A successful valve program isn’t built in the cath lab alone — it’s built in the clinic, the workflow, and the team structure behind the scenes.

In this MurmurMD discussion, Dr. Andrei Pop and Caitlin O'Callaghan Reen, CNP, FACC walk through how they’ve structured and scaled a high-functioning valve clinic, covering everything from referrals and imaging to staffing models and follow-up.

The conversation breaks down what actually works in day-to-day practice, including:

• Why valve clinics must be process-driven, not physician-dependent

• How referral pathways determine procedural volume and case quality

• Organizing clinic flow around echo, CT, and multidisciplinary review

• The role of APPs, nurses, coordinators, and administrators

• Avoiding bottlenecks between clinic, imaging, and procedure scheduling

• Managing TAVR, TEER, and surgical referrals in a single ecosystem

• Pre-visit planning to reduce wasted clinic visits

• Post-procedure follow-up models that prevent patients from being lost

• How data tracking and communication improve outcomes and efficiency

• Common mistakes programs make when scaling too quickly

A practical guide for anyone building, optimizing, or expanding a structural heart valve clinic.

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Chapters:

00:00 – Why valve clinic structure matters

01:00 – Referral pathways and patient intake

02:00 – Clinic workflow and visit organization

03:00 – Imaging coordination: echo, CT, and review

04:00 – Multidisciplinary decision-making

05:00 – Staffing models and role definitions

06:00 – APPs and coordinators as the backbone of the clinic

07:00 – Scheduling procedures without bottlenecks

08:00 – Managing multiple valve therapies in one clinic

09:00 – Pre-visit planning to improve efficiency

10:00 – Post-procedure follow-up and continuity of care

11:00 – Tracking outcomes and operational metrics

12:00 – Common pitfalls when scaling a valve program

13:00 – Final lessons for sustainable growth

#StructuralHeart #ValveClinic #TAVR #TEER

#HeartTeam #HealthcareOperations #Cardiology

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