title: Developing a new hybrid revascularization program: a road map for hospital managers and physician leaders.
abstract: Hybrid coronary revascularization, which involves minimally invasive direct coronary artery bypass surgery using the left internal mammary artery to left anterior descending and percutaneous coronary intervention using drug-eluting stents for the remaining diseased coronary vessels, is an innovative approach to decrease the morbidity of conventional surgery. Little information is available to guide hospital managers and physician leaders in implementing a hybrid revascularization program. In this article, we describe the people-process-technology issues that managers and leaders are likely to encounter as they develop a hybrid revascularization program in their practice.
authors.affiliation: Guthrie Clinic, Sayre, Pennsylvania 18840, USA. harjai_kishore@guthrie.org
authors.forename: Kishore J
authors.initials: KJ
authors.lastname: Harjai
authors.forename: Sanjay
authors.initials: S
authors.lastname: Samy
authors.forename: Barbara
authors.initials: B
authors.lastname: Pennypacker
authors.forename: Bonnie
authors.initials: B
authors.lastname: Onofre
authors.forename: Pamela
authors.initials: P
authors.lastname: Stanfield
authors.forename: Lynne
authors.initials: L
authors.lastname: Yaeger
authors.forename: Dwight
authors.initials: D
authors.lastname: Stapleton
authors.forename: Barry C
authors.initials: BC
authors.lastname: Esrig
mesh_terms: D003299:Cooperative Behavior; D001026:Coronary Artery Bypass / Q000379:methods*; D003324:Coronary Artery Disease / Q000628:therapy*; D054855:Drug-Eluting Stents; D006801:Humans; D008323:Mammary Arteries / Q000637:transplantation; D009873:Operating Rooms / Q000458:organization & administration; D010348:Patient Care Team; D018579:Patient Selection; D062645:Percutaneous Coronary Intervention