2 0 1 1 annual report
Patients First.
Our commitment to quality outcomes We’re pleased to present our 2011 Annual Report. We look forward to discussing these results with you, answering your questions about our continued growth and hearing how we can further improve both the patient experience and our service to you and your practice. In the meantime, we encourage you to refer to your preferred quality and safety rating organization to learn about the exceptional care being provided at BryanLGH Heart Institute. As your locally owned and governed provider of heart care, we value our partnership — one that ensures quality care for our citizens and reinvests in future services for our state. Sincerely,
Clyde Meckel, MD
Edward Raines, MD, JD
Our thanks and best wishes to our partner, cardiovascular surgeon David Hughes, MD, who retires from BryanLGH Heart Institute in 2011. Dr. Hughes attended the Baylor College of Medicine and was a general surgery resident and later a thoracic surgery resident at the University of Michigan Hospitals in Ann Arbor. He completed a fellowship in cardiovascular surgical research at the Texas Heart Institute in Houston where he helped investigate the potential for nuclear-powered artificial hearts. Since finishing residency, Dr. Hughes has served as Chief of the Cardiac and Thoracic Surgery Division at Creighton University School of Medicine, as assistant clinical professor of surgery at the University of Nebraska College of Medicine and as Chief of Cardiothoracic Surgery at Clarkson Hospital in Omaha. Dr. Hughes specializes in valve surgery, coronary artery bypass graft surgery, aortic root surgery, and surgical treatment of lung cancer. He is board certified by the American Board of Surgery and the American Board of Thoracic Surgery.
pictured left to right
Scott Coatsworth, MD; W. Michael Kutayli, MD; Robert Hibbard, MD; Clyde Meckel, MD; Andrew Merliss, MD; Steven Krueger, MD; Ryan Whitney, MD; Joseph Kummer, MD; Keith Miller, MD; Dale Hansen, MD; Todd Tessendorf, MD; Timothy Gardner, MD; Nadarajah Srikumar, MD; David Hughes, MD; Edward Raines, MD
Growth
Clyde Meckel, MD
growth
“ The Impella device increases blood supply to the rest of the body during complex and emergent procedures, allowing the actual heart muscle to rest and recover,” said Timothy Gardner, MD, cardiologist, BryanLGH Heart Institute. “Our institution is one of the most experienced in the country with the Impella procedure and believes support with Impella has a positive impact on the patient’s survival.”
The BryanLGH Heart Institute continues to grow and expand. In addition to offering clinics in more than 30 communities across four states, we have added two cardiologists and are looking forward to both a new surgeon and yet another cardiologist joining us in 2011. We have expanded our services in Lincoln, offering
Here at home we have improved our surgical suites
more preventative and community- based services.
and monitoring capabilities—offering patients the
These include our firefighter heart disease
most state-of-the art equipment and technology
prevention program, mobile screening, HeartAware
available as well as comfortable surroundings to
early detection services offered online and on-site,
help ensure a comfortable recovery.
health screenings at local businesses and our special “Cooking with the Cardiologists” program. In addition, we provide educational symposiums for physicians in Nebraska and surrounding states.
In the following pages we introduce our new partners and provide a sampling of program advancements and developments.
More than 30 communities across four states are provided advanced services from BHI.
bryanlgh.org/BHI
2010 additions to our team.
W. Michael Kutayli, MD
2001 Doctor of Medicine University of South Dakota
1997 Bachelors, summa cum laude Case Western Reserve University
1990-1991
1991-1994
1999-2002
Internship
Internal Medicine Residency
Research Fellow, Hypertension
General Hospital Colombo
Woodhull Medical Center, NY
Brigham and Women’s Hospital
1991
1998-1999
Emergency Room Physician
Research Fellow, Cardiology
General Hospital Colombo
Western Pennsylvania Hospital
growth
Columbus expansion We have a new, full-service cardiology office in Columbus, NE. Nadarajah Srikumar, MD, his wife and three daughters have become part of the Columbus community. Columbus native Todd Tessendorf, MD, maintains his Friday appointment schedule in Columbus.
2004-2005
2008-2010
Chief Resident, Internal Medicine
Cardiac Electrophysiology
Creighton University Medical Center
University Hospitals Case Medical Center
2001-2004
2005-2008
Internal Medicine
Cardiology Fellowship
Creighton University Medical Center
Creighton University Medical Center
2002-2005 Cardiology Fellowship UT Southwestern Medical Center
2002 Master of Medicinal Science Harvard Medical School
Nadarajah Srikumar, MD bryanlgh.org/BHI
2011 additions to our team.
Robert Oakes, MD
2002 Doctor of Medicine Harvard Medical School
1998
2002-2004
Bachelor of Science
General Surgery Residency
University of Arizona
Stanford Department of Surgery Stanford University Medical Center
1996
2002-2003
Bachelor of Arts in Biology
Fellowship with Sarnoff Endowment
Hastings College
for Cardiovascular Science New York Medical College
growth
2004-2005
2006-2008
2010
Fellowship in Cardiovascular Surgery
Senior Resident in General Surgery
Chief Resident, Cardiac Surgery
Stanford Department of
Stanford Department of Surgery
Brigham and Woman’s Hospital
Cardiothoracic Surgery
Stanford University Medical Center
Harvard Medical School
Stanford University Medical Center
2005-2006
2008-2009
2009-2011
Research Fellowship in
Chief Resident in General Surgery
Cardiothoracic Surgery Residency
Cardiovascular Surgery
Stanford Department of Surgery
Brigham and Woman’s Hospital
Stanford Department of Surgery
Stanford University Medical Center
Harvard Medical School
Stanford University Medical Center
2005
2008-2011
Doctor of Medicine
Cardiology Fellowship
University of Nebraska
University of Nebraska Medical Center
2005-2008 Internal Medicine Residency University of Nebraska Medical Center
Mathue Baker, MD bryanlgh.org/BHI
Prevention
Steven Krueger, MD
Prevention
“ He saved my life. I had two coronary arteries that were blocked that Dr. Krueger found.” – Firefighter Dan Bare
When he learned that firefighters have a 300% greater risk of heart attack than the average person, BHI’s Dr. Steven Krueger developed a Lincoln firefighter prevention program…and the plan is to take it outstate. Three years ago, Dr. Krueger learned of Dr. Robert
dedicated staff. All information is evaluated using
Superko’s research on risk of heart disease in
a point-scale (developed by Dr. Krueger) to arrive
firefighters. Dr. Superko, one of Dr. Krueger’s
at a reasonable idea of risk. Once aware of the risk
professors during his internship and residency
factors, the team is very aggressive in modifying
at Stanford University Medical Center in Palo Alto,
those risk factors and intense in their communication
California, was principal investigator in the landmark
with the firefighters’ primary care physicians as well.
Federal Emergency Management Agency (FEMA)sponsored study of firefighters and heart disease.
While too early to have statistical evidence of the success, out of the nearly 100 Lincoln firefighters
Though he was intrigued by how he could help
who have taken advantage of this voluntary
the community through a program similar to Dr.
program, all but two individuals have shown at
Superko’s —which focuses on genes associated with
least some risk for heart attack.
coronary artery disease, the only existing program of its nature in the country —Dr. Krueger chose to
The program is close to being able to be expanded
implement a program focused on risk factors.
to local communities and then throughout the state. There is a great deal of interest from both firefighters
The first step of the program is for the firefighters
and primary care physicians as they learn that
to fill out the HeartAware survey. After completing
voluntary firefighters may be at even a higher risk
this initial step, the firefighters are taken through a
than their full-time counterparts.
one-on-one interview by a member of the program’s
bryanlgh.org/BHI
World class surgery left to right
Keith Miller, MD Ed Raines, MD Terry Bejot, MD
CNN selected BryanLGH cardiothoracic surgeon Edward Raines, MD, for its special health report The Last Heart Attack, airing summer 2011. Hosted by Sanjay Gupta, MD, the program includes segments with President Bill Clinton and Dr. Raines’ patient, Lincoln teacher, Tom Bare.
Cardiac Surgery
Cardiac Surgery
The BryanLGH Cardiac Surgery Program brings together a team of experienced experts from multiple disciplines to offer the most complete and fully integrated care in the region. Heart Valve Center of Excellence
Surgery Program advances:
Mortality Rates
• Cox Maze III
Mitral Valve Replacement/Repair BryanLGH Heart Institute
• Aortic root repair • Cord sparing
0%
National Average
5.4% 1
2
3
4
5
• Minimally invasive approach • Appendage over-sew • All-arterial grafts • Echo-certified anesthesiologists
Mitral Valve Procedures Calendar Year 2010
91.4%
Repair Replacement
Open Surgery Minimally Invasive
8.6%
37.5% 62.5%
bryanlgh.org/BHI
Speed
Dale Hansen, MD
“ I was flown to BryanLGH from the Broken Bow hospital. I was rushed to the cath lab for a stent and was back in my room — all before my son arrived.” – Broken Bow patient Anna Marie Robison
Interventional Cardiology
2,948 Heart Caths Performed
Average Length of Stay
Completion of all AMT Indicators
for Angioplasty/Stent Procedure
100% 95.2%
National
25
50
75
BHI
1 day 2 days
National
100
1
2
3
CMS ORYX Time Compliance
Risk-Adjusted Mortality Rate
Door-to-Balloon Time Measured (Less than 90 Minutes)
for Angioplasty/Stent Procedure
100% 89%
BHI National
25
Key
783 Angioplasty/Stent Procedures in 2010
Appropriate Care Measures
BHI
Interventional
Once an artery is occluded, time is muscle. We have gone to great lengths to assure our patients the fastest door-to-balloon times.
50
75
100
1.26% 1.4%
BHI National
.5
1
1.5
BryanLGH Heart Institute National Average
bryanlgh.org/BHI
Expertise
Robert Hibbard, MD
Interventional cardiologist Robert Hibbard, MD, FACC, the number one enroller in the Sapphire Worldwide Carotid Stent Trial, presented at the American College of Cardiology National Conference in New Orleans this April.
Interventional Cardiology
Program advances include: • Thoracic stent grafting for trauma and dissection • First endovascular repair of coarctation • First endovascular repair using the new Endurant stent graft • Aggressive limb salvage using a myriad of the latest technologies
– – – –
Directional athrectomy Cryoplasty Laser athrectomy Rotational athrectomy
• Continued enrollment into research trials for iliac, SFA, AAA • Began endovenous programs to treat venous ulcers, varicosities and venous insufficiency, using venous ablation with radio frequency • Endovenous treatment of acute and chronic DVT The new Endurant graft offers more options to address the complex anatomy of an aneurysm.
bryanlgh.org/BHI
Interventional
BryanLGH Heart Institute’s Vascular program, under the direction of Robert Hibbard, MD, FACC, in the past year has performed more than 1,000 peripheral angiograms, including carotid stenting, thoracic and abdominal stent grafting and treatment of peripheral limb salvage.
Innovation left to right
Andrew Merliss, MD W. Michael Kutayli, MD
The BryanLGH Heart Institute Atrial Fibrillation Center, with conventional, advanced and experimental therapies, provides multidisciplinary, comprehensive treatment of atrial fibrillation — the most common heart rhythm disturbance.
Electrophysiology (EP)
Dr. Andrew Merliss of BHI performed the first balloon cryoablation in Nebraska at BryanLGH Medical Center in February, 2011. Ablation Procedures
approved by the FDA in December 2010, shows promise
• Ablations of the following tachycardia
as it is lower-risk and results in less procedure time than radiofrequency ablation. (Nationwide, the procedure is experiencing an 80-85% success rate.)
– AV node re-entrant tachycardia – Atrial fibrillation – Pulmonary vein isolation
The advance with this new procedure is the ability to treat the offending problem in a circumferential manner without gaps in coverage. Balloon cryoabla-
– AV nodal ablation • Accessory pathway tachycardia
tion entails inserting a catheter into the left atrium
• Atrial flutter
of the heart and then sending -112 degrees Fahrenheit
• Atrial tachycardia
coolant through a tiny balloon which has been inflated
• Ventricular tachycardia
after being introduced into the catheter. BryanLGH was also the first in the region to utilize
Other Procedures
state-of-the-art Stereotaxis magnetic navigation
• 414 pacemaker devices were implanted
and 3D mapping technology to assist in cardiac ablation procedures.
• 279 ICD procedures • 1,027 EP procedures total in 2010
bryanlgh.org/BHI
Electrophysiology (EP)
This innovative new procedure, which was just
Outreach
Heartaware program BryanLGH nurses are making a difference through our online HeartAware screening, with 94 percent of at-risk individuals accepting the offer for further screening. The national conversion average is 78 percent.
Patient education
BryanLGH Heart Institute is committed to putting patients first. In keeping with this spirit, we periodically offer community education programs and resources for the public to help people better understand and prevent cardiovascular disease.
Our mobile screening van visits many communities as well as businesses. Our HeartAware survey is accessible in person or online for patients to assess their risk for heart disease; follow-up interviews and initial testing are provided free of charge for those who are deemed at risk. Carotid artery screenings are provided at local businesses and our “Cooking with the Cardiologists” is a fun and engaging way to help people learn to prepare healthy meals. In addition, those in the community classes on nutrition, weight management, stress management and other relevant topics. BryanLGH Heart Institute cardiologists Ryan Whitney, MD and Scott Coatsworth, MD join HyVee dietician Becky Guittar, RD for the growing “Cooking with the Cardiologists” series.
bryanlgh.org/BHI
Patient education
may register online for a number of lectures and
Leadership
BryanLGH Heart Institute cardiologist Joseph Kummer, MD, at a follow-up visit with patient Joy McCage. Gage County’s protocol for heart attack victims, combined with 12-lead EKG technology on board the Beatrice Fire & Rescue ambulance, allowed Dr. Kummer to coordinate immediate transport to the BryanLGH East heart catheterization lab — a 45-minute savings that saved Mr. McCage’s life.
Professional education
BryanLGH Heart Institute is recognized as a leader in cardiovascular services. As a leader in this area, our key initiatives are to provide the highest quality and leading-edge services as well as to offer educational opportunities for our colleagues. Educational Opportunities
Clinics and Services:
Advances in Care:
We host several conferences for physicians, nurses
• Arrhythmia Program
• Aquapheresis
and allied health professionals throughout the year.
• Cardiac Rehabilitation
• Balloon Cryoablation
Many of these conferences offer CMEs and CEUs.
• Chest Pain Clinic
• CRRT (Continuous Renal Replacement Therapy)
Spring and fall cardiology conferences are held for physicians and a fall cardiology conference is held for nurses. Online information and registration is
• Electrophysiology • Heart Failure
provided on our website.
• Heart Improvement Program (BHIP)
Our website provides in-depth information about
• Heart Valve Center of Excellence
the services and programs offered by the BryanLGH Heart Institute. Go to www.bryanlgh.org/BHI to access information about ongoing services as well as new advances and technologies.
• Lipid and Prevention Clinic • Women’s Heart Program
• Definity Contrast Imaging • ECMO (Extracorporeal Membrane Oxygenation) • Hyperhidrosis Treatment • Hypothermia Core Body Cooling • Impella (Ventricular Assist Device) • Maze Procedure
on additional training and mentoring roles for
• Minimally Invasive Valve Surgery
colleagues from across the country who travel to BryanLGH for education.
bryanlgh.org/BHI
Professional education
Our surgeons and cardiologists continue to take
The Physicians of BryanLGH Heart Institute
Mathue Baker, MD
Scott Coatsworth, MD, FACC
Timothy Gardner, MD, FACC
Dale A. Hansen, MD, FACC
drbaker@bhi-1.com
drcoatsworth@bhi-1.com
drgardner@bhi-1.com
drhansen@bhi-1.com
Dr. Baker graduated from the
A native of Lincoln, Nebraska,
Dr. Gardner pursued his
A native of Hartington, Nebraska,
University of Nebraska Medical
Dr. Coatsworth attended the
undergraduate education at
Dr. Hansen attended the
Center College of Medicine,
University of Nebraska–Lincoln
Portland State University. He
University of Nebraska–Lincoln,
Omaha, where he also completed
and went on to the University of
attended Baylor College of
where he graduated with
an internal medicine residency
Nebraska College of Medicine,
Medicine in Houston, Texas,
distinction and was a member of
and cardiology fellowship.
where he received his medical
and graduated with honors. Dr.
Phi Beta Kappa. He went on to the
His education also includes a
degree with high distinction. He
Gardner completed internal
University of Nebraska College
fellowship through the Sarnoff
then attended the University of
medicine residency and a
of Medicine in Omaha, where he
Endowment for Cardiovascular
Iowa for both his residency in
cardiovascular fellowship
received his medical degree and
Science at New York Medical
internal medicine and a fellowship
including interventional
was a member of ACA. Dr. Hansen
College, Valhalla.
in cardiology, where he served as
cardiology at the Johns Hopkins
served his residency in internal
Chief Fellow in Cardiology.
Hospital in Baltimore, Maryland
medicine and a fellowship in
in 1996.
cardiology at the University of
Dr. Coatsworth is certified by
Nebraska Medical Center. He
the American Board of Internal
Dr. Gardner is board certified
also completed a fellowship in
Medicine and the American Board
in Cardiovascular Diseases and
cardiology at Creighton University
of Internal Medicine Subspecialty
Interventional Cardiology. He is
Affiliated Hospital in Omaha.
Board of Cardiovascular Diseases.
a fellow in the American College
He has achieved fellowship status
of Cardiology and has been
Dr. Hansen is certified by the
with the American College of
recognized several times as one
American Board of Internal
Cardiology, Society for Cardiac
of America’s Best Cardiologists
Medicine and the American Board
Angiography and Interventions
by the Consumer’s Research
of Internal Medicine Subspecialty
and the American Heart
Council of America. His special
Board of Cardiovascular Diseases.
Association Clinical Council.
interests are in coronary and
He has achieved fellowship
peripheral interventions and
status in the American College
pacemaker implantations.
of Cardiology and the American College of Chest Pain.
bryanlgh.org/BHI
Robert N. Hibbard, MD, FACC
Steven Krueger, MD, FACC
Joseph L. Kummer, MD, FACC
W. Michael Kutayli, MD
drhibbard@bhi-1.com
drkrueger@bhi-1.com
drkummer@bhi-1.com
drkutali@bhi-1.com
Dr. Hibbard completed his
A native of Kearney, Nebraska,
A native of Omaha, Nebraska,
Dr. Kutayli graduated from the
undergraduate studies at the
Dr. Krueger attended Nebraska
Dr. Kummer attended Saint Louis
Sanford School of Medicine
University of Wyoming and
Wesleyan University in Lincoln
University, where he received
at the University of South
then attended the Creighton
where he earned his B.S. in Biology.
two undergraduate degrees and
Dakota, Vermillion. He then
University School of Medicine in
He received his medical degree
completed pre-medical studies
completed an internal medicine
Omaha, Nebraska. He completed
from the University of Nebraska
in 1996. He then attended the
residency and cardiology
his internship, residency in
College of Medicine in Omaha.
University of Nebraska College
fellowship at University Medical
internal medicine and fellowship
He completed his internship and
of Medicine in Omaha where he
Center in Omaha and cardiac
in cardiology at the Creighton
residency at Stanford University
earned his medical degree in 2000.
electrophysiology studies at
University School of Medicine.
Medical Center in Palo Alto,
He completed his internship and
University Hospitals Case Medical
California. Dr. Krueger served
residency in Internal Medicine
Center in Cleveland, Ohio.
Dr. Hibbard is certified by the
fellowships at the University
at Northwestern University in
American Board of Internal
of Utah in Salt Lake City in
Chicago. He went on to complete
Medicine and the American Board
cardiology, electrophysiology
his fellowship in cardiology and
of Internal Medicine Subspecialty
and congestive heart failure.
cardiovascular disease at Henry
Boards of Cardiovascular Diseases
Ford Hospital in Detroit, Michigan.
and Interventional Cardiology. He
Dr. Krueger manages the care of
is a fellow of the American College
over 800 patients in the Heart
of Medicine, American College
Improvement Program and has
of Cardiology, American
served as principle investigator
College of Chest Physicians and
on over 75 clinical research trials.
the American Society of
He is certified by the American
Angiography/Intervention.
Board of Internal Medicine and the American Board of Internal Medicine Subspecialty Board of Cardiovascular Diseases. He also has achieved fellowship status in the American College of Physicians and the American College of Cardiology.
The Physicians of BryanLGH Heart Institute
Clyde Meckel, MD, FACC
Andrew Merliss, MD, FACC
Keith Miller, MD, PhD, FACC
Robert Oakes, MD
drmeckel@bhi-1.com
drmerliss@bhi-1.com
drmiller@bhi-1.com
robert.oakes@bryanlgh.org
A native of Burwell, Nebraska, Dr.
Dr. Merliss attended Colgate
A native of Omaha, Nebraska, Dr.
Dr. Oakes graduated from
Meckel attended the University
University for his undergraduate
Miller attended Cornell University
Harvard Medical School, Boston,
of Nebraska–Lincoln, where he
studies. He then attended the
in Ithaca, New York where he
in 2002 and completed a general
graduated with high distinction.
George Washington University
completed his undergraduate
surgery residency, then a clinical
He then went on to the University
School of Medicine, where he
studies. He went on to earn his
fellowship in cardiothoracic
of Nebraska College of Medicine
also completed his internship.
medical degree and his PhD
surgery and a research fellowship
where he received his medical
From there, he completed his
in molecular biology from the
in cardiovascular surgery at
degree and graduated with
residency at Harvard Medical
University of Nebraska College of
Stanford University Medical
high distinction. He served
School and went on to serve his
Medicine in Omaha. He completed
Center, Palo Alto, California. He
his internship at Brigham and
cardiology fellowship at Boston
his residency in internal medicine
then fulfilled cardiothoracic
Women’s Hospital and Harvard
University Hospital. He completed
at the University of Iowa Hospitals
surgery and cardiac surgery
Medical School in Boston,
his fellowship in cardiac
and Clinics in Iowa City and his
residency studies at Brigham
Massachusetts. He also completed
electrophysiology at Harvard
cardiology fellowship at the
and Women’s Hospital/Harvard
his residency in internal medicine
Medical School, where he taught
University of Chicago Hospitals.
Medical School, Boston, Mass.
and his fellowship in cardiology at
for five years. Dr. Miller is certified by the
Dr. Oakes is certified by the
Dr. Merliss is certified by the
American Board of Internal
American Board of Surgery.
Dr. Meckel is board certified by
American Board of Internal
Medicine, the National Board
the American Board of Internal
Medicine and the American Board
of Echocardiography and
Medicine and the American Board
of Internal Medicine Subspecialty
the Certification Board of
of Internal Medicine Subspecialty
Board of Cardiovascular Diseases,
Nuclear Cardiology.
Board of Cardiovascular Disease
as well as the Subspecialty Board
and Interventional Cardiology.
of Cardiac Electrophysiology. He is
He is a fellow of the American
a fellow of the American College of
College of Cardiology, a member
Cardiology and is a member of the
of The Society for Cardiac
North American Society for Pacing
Angiography and Interventions
and Electrophysiology and Project
and a member of the American
Pacemaker International.
Brigham and Women’s Hospital.
Society of Nuclear Cardiology.
bryanlgh.org/BHI
Edward Raines, MD, FACS, JD
Nadarajah Srikumar, MD
Todd Tessendorf, MD, FACC
Ryan Whitney, MD, FACC
edward.raines@bryanlgh.org
drsrikumar@bhi-1.com
drtessendorf@bhi-1.com
drwhitney@bhi-1.com
Dr. Raines attended the University
Dr. Srikumar graduated from the
A native of Columbus,
A native of Omaha, Nebraska,
of Nebraska College of Law and
University of Colombo, Sri Lanka,
Nebraska, Dr. Tessendorf
Dr. Whitney attended the
received his medical degree from
and Harvard Medical School,
received his undergraduate
University of Nebraska–Lincoln
the University of Nebraska College
Boston, Mass. He completed an
degree from Nebraska
for his undergraduate studies
of Medicine. He then attended
internal medicine residency at
Wesleyan and his medical
and went on to the University
the University of Utah Affiliated
Woodhull Medical Center, NY;
degree from the University of
of Nebraska College of Medicine
Hospitals in Salt Lake City for
research fellowships in cardiology
Nebraska College of Medicine.
in Omaha where he received his
his general surgery residency,
at Western Pennsylvania Hospital,
He completed his internship
medical degree. He completed his
serving as Chief Resident, as well
Pittsburgh, and hypertension at
and residency at University of
residency in internal medicine at
as completing his fellowship in
Brigham and Women’s Hospital,
Nebraska Medical Center and
the University of Iowa Hospitals
cardiothoracic surgery.
Boston, Mass.; a cardiology
a cardiology fellowship at the
and Clinics in Iowa City. He
fellowship at University of
University of Missouri‑Kansas
returned to Omaha to serve his
Dr. Raines specializes in minimally
Texas Southwestern Medical
City. Dr. Tessendorf has a focus in
fellowships in cardiology and
invasive cardiac surgery, robotic
Center, Dallas.
coronary catheterization, nuclear
interventional cardiology at
cardiology, and echocardiography.
the University of Nebraska
thoracic surgery, and mitral valve repair. He is among fewer
Medical Center.
than 10 surgeons in the country
Dr. Tessendorf is certified by
successfully performing the Ross
the American Board of Internal
Dr. Whitney is certified by the
heart valve replacement surgery.
Medicine Subspecialty Board of
American Board of Internal
Additionally, Dr. Raines has
Cardiovascular Diseases.
Medicine Subspecialty Boards
been the principle investigator
of Cardiovascular Diseases and
of several national research
Interventional Cardiology.
studies in cardiac surgery and artificial hearts. Dr. Raines is board certified by the American Board of Surgeons and American Board of Thoracic Surgery; he is also a member of the Cardiothoracic Surgery Network, the International Society for Minimally Invasive Cardiothoracic Surgery and the Society of Thoracic Surgeons.
We provide advanced services to more than 30 communities. Albion Alma Auburn Aurora Beatrice Belleville, KS Broken Bow
Cambridge Clarinda, IA Columbus Crete Fairbury Fairfax, MO Geneva
Hebron Holdrege Lincoln Lexington Marysville, KS McCook Nebraska City
Ord Osceola Pawnee City Red Cloud Seward St. Paul Superior
Syracuse Tecumseh Valentine Wahoo York
BryanLGH Heart Institute 1600 South 48th St. Lincoln, NE 68506 (402) 483-3333 or toll-free (866) 895-5611 bryanlgh.org/BHI