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Aortic Valve Implantation Model of Care

The Aortic Valve Implantation (AVI) Model of Care Initiative is a disease-based care model that aims at ensuring timely and equitable access to appropriate and efficient treatment for persons with Aortic Stenosis through patient informed choice, patient referral and triage, efficiency improvements, and outcome measurement. The model aims at shifting towards minimally invasive and less hospital resource intensive care for Aortic Stenosis.

From March to July 2020, the AVI Initiative was paused due to COVID-19 priorities at CorHealth and the larger provincial health system. Following that pause, CorHealth has resumed work with all 11 advanced cardiac centres and hosted an AVI Forum on September 28, 2020. Most notably, CorHealth has also developed a Patient Decision Aid framework with Patient and Family Advisors and other stakeholders, to inform the development of resources and tools to ensure patients and caregivers are informed and empowered to participate fully in their care decisions.

In the coming months, CorHealth will work with the AVI Forum members to finalize its AVI performance and outcome measurement framework and begin data collection and reporting on AVI metrics with the programs. CorHealth will also work closely with the Ministry of Health and Ontario Health on funding approvals for intermediate and low risk Transcatheter Aortic Valve Implantation (TAVI). Additionally, CorHealth recognizes the importance for imbedding change management within this initiative to support stakeholders as the work progresses.