{"id":9074,"date":"2025-10-27T21:33:14","date_gmt":"2025-10-27T18:33:14","guid":{"rendered":"https:\/\/jordan-cardiac.org\/?p=9074"},"modified":"2025-10-27T21:33:14","modified_gmt":"2025-10-27T18:33:14","slug":"center-of-excellence-in-heart-failure-simplified-summary-task-force-edition","status":"publish","type":"post","link":"https:\/\/jordan-cardiac.org\/en\/center-of-excellence-in-heart-failure-simplified-summary-task-force-edition\/","title":{"rendered":"Center of Excellence in Heart Failure \u2013 Simplified Summary (Task Force Edition)"},"content":{"rendered":"
Center of Excellence in Heart Failure \u2013 Simplified Summary (Task Force Edition)<\/div>\n
<\/div>\n
Source: Prof. Nazih N. Kadri, MD FACC FHRS \u2013 Heart Failure & Electrophysiology Task Force, Jordan Cardiac Society (JCS)<\/div>\n
<\/div>\n
Keynotes:<\/div>\n
1.\u2060 \u2060Vision and Mission<\/div>\n
\u2022 Goal: Unify Heart Failure (HF) and Electrophysiology (EP) care for Jordan and the region.<\/span><\/div>\n
\u2022 Focus: Turn global evidence into a locally adapted, unified system that ensures equal access and consistent quality of care.<\/span><\/div>\n
<\/div>\n
2.\u2060 \u2060Rationale<\/div>\n
\u2022 Traditional reliance on foreign guidelines often missed local realities.<\/span><\/div>\n
\u2022 The new Center of Excellence (CoE) adapts these standards into Jordan\u2019s clinical context, balancing global rigor with local relevance.<\/span><\/div>\n
<\/div>\n
3.\u2060 \u2060Seven Pillars of Excellence<\/div>\n
1. Unified Clinical Standards: Common diagnostic and treatment pathways across hospitals.<\/span><\/div>\n
2. Integration of EP in HF: Combine rhythm management and device therapy (CRT\/ICD) into HF care.<\/span><\/div>\n
3. Training & Capacity Building: Continuous education and expansion of HF units nationwide.<\/span><\/div>\n
4. Research & Registry: Creation of a national HF registry including rhythm and device data.<\/span><\/div>\n
5. Technology & Innovation: Practical digital tools (e.g., ECG optimization, remote follow-up) without extra costs.<\/span><\/div>\n
6. Quality & Accreditation: Regular audits and alignment with ESC\/AHA benchmarks and JCI standards(Concerned with generating research, not granting certifications).<\/span><\/div>\n
7. Regional Collaboration: Strengthen Jordan\u2019s role as a regional hub for integrated HF and EP care.<\/span><\/div>\n
<\/div>\n
4.\u2060 \u2060Multidisciplinary Team (MDT)<\/div>\n
\u2022 Core Members:<\/span><\/div>\n
\u2022 Heart Failure cardiologist<\/span><\/div>\n
\u2022 Cardiac surgeon (LVAD\/MCS input)<\/span><\/div>\n
\u2022 Electrophysiologist (ICD\/CRT management)<\/span><\/div>\n
\u2022 Imaging specialist (Echo\/MRI\/CT)<\/span><\/div>\n
\u2022 Pharmacist (medication optimization)<\/span><\/div>\n
\u2022 Primary care link and ancillary staff<\/span><\/div>\n
\u2022 Model: Weekly MDT meetings + shared EMR notes + decision algorithms based on guidelines (Figures 17\u201322).<\/span><\/div>\n
<\/div>\n
5.\u2060 \u2060Guideline-Structured Functions<\/div>\n
1. Diagnosis & Risk Stratification: Echo, MRI, biomarkers (NT-proBNP), functional tests (NYHA, 6MWT, CPET).<\/span><\/div>\n
2. Pharmacologic Optimization: Full GDMT (ARNI, \u03b2-blocker, MRA, SGLT2i) with protocolized titration.<\/span><\/div>\n
3. Device Therapy: MDT-based ICD\/CRT decisions and conduction system pacing.<\/span><\/div>\n
4. Advanced Therapies: LVAD, ECMO, heart transplant (ISHLT criteria).<\/span><\/div>\n
5. Comorbidities: Diabetes, CKD, COPD, iron deficiency (IV iron per ESC 2021).<\/span><\/div>\n
6. Palliative Care: Early symptom control and advance planning (KCCQ tracking).<\/span><\/div>\n
7. Follow-Up & Telemonitoring: Early post-discharge visits (7\u201314 days) and remote monitoring (Class IIa ESC 2021).<\/span><\/div>\n
Remote monitoring (tele-monitoring: automatic electronic transfer of patient data \u2014 such as weight, blood pressure, symptoms \u2014 or device data \u2014 such as heart rhythm and ICD\/CRT function \u2014 from home to the medical team for early detectio<\/div>\n
<\/div>\n
8. Quality Metrics: GDMT adherence and readmission rates as key benchmarks.<\/span><\/div>\n
<\/div>\n
6.\u2060 \u2060Workflow and Data Integration<\/div>\n
\u2022 Weekly MDT rounds for complex cases and advanced therapies.<\/span><\/div>\n
\u2022 Shared EMR visibility ensures real-time team coordination.<\/span><\/div>\n
\u2022 Decision algorithms align with ESC and AHA HF guidelines \u2014 GDMT \u2192 devices \u2192 advanced options.<\/span><\/div>\n
<\/div>\n
7.\u2060 \u2060Core Message<\/div>\n
<\/div>\n
The Center of Excellence is not a building \u2014 it\u2019s a system of people, data, and protocols working together to improve outcomes for heart failure patients in Jordan and beyond<\/div>\n
<\/div>\n
Additional Comments, Source: insights and comments received by the JCS Task Force during and after the conference discussions (outside Dr. Nazih\u2019s presentation):<\/div>\n
<\/div>\n
\u2022 ACC \u2192 CoE \/ ICOE: institutional accreditation for full hospitals \u2014 system-based, data-driven, and outcome-focused. The International Centers of Excellence (ICOE) model was introduced outside the USA in 2024, with Cleveland Clinic Abu Dhabi being the first and currently only accredited center in the region.<\/span><\/div>\n
\u2022 AHA \u2192 Certified Units: pathway-based recognition for specific clinical units (e.g., Chest Pain, HF, Stroke) built around guideline adherence rather than full hospital systems. In Jordan, two hospitals currently hold AHA-certified Chest Pain Units, reflecting strong compliance with international protocols.<\/span><\/div>\n
\u2022 ESC \u2192 Certification Programme: an equivalent European model granting accredited centers (HF, EP, Imaging, Cath Labs) that emphasize clinical quality, education, and professional training, rather than institutional infrastructure or system-wide data integration.\u00a0<\/span><\/div>\n
<\/div>\n
Another Note (outside the main article):<\/div>\n
CRI (Cardiovascular Research Institute):<\/div>\n
A scientific research body that conducts, coordinates, and publishes cardiovascular studies \u2014 often in collaboration with universities, hospitals, or national cardiac societies.<\/div>\n
It is usually commissioned or funded by academic institutions, health authorities, or industry partners to generate clinical evidence and advance cardiovascular research.<\/div>\n
(It produces and publishes research, not accreditations.)<\/div>\n","protected":false},"excerpt":{"rendered":"

Center of Excellence in Heart Failure \u2013 Simplified Summary (Task Force Edition) Source: Prof. Nazih N. Kadri, MD FACC FHRS \u2013 Heart Failure & Electrophysiology Task Force, Jordan Cardiac Society (JCS) Keynotes: 1.\u2060 \u2060Vision and Mission \u2022 Goal: Unify Heart Failure (HF) and Electrophysiology (EP) care for Jordan and the region. \u2022 Focus: Turn global […]<\/p>\n","protected":false},"author":145,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-9074","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/9074","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/users\/145"}],"replies":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/comments?post=9074"}],"version-history":[{"count":1,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/9074\/revisions"}],"predecessor-version":[{"id":9075,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/9074\/revisions\/9075"}],"wp:attachment":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/media?parent=9074"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/categories?post=9074"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/tags?post=9074"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}