Heart Failure Beat: Season 2 Episode 5

Challenges Facing Delivery of Heart Failure Care in the Rural U.S.

Challenges Facing Delivery of Heart Failure Care in the Rural U.S.

Three expert clinicians (Dr. George Sokos, Dr. Gautam Nayak, and Katie Bates DNP, ARNP, CHFN) join Dr. Kevin Shah for a discussion on the challenges and changes occurring in the delivery of heart failure care in rural regions of the United States. Specifically, they discuss how their teams in both Washington and West Virginia have worked with the community and incorporated telehealth and remote monitoring to deliver HF care for patients. Follow them A new segment is introduced featuring an update on the HFSA Heart Failure Research Network with Dr. Chris O’Connor. 

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HostKevin S. Shah MD, Assistant Professor of Medicine at the University Of Utah Heart Failure & Transplant Cardiology @KevinShahMD


  • Katie Bates, DNP, ARNP, CHFN – Nurse Practitioner, Confluence Health, Wenatchee, Washington @katiebatesdnp

  • Gautam Nayak, MD, FACC – Invasive Cardiologist, Confluence Health, Wenatchee, Washington @GautamNayakMD

  • George Sokos, DO, FACC – Director of the Advanced Heart Failure Program at the WVU Heart and Vascular Institute  

  • HFSA Heart Failure Research Network Update Christopher M. O'Connor, MD, MACC, FESC, FHFSA, FHFSA – Chief Executive of the Inova Heart and Vascular Institute (IHVI) @coconnormd

Guest Bios

Katie Bates, DNP, ARNP, CHFN is a nurse practitioner specializing in heart failure practicing in rural north Central Washington state. She has been involved in studying and growing the virtual care program for Confluence Health including distant site telemedicine, asynchronous visits and phone/video visits from patient's homes. She has a special interest in chronic disease management and health literacy in heart failure. 

Gautam Nayak, MD, FACC is a former Navy physician and cardiologist in Wenatchee, Washington. He is the current governor of the Washington chapter of the American College of Cardiology and an clinical assistant professor of medicine at the University of Washington. Gautam's professional interests lie in the intersection of chronic diseases and heart failure, as well as in optimizing care delivery models in rural America. He has been working with Katie Bates, DNP for the past few years to develop a robust specialty telemedicine and virtual care program to help better connect with their rural patients to improve quality of life and outcomes. 

George Sokos, DO, FACC is the director of the advanced heart failure program at the WVU Heart and Vascular Institute. He is board certified in internal medicine, cardiovascular disease, advanced heart failure, and transplant cardiology by the American Board of Internal Medicine. He is licensed to practice in West Virginia, Ohio, and Pennsylvania.

  • George G. Sokos, Christopher Bianco, Marco A. Caccamo, Kazuhiko Kido, Management of Heart Failure Care In Rural West Virginia: A Primary Care Perspective, Journal of Cardiac Failure, October 2020 DOI:https://doi.org/10.1016/j.cardfail.2020.09.163
  • Hugo E Verdejo, Catterina Ferreccio, Pablo F Castro, Heart Failure in Rural Communities, Heart Failure Clinics, October 2015, PMID: 26462091 DOI: 10.1016/j.hfc.2015.07.011