{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T06:17:25Z","timestamp":1788329845056,"version":"build-2803163510"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"17","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:sec xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">Implementation of guideline\u2010supported Multidisciplinary Heart Teams (MHT) for the management of complex cardiovascular disease has not been described in a public safety\u2010net hospital setting. In May 2023, an MHT was established at Los Angeles General Medical Center to deliver comprehensive cardiovascular care to an underserved population in a resource\u2010constrained setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p xml:lang=\"en\">We conducted a retrospective review of all cases discussed by a comprehensive MHT at Los Angeles General Medical Center from May 24, 2023 through January 21, 2026. The MHT convenes weekly in a hybrid format, using a privacy\u2010compliant centralized platform for longitudinal care coordination. Referral pathways extend to affiliated safety\u2010net clinics and hospitals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">During the study period, the MHT discussed 494 patients, including 369 (74.7%) with any valvular disease, 78 (15.8%) with complex coronary disease, 29 (5.9%) with congenital heart disease, and 33 (6.7%) with endocarditis. The patient cohort reflected a high prevalence of health care disparities, with 93.9% reporting a race or ethnicity other than non\u2010Hispanic White, a high proportion with publicly funded (69.0% Medicaid) or uninsured (3.6%) status, and frequent substance use disorders (28.1%). The MHT generated consensus recommendations including cardiac surgery (99 [20.0%]), transcatheter intervention (122 [24.7%]), complex percutaneous coronary intervention (30 [6.1%]), and medical management (149 [30.2%]). In\u2010hospital mortality was low among patients who underwent surgical or percutaneous procedure (9 [3.6%]). Programmatic growth included development of a transcatheter valve repair program and increased complexity of cardiac surgical case volume.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">Establishment of an MHT in a resource\u2010constrained public safety\u2010net hospital was feasible and sustainable. Our model may serve as a blueprint to deliver guideline\u2010concordant cardiovascular therapies to underserved populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.126.051826","type":"journal-article","created":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T11:17:25Z","timestamp":1787829445000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Multidisciplinary Heart Team Model to Deliver Advanced Cardiovascular Care in a Public Safety\u2010Net Hospital"],"prefix":"10.1161","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8334-4199","authenticated-orcid":false,"given":"Emily K.","family":"Zern","sequence":"first","affiliation":[{"name":"Los Angeles General Medical Center","place":["Los Angeles, USA"]},{"name":"Keck School of Medicine of the University of Southern California","place":["Los Angeles, 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