Clinical Component

Navigating the Clinical Component

The clinical experience at Abrazo Medical Group reflects a high-acuity, high-volume environment driven by a rapidly growing and medically underserved population. Physicians in this group see a wide range of cardiac pathology, from routine outpatient management to complex inpatient cases generated by a Level 1 Trauma Center and Cardiac Receiving Center. The group operates across two settings: outpatient clinic and inpatient hospital coverage at Abrazo West Campus.

Practice Structure

The week alternates between clinic days and a dedicated hospital week. When in clinic, physicians also hold one reserved cath lab block per week for scheduled procedures. During hospital week, the physician focuses exclusively on inpatient rounding, consults, and procedures, with no clinic obligations.

Clinic Days Monday through Friday when not on hospital rotation
Clinic Start 7:00 or 8:00 AM depending on physician preference
Last Appointment Approximately 3:40 PM, out by 4:00 to 4:30 PM
Typical Clinic Volume 24 patients per day at steady state
Maximum Clinic Volume 40 or more per day for high-volume physicians
Hospital Week Full inpatient focus; no clinic obligations
Hospital Census 25 to 55 patients depending on time of year
Daily Consults Ranges from 13 to 26 or more on busy days
Cath Lab Block One dedicated block day per week per physician
STEMI Call Currently 1:3; moves to 1:4 with addition of fourth interventionalist

Procedures and Clinical Mix

Physicians in this group perform both interventional procedures and general cardiology work. The expectation is that the incoming physician will manage patients from first encounter through procedure and follow-up, rather than functioning purely as a proceduralist receiving referrals.

  • Percutaneous coronary intervention (PCI): approximately 100 to 150 per year, averaging 2 to 3 per week
  • STEMI response and acute coronary syndrome management
  • Peripheral vascular intervention
  • Diagnostic catheterization
  • Echocardiography interpretation
  • Nuclear stress testing
  • Vascular studies
  • General cardiology clinic management including new patients and follow-ups

Structural heart procedures are not currently performed at Abrazo West Campus. Structural cases are referred to Abrazo Arrowhead and Arizona Heart, both of which have established structural programs. Structural capabilities are planned for Abrazo West Campus as the program grows.

Cath Lab and Facility

  • Two dedicated interventional cath labs, both equipped with Philips imaging systems, updated within the past two years
  • One hybrid room with biplane Philips equipment, recently constructed
  • EP procedures performed by Dr. Cataldo on dedicated Fridays
  • Vascular procedures performed by Dr. Hancock on dedicated Thursdays
  • All remaining lab time available for interventional cardiology scheduling
  • Two CT scanners on-site, available 24 hours; a third scanner is being added

Inpatient Environment

Abrazo West Campus is the only Level 1 Trauma Center in the West Valley. The nearest competing trauma center is approximately 20 miles away. This positioning drives consistent high-acuity inpatient volume, particularly in the winter months when the regional population increases with seasonal visitors.

  • 20-bed ICU currently; expanding to 32 beds with surgical ICU addition completing in fall
  • Hospitalist and intensivist coverage provided through Med Cure
  • Cardiology physicians retain autonomy to visit their own patients during hospital weeks of colleagues
  • Patients are shared across the group with consistent communication between clinic and hospital physicians
  • Echo technicians on-site; echo quality improvement has been an active focus of the group

APP Support

The group is actively building dedicated APP support for each physician. One NP is currently shared across the group and is expected to be dedicated primarily to one of the existing interventionalists. Two additional NPs are being hired. APPs bill incident-to at the hospital, with RVUs attributed to the supervising physician.

Academic and Teaching Component

Participation in academic activities is voluntary but available.

  • Monthly cardiology leadership meeting with outpatient and hospital leadership ("coffee meeting")
  • Joint Commission structured monthly meeting focused on quality improvement
  • Grand rounds presentations available for interested physicians (once or twice per year)
  • ER residency and internal medicine residency programs rotate through the hospital; informal teaching interaction occurs naturally during hospital coverage
  • Cardiology fellows rotate through the system; lectures to fellows are available on a voluntary basis

Technology

  • AI scribe currently in use across the group; piloted by one of the existing interventionalists
  • On-site laboratory with same-day results; 99% of labs drawn and resulted in-house
  • Epic EMR

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