surrounding states.

Here at home we have improved our surgical suites

and monitoring capabilities—offering patients the

most state-of-the art equipment and technology

available as well as comfortable surroundings to

help ensure a comfortable recovery.

In the following pages we introduce our new partners

and provide a sampling of program advancements

and developments.

The BryanLGH Heart Institute continues to grow and expand.

In addition to offering clinics in more than 30 communities

across four states, we have added two cardiologists and are

looking forward to both a new surgeon and yet another

cardiologist joining us in 2011.

More than 30

communities across

four states are provided

advanced services

from BHI.

“�The�Impella�device�increases�blood�supply�to�the�rest�of�

the�body�during�complex�and�emergent�procedures,�

allowing�the�actual�heart�muscle�to�rest�and�recover,”�

said�Timothy�Gardner,�MD,�cardiologist,�BryanLGH�Heart�

Institute.�“Our�institution�is�one�of�the�most�experienced�

in�the�country�with�the�Impella�procedure�and�believes�

support�with�Impella�has�a�positive�impact�on�the�

patient’s�survival.”

bryanlgh.org/BHI

Gr

ow

th

Page 6: BryanLGH Heart Institute Annual Report 2011

2010 additions to our team.

w. Michael Kutayli, MD

1990-1991

InternshipGeneral Hospital Colombo

1991-1994

Internal Medicine ResidencyWoodhull Medical Center, NY

1999-2002

Research Fellow, HypertensionBrigham and Women’s Hospital

1991

Emergency Room PhysicianGeneral Hospital Colombo

1998-1999

Research Fellow, CardiologyWestern Pennsylvania Hospital

1997

Bachelors, summa cum laudeCase Western Reserve University

2001

Doctor of MedicineUniversity of South Dakota

Page 7: BryanLGH Heart Institute Annual Report 2011

bryanlgh.org/BHI

nadarajah Srikumar, MD

2002-2005

Cardiology FellowshipUT Southwestern Medical Center

2001-2004

Internal MedicineCreighton University

Medical Center

2005-2008

Cardiology FellowshipCreighton University

Medical Center

2004-2005

Chief Resident, Internal MedicineCreighton University Medical Center

2008-2010

Cardiac ElectrophysiologyUniversity Hospitals Case Medical Center

2002

Master of Medicinal Science Harvard Medical School

ColumBus expansIonWe�have�a�new,�full-service�cardiology�

office�in�Columbus,�NE.�Nadarajah�

Srikumar,�MD,�his�wife�and�three�

daughters�have�become�part�of�the�

Columbus�community.�Columbus�native�

Todd�Tessendorf,�MD,�maintains�his�Friday�

appointment�schedule�in�Columbus.�

Gr

ow

th

Page 8: BryanLGH Heart Institute Annual Report 2011

robert oakes, MD

2011 additions to our team.

1996

Bachelor of Arts in BiologyHastings College

2002-2003

Fellowship with Sarnoff Endowment

for Cardiovascular Science New York Medical College

2002-2004

General Surgery Residency

Stanford Department of SurgeryStanford University Medical Center

1998

Bachelor of ScienceUniversity of Arizona

2002

Doctor of MedicineHarvard Medical School

Page 9: BryanLGH Heart Institute Annual Report 2011

bryanlgh.org/BHI

Mathue Baker, MD

2005

Doctor of Medicine University of Nebraska

2005-2008

Internal Medicine ResidencyUniversity of Nebraska Medical Center

2008-2011

Cardiology FellowshipUniversity of Nebraska Medical Center

2005-2006

Research Fellowship in

Cardiovascular Surgery

Stanford Department of SurgeryStanford University Medical Center

2008-2009

Chief Resident in General Surgery

Stanford Department of SurgeryStanford University Medical Center

2009-2011

Cardiothoracic Surgery Residency

Brigham and Woman’s HospitalHarvard Medical School

2004-2005

Fellowship in Cardiovascular Surgery

Stanford Department of

Cardiothoracic SurgeryStanford University Medical Center

2006-2008

Senior Resident in General Surgery

Stanford Department of SurgeryStanford University Medical Center

2010

Chief Resident, Cardiac Surgery

Brigham and Woman’s HospitalHarvard Medical School

Gr

ow

th

Page 10: BryanLGH Heart Institute Annual Report 2011

prevention

Steven Krueger, MD

Page 11: BryanLGH Heart Institute Annual Report 2011

“�He�saved�my�life.�I�had�

two�coronary�arteries�

that�were�blocked�that��

Dr.�Krueger�found.”���

–�Firefighter�Dan�Bare

Three years ago, Dr. Krueger learned of Dr. Robert

Superko’s research on risk of heart disease in

firefighters. Dr. Superko, one of Dr. Krueger’s

professors during his internship and residency

at Stanford University Medical Center in Palo Alto,

California, was principal investigator in the landmark

Federal Emergency Management Agency (FEMA)-

sponsored study of firefighters and heart disease.

Though he was intrigued by how he could help

the community through a program similar to Dr.

Superko’s —which focuses on genes associated with

coronary artery disease, the only existing program

of its nature in the country —Dr. Krueger chose to

implement a program focused on risk factors.

The first step of the program is for the firefighters

to fill out the HeartAware survey. After completing

this initial step, the firefighters are taken through a

one-on-one interview by a member of the program’s

dedicated staff. All information is evaluated using

a point-scale (developed by Dr. Krueger) to arrive

at a reasonable idea of risk. Once aware of the risk

factors, the team is very aggressive in modifying

those risk factors and intense in their communication

with the firefighters’ primary care physicians as well.

While too early to have statistical evidence of the

success, out of the nearly 100 Lincoln firefighters

who have taken advantage of this voluntary

program, all but two individuals have shown at

least some risk for heart attack.

The program is close to being able to be expanded

to local communities and then throughout the state.

There is a great deal of interest from both firefighters

and primary care physicians as they learn that

voluntary firefighters may be at even a higher risk

than their full-time counterparts.

When he learned that firefighters have a 300% greater risk of

heart attack than the average person, BHI’s Dr. Steven Krueger

developed a Lincoln firefighter prevention program…and the

plan is to take it outstate.

bryanlgh.org/BHI

pr

ev

en

tio

n

Page 12: BryanLGH Heart Institute Annual Report 2011

world class surgeryleft to right

Keith Miller, MD

Ed Raines, MD

Terry Bejot, MD

Page 13: BryanLGH Heart Institute Annual Report 2011

CNN�selected�BryanLGH�cardiothoracic�

surgeon�Edward�Raines,�MD,�for�its�special�

health�report�The�Last�Heart�Attack,�airing�

summer�2011.�Hosted�by�Sanjay�Gupta,�MD,�

the�program�includes�segments�with�

President�Bill�Clinton�and�Dr.�Raines’�

patient,�Lincoln�teacher,�Tom�Bare.

world class surgery

The BryanLGH Cardiac Surgery Program brings together

a team of experienced experts from multiple disciplines

to offer the most complete and fully integrated care in

the region.

mitral Valve proceduresCalendar Year 2010

91.4%

8.6%Replacement

Repair

mortality Rates Mitral Valve Replacement/Repair

4

0%

2

BryanLGH Heart Institute

National Average 5.4%

51 3

CarDiaC SurGery

Surgery Program advances:

• Cox Maze III

• Aortic root repair

• Cord sparing

• Minimally invasive approach

• Appendage over-sew

• All-arterial grafts

• Echo-certified anesthesiologists

62.5%

37.5%Open Surgery

Minimally Invasive

bryanlgh.org/BHI

Heart Valve Center of Excellence

Ca

rD

iaC

Su

rG

er

y

Page 14: BryanLGH Heart Institute Annual Report 2011

Speed

Dale Hansen, MD

Page 15: BryanLGH Heart Institute Annual Report 2011

bryanlgh.org/BHI

“�I�was�flown�to�BryanLGH�from�the�Broken�

Bow�hospital.�I�was�rushed�to�the�cath�lab�

for�a�stent�and�was�back�in�my�room�—�all�

before�my�son�arrived.”

–�Broken�Bow�patient��Anna�Marie�Robison

1 2 3

Average Length of Stayfor Angioplasty/Stent Procedure

2 days

BHI

National

1 day

CMS ORYX Time ComplianceDoor-to-Balloon Time Measured (Less than 90 Minutes)

25 50 75 100

100%

89%

BHI

National

Appropriate Care Measures Completion of all AMT Indicators

25 50 75 100

100%95.2%

BHI

National

.5 1 1.5

Risk-Adjusted Mortality Ratefor Angioplasty/Stent Procedure

1.4%

BHI

National

1.26%

BryanLGH Heart Institute

National AverageKey

2,948 Heart Caths Performed 783 Angioplasty/Stent Procedures in 2010

interventional CarDioloGy

Once an artery is occluded, time is muscle. We have

gone to great lengths to assure our patients the fastest

door-to-balloon times.

int

er

ve

nt

ion

al

Page 16: BryanLGH Heart Institute Annual Report 2011

Robert Hibbard, MD

expertise

Page 17: BryanLGH Heart Institute Annual Report 2011

BryanLGH Heart Institute’s Vascular program, under the

direction of Robert Hibbard, MD, FACC, in the past year has

performed more than 1,000 peripheral angiograms, including

carotid stenting, thoracic and abdominal stent grafting and

treatment of peripheral limb salvage.

Program advances include:

• Thoracic stent grafting for trauma and dissection

• First endovascular repair of coarctation

• First endovascular repair using the new Endurant stent graft

• Aggressive limb salvage using a myriad of the latest technologies

– Directional athrectomy

– Cryoplasty

– Laser athrectomy

– Rotational athrectomy

• Continued enrollment into research trials for iliac, SFA, AAA

• Began endovenous programs to treat venous ulcers, varicosities

and venous insufficiency, using venous ablation

with radio frequency

• Endovenous treatment of acute and chronic DVT

bryanlgh.org/BHI

Interventional�cardiologist�Robert�Hibbard,�

MD,�FACC,�the�number�one�enroller�in��

the�Sapphire�Worldwide�Carotid�Stent�Trial,�

presented�at�the�American�College�of�

Cardiology�National�Conference�in�

New�Orleans�this�April.

interventional CarDioloGy

The new Endurant graft offers more

options to address the complex

anatomy of an aneurysm.

int

er

ve

nt

ion

al

Page 18: BryanLGH Heart Institute Annual Report 2011

innovationleft to right

Andrew Merliss, MD

W. Michael Kutayli, MD

Page 19: BryanLGH Heart Institute Annual Report 2011

Dr. Andrew Merliss of BHI performed the first balloon

cryoablation in Nebraska at BryanLGH Medical Center

in February, 2011.

ablation procedures

• Ablations of the following tachycardia

– AV node re-entrant tachycardia

– Atrial fibrillation

– Pulmonary vein isolation

– AV nodal ablation

• Accessory pathway tachycardia

• Atrial flutter

• Atrial tachycardia

• Ventricular tachycardia

other procedures

• 414 pacemaker devices were implanted

• 279 ICD procedures

• 1,027 EP procedures total in 2010

The�BryanLGH�Heart�Institute�Atrial�Fibrillation�

Center,�with�conventional,�advanced�and�experi-

mental�therapies,�provides�multidisciplinary,�

comprehensive�treatment�of�atrial�fibrillation�—�

the�most�common�heart�rhythm�disturbance.

bryanlgh.org/BHI

This innovative new procedure, which was just

approved by the FDA in December 2010, shows promise

as it is lower-risk and results in less procedure time

than radiofrequency ablation. (Nationwide, the

procedure is experiencing an 80-85% success rate.)

The advance with this new procedure is the ability

to treat the offending problem in a circumferential

manner without gaps in coverage. Balloon cryoabla-

tion entails inserting a catheter into the left atrium

of the heart and then sending -112 degrees Fahrenheit

coolant through a tiny balloon which has been inflated

after being introduced into the catheter.

BryanLGH was also the first in the region to utilize

state-of-the-art Stereotaxis magnetic navigation

and 3D mapping technology to assist in cardiac

ablation procedures.

eleCtrophySioloGy (ep)

el

eC

tr

op

hy

Sio

lo

Gy

(ep

)

Page 20: BryanLGH Heart Institute Annual Report 2011

outreach

Page 21: BryanLGH Heart Institute Annual Report 2011

bryanlgh.org/BHI

HeaRtawaRe pRogRam

BryanLGH�nurses�are�making�a�difference�

through�our�online�HeartAware�screening,�

with�94�percent�of�at-risk�individuals�accepting�

the�offer�for�further�screening.�The�national�

conversion�average�is�78�percent.

BryanLGH Heart Institute is committed to putting patients first.

In keeping with this spirit, we periodically offer community

education programs and resources for the public to help people

better understand and prevent cardiovascular disease.

Our mobile screening van visits many communities as well as businesses. Our HeartAware survey is

accessible in person or online for patients to assess their risk for heart disease; follow-up interviews

and initial testing are provided free of charge for

those who are deemed at risk. Carotid artery

screenings are provided at local businesses and

our “Cooking with the Cardiologists” is a fun and

engaging way to help people learn to prepare

healthy meals. In addition, those in the community

may register online for a number of lectures and

classes on nutrition, weight management, stress

management and other relevant topics.

patient eDuCation

BryanLGH Heart Institute cardiologists Ryan

Whitney, MD and Scott Coatsworth, MD join

HyVee dietician Becky Guittar, RD for the growing

“Cooking with the Cardiologists” series.

pa

tie

nt

eD

uC

at

ion

Page 22: BryanLGH Heart Institute Annual Report 2011

leadership

Page 23: BryanLGH Heart Institute Annual Report 2011

bryanlgh.org/BHI

BryanLGH Heart Institute is recognized as a leader in cardiovascular

services. As a leader in this area, our key initiatives are to provide the

highest quality and leading-edge services as well as to offer educational

opportunities for our colleagues.

educational opportunities

We host several conferences for physicians, nurses

and allied health professionals throughout the year.

Many of these conferences offer CMEs and CEUs.

Spring and fall cardiology conferences are held for

physicians and a fall cardiology conference is held

for nurses. Online information and registration is

provided on our website.

Our website provides in-depth information about

the services and programs offered by the BryanLGH

Heart Institute. Go to www.bryanlgh.org/BHI to

access information about ongoing services as well

as new advances and technologies.

Our surgeons and cardiologists continue to take

on additional training and mentoring roles for

colleagues from across the country who travel

to BryanLGH for education.

Clinics and services:

• Arrhythmia Program

• Cardiac Rehabilitation

• Chest Pain Clinic

• Electrophysiology

• Heart Failure

• Heart Improvement Program (BHIP)

• Heart Valve Center of Excellence

• Lipid and Prevention Clinic

• Women’s Heart Program

advances in Care:

• Aquapheresis

• Balloon Cryoablation

• CRRT (Continuous Renal Replacement Therapy)

• Definity Contrast Imaging

• ECMO (Extracorporeal Membrane Oxygenation)

• Hyperhidrosis Treatment

• Hypothermia Core Body Cooling

• Impella (Ventricular Assist Device)

• Maze Procedure

• Minimally Invasive Valve Surgery

profeSSional eDuCation

BryanLGH�Heart�Institute�cardiologist�Joseph�

Kummer,�MD,�at�a�follow-up�visit�with�patient�Joy�

McCage.�Gage�County’s�protocol�for�heart�attack�

victims,�combined�with�12-lead�EKG�technology�on�

board�the�Beatrice�Fire�&�Rescue�ambulance,�allowed�

Dr.�Kummer�to�coordinate�immediate�transport�to�

the�BryanLGH�East�heart�catheterization�lab�—��

a�45-minute�savings�that�saved�Mr.�McCage’s�life.

pr

of

eS

Sio

na

l e

Du

Ca

tio

n

Page 24: BryanLGH Heart Institute Annual Report 2011

THe PHysIcIans of BryanlGh heart institute

Mathue Baker, MD

[email protected]

Dr. Baker graduated from the

University of Nebraska Medical

Center College of Medicine,

Omaha, where he also completed

an internal medicine residency

and cardiology fellowship.

His education also includes a

fellowship through the Sarnoff

Endowment for Cardiovascular

Science at New York Medical

College, Valhalla.

Scott Coatsworth, MD, FACC

[email protected]

A native of Lincoln, Nebraska,

Dr. Coatsworth attended the

University of Nebraska–Lincoln

and went on to the University of

Nebraska College of Medicine,

where he received his medical

degree with high distinction. He

then attended the University of

Iowa for both his residency in

internal medicine and a fellowship

in cardiology, where he served as

Chief Fellow in Cardiology.

Dr. Coatsworth is certified by

the American Board of Internal

Medicine and the American Board

of Internal Medicine Subspecialty

Board of Cardiovascular Diseases.

He has achieved fellowship status

with the American College of

Cardiology, Society for Cardiac

Angiography and Interventions

and the American Heart

Association Clinical Council.

Timothy Gardner, MD, FACC

[email protected]

Dr. Gardner pursued his

undergraduate education at

Portland State University. He

attended Baylor College of

Medicine in Houston, Texas,

and graduated with honors. Dr.

Gardner completed internal

medicine residency and a

cardiovascular fellowship

including interventional

cardiology at the Johns Hopkins

Hospital in Baltimore, Maryland

in 1996.

Dr. Gardner is board certified

in Cardiovascular Diseases and

Interventional Cardiology. He is

a fellow in the American College

of Cardiology and has been

recognized several times as one

of America’s Best Cardiologists

by the Consumer’s Research

Council of America. His special

interests are in coronary and

peripheral interventions and

pacemaker implantations.

Dale A. Hansen, MD, FACC

[email protected]

A native of Hartington, Nebraska,

Dr. Hansen attended the

University of Nebraska–Lincoln,

where he graduated with

distinction and was a member of

Phi Beta Kappa. He went on to the

University of Nebraska College

of Medicine in Omaha, where he

received his medical degree and

was a member of ACA. Dr. Hansen

served his residency in internal

medicine and a fellowship in

cardiology at the University of

Nebraska Medical Center. He

also completed a fellowship in

cardiology at Creighton University

Affiliated Hospital in Omaha.

Dr. Hansen is certified by the

American Board of Internal

Medicine and the American Board

of Internal Medicine Subspecialty

Board of Cardiovascular Diseases.

He has achieved fellowship

status in the American College

of Cardiology and the American

College of Chest Pain.

bryanlgh.org/BHI

Page 25: BryanLGH Heart Institute Annual Report 2011

Robert N. Hibbard, MD, FACC

[email protected]

Dr. Hibbard completed his

undergraduate studies at the

University of Wyoming and

then attended the Creighton

University School of Medicine in

Omaha, Nebraska. He completed

his internship, residency in

internal medicine and fellowship

in cardiology at the Creighton

University School of Medicine.

Dr. Hibbard is certified by the

American Board of Internal

Medicine and the American Board

of Internal Medicine Subspecialty

Boards of Cardiovascular Diseases

and Interventional Cardiology. He

is a fellow of the American College

of Medicine, American College

of Cardiology, American

College of Chest Physicians and

the American Society of

Angiography/Intervention.

Steven Krueger, MD, FACC

[email protected]

A native of Kearney, Nebraska,

Dr. Krueger attended Nebraska

Wesleyan University in Lincoln

where he earned his B.S. in Biology.

He received his medical degree

from the University of Nebraska

College of Medicine in Omaha.

He completed his internship and

residency at Stanford University

Medical Center in Palo Alto,

California. Dr. Krueger served

fellowships at the University

of Utah in Salt Lake City in

cardiology, electrophysiology

and congestive heart failure.

Dr. Krueger manages the care of

over 800 patients in the Heart

Improvement Program and has

served as principle investigator

on over 75 clinical research trials.

He is certified by the American

Board of Internal Medicine and

the American Board of Internal

Medicine Subspecialty Board of

Cardiovascular Diseases. He also

has achieved fellowship status

in the American College of

Physicians and the American

College of Cardiology.

Joseph L. Kummer, MD, FACC

[email protected]

A native of Omaha, Nebraska,

Dr. Kummer attended Saint Louis

University, where he received

two undergraduate degrees and

completed pre-medical studies

in 1996. He then attended the

University of Nebraska College

of Medicine in Omaha where he

earned his medical degree in 2000.

He completed his internship and

residency in Internal Medicine

at Northwestern University in

Chicago. He went on to complete

his fellowship in cardiology and

cardiovascular disease at Henry

Ford Hospital in Detroit, Michigan.

W. Michael Kutayli, MD

[email protected]

Dr. Kutayli graduated from the

Sanford School of Medicine

at the University of South

Dakota, Vermillion. He then

completed an internal medicine

residency and cardiology

fellowship at University Medical

Center in Omaha and cardiac

electrophysiology studies at

University Hospitals Case Medical

Center in Cleveland, Ohio.

Page 26: BryanLGH Heart Institute Annual Report 2011

THe PHysIcIans of BryanlGh heart institute

Clyde Meckel, MD, FACC

[email protected]

A native of Burwell, Nebraska, Dr.

Meckel attended the University

of Nebraska–Lincoln, where he

graduated with high distinction.

He then went on to the University

of Nebraska College of Medicine

where he received his medical

degree and graduated with

high distinction. He served

his internship at Brigham and

Women’s Hospital and Harvard

Medical School in Boston,

Massachusetts. He also completed

his residency in internal medicine

and his fellowship in cardiology at

Brigham and Women’s Hospital.

Dr. Meckel is board certified by

the American Board of Internal

Medicine and the American Board

of Internal Medicine Subspecialty

Board of Cardiovascular Disease

and Interventional Cardiology.

He is a fellow of the American

College of Cardiology, a member

of The Society for Cardiac

Angiography and Interventions

and a member of the American

Society of Nuclear Cardiology.

Andrew Merliss, MD, FACC

[email protected]

Dr. Merliss attended Colgate

University for his undergraduate

studies. He then attended the

George Washington University

School of Medicine, where he

also completed his internship.

From there, he completed his

residency at Harvard Medical

School and went on to serve his

cardiology fellowship at Boston

University Hospital. He completed

his fellowship in cardiac

electrophysiology at Harvard

Medical School, where he taught

for five years.

Dr. Merliss is certified by the

American Board of Internal

Medicine and the American Board

of Internal Medicine Subspecialty

Board of Cardiovascular Diseases,

as well as the Subspecialty Board

of Cardiac Electrophysiology. He is

a fellow of the American College of

Cardiology and is a member of the

North American Society for Pacing

and Electrophysiology and Project

Pacemaker International.

Keith Miller, MD, PhD, FACC

[email protected]

A native of Omaha, Nebraska, Dr.

Miller attended Cornell University

in Ithaca, New York where he

completed his undergraduate

studies. He went on to earn his

medical degree and his PhD

in molecular biology from the

University of Nebraska College of

Medicine in Omaha. He completed

his residency in internal medicine

at the University of Iowa Hospitals

and Clinics in Iowa City and his

cardiology fellowship at the

University of Chicago Hospitals.

Dr. Miller is certified by the

American Board of Internal

Medicine, the National Board

of Echocardiography and

the Certification Board of

Nuclear Cardiology.

Robert Oakes, MD

[email protected]

Dr. Oakes graduated from

Harvard Medical School, Boston,

in 2002 and completed a general

surgery residency, then a clinical

fellowship in cardiothoracic

surgery and a research fellowship

in cardiovascular surgery at

Stanford University Medical

Center, Palo Alto, California. He

then fulfilled cardiothoracic

surgery and cardiac surgery

residency studies at Brigham

and Women’s Hospital/Harvard

Medical School, Boston, Mass.

Dr. Oakes is certified by the

American Board of Surgery.

bryanlgh.org/BHI

Page 27: BryanLGH Heart Institute Annual Report 2011

Edward Raines, MD, FACS, JD

[email protected]

Dr. Raines attended the University

of Nebraska College of Law and

received his medical degree from

the University of Nebraska College

of Medicine. He then attended

the University of Utah Affiliated

Hospitals in Salt Lake City for

his general surgery residency,

serving as Chief Resident, as well

as completing his fellowship in

cardiothoracic surgery.

Dr. Raines specializes in minimally

invasive cardiac surgery, robotic

thoracic surgery, and mitral

valve repair. He is among fewer

than 10 surgeons in the country

successfully performing the Ross

heart valve replacement surgery.

Additionally, Dr. Raines has

been the principle investigator

of several national research

studies in cardiac surgery and

artificial hearts. Dr. Raines is

board certified by the American

Board of Surgeons and American

Board of Thoracic Surgery;

he is also a member of the

Cardiothoracic Surgery Network,

the International Society for

Minimally Invasive Cardiothoracic

Surgery and the Society of

Thoracic Surgeons.

Nadarajah Srikumar, MD

[email protected]

Dr. Srikumar graduated from the

University of Colombo, Sri Lanka,

and Harvard Medical School,

Boston, Mass. He completed an

internal medicine residency at

Woodhull Medical Center, NY;

research fellowships in cardiology

at Western Pennsylvania Hospital,

Pittsburgh, and hypertension at

Brigham and Women’s Hospital,

Boston, Mass.; a cardiology

fellowship at University of

Texas Southwestern Medical

Center, Dallas.

Todd Tessendorf, MD, FACC

[email protected]

A native of Columbus,

Nebraska, Dr. Tessendorf

received his undergraduate

degree from Nebraska

Wesleyan and his medical

degree from the University of

Nebraska College of Medicine.

He completed his internship

and residency at University of

Nebraska Medical Center and

a cardiology fellowship at the

University of Missouri-Kansas

City. Dr. Tessendorf has a focus in

coronary catheterization, nuclear

cardiology, and echocardiography.

Dr. Tessendorf is certified by

the American Board of Internal

Medicine Subspecialty Board of

Cardiovascular Diseases.

Ryan Whitney, MD, FACC

[email protected]

A native of Omaha, Nebraska,

Dr. Whitney attended the

University of Nebraska–Lincoln

for his undergraduate studies

and went on to the University

of Nebraska College of Medicine

in Omaha where he received his

medical degree. He completed his

residency in internal medicine at

the University of Iowa Hospitals

and Clinics in Iowa City. He

returned to Omaha to serve his

fellowships in cardiology and

interventional cardiology at

the University of Nebraska

Medical Center.

Dr. Whitney is certified by the

American Board of Internal

Medicine Subspecialty Boards

of Cardiovascular Diseases and

Interventional Cardiology.

Page 28: BryanLGH Heart Institute Annual Report 2011

BryanLGH Heart Institute 1600 South 48th St. Lincoln, NE 68506

(402) 483-3333 or toll-free (866) 895-5611

bryanlgh.org/BHI

Albion

Alma

Auburn

Aurora

Beatrice

Belleville, KS

Broken Bow

Cambridge

Clarinda, IA

Columbus

Crete

Fairbury

Fairfax, MO

Geneva

Hebron

Holdrege

Lincoln

Lexington

Marysville, KS

McCook

Nebraska City

Ord

Osceola

Pawnee City

Red Cloud

Seward

St. Paul

Superior

Syracuse

Tecumseh

Valentine

Wahoo

York

We provide advanced services to more than 30 communities.