American College of Cardiology

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American College of Cardiology
Transforming Science into Quality Care
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ACC Mission

• The mission of the American College of
  Cardiology is to advocate for quality
  cardiovascular carethrough education, research
  promotion, development and application of
  standards and guidelinesand to influence health
  care policy.

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Overarching Goals

• Turn CV knowledge into practice
• Increase the value of membership
• Promote strong practices and protect patient
  access to quality, evidence-based, continuous care

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• The ACC is recognized as a leader in the
  development of an evidence-based quality platform
  (QCARE).
• The ACCs 37,000 members are committed to
  patient-centered quality care around the world

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QCARE
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QCARE in Action
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Science tells us what we can doGuidelines what
we should do Registries what we are actually
doing.
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What is the National Cardiovascular Data Registry?

• Guidelines Develop.
• Educational Needs Assess.
• Market Intelligence

Analytic Reporting Services
Registries
BCBSA
WellPoint
CMS
CathPCI
IMPACT
United
WVMI
ACC
BMC2
Aetna
ICD
IC3
Research Publication Services
HCA
CARE
Yale
FDA
ACC
ACTION-GWTG
DCRI
Ad hoc
Industry
MAHI
Registry Studies
Quality Improvement
SPECT MPI
Care Plans
Standard Order Sets
ICD Long.
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Uses of Registry Data

• Quality Improvement
• Effectiveness of P4P
• Guideline adherence
• Performance measure development, implementation,
  validation
• Post Market Surveillance
• Adverse/sentinel events
• Identify device performance trends
• Inappropriate off-label use
• Hypotheses for follow up studies

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Appropriate Use Criteria

• SPECT MPI (Updated May 2009)
• CCT
• CMR
• TTE/TEE
• Stress Echocardiography
• Coronary Revascularization

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Taking the Quality Platform to the Next Level
Health Care Reform
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Why Health Care Reform?

• Current environment is not sustainable
• Continued payment cuts threaten practices and
  patient care
• Need to be at the table not on the menu

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ACC Principles for Reform

• Provides universal coverage
• Provides coverage through an expansion of public
  and private programs
• Focuses on patient value (transparent, high
  quality, cost-effective, continuous care)
• Emphasizes professionalism
• Ensures coordination across sources and sites of
  care
• Includes payment reforms that reward quality and
  ensure value

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ACC Action Plans for Reform

• Reduce CV hospital readmission rates
• Increase appropriate imaging
• decision support at point of care
• Reduce geographic variations in care
• Test payment models that reward quality
• Increase adherence to guidelines
• 6. Make quality operational

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Quality First Network

• Share best practices
• Learn and teach
• Deploy QI initiatives based on practice needs
• Implement Appropriate Use Criteria
• Use interoperable electronic systems to
• exchange data
• deliver decision support
• reduce errors and waste

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ACC Action Plans for Reform

• Partner on patient-centered medical home models
• Increase primary and secondary prevention through
  medication adherence and lifestyle
• Ensure transparency
• Empower patients
• Ensure professional competence
• Seek opportunities to promote tort reform

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Hospital to Home

• ACC and Institute for Healthcare Improvement
  (IHI) quality improvement initiative
• Goal excellence in transitions
• Reduce 30-day hospital readmission rates for HF
  or AMI by 20 by 2012
• For more info www.acc.org/h2h/enrollment

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On the Legislative Front

• The ACC is working with Congress to
• Replace flawed formula with more sustainable
  system that reflects increases in practice costs
  and accounts for appropriate growth in services
• Test models that seek to reduce variations in
  spending and ensure patients receive
  evidence-based care

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On the Payer Front

• The ACC is working with CMS and private payers
  to
• Help fund registries and procure aggregate data
• Provide incentives to clinicians for
  participation in registries and electronic
  reporting
• Encourage use of appropriate use criteria as an
  alternative to prior authorization/pre-certificati
  on

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Future System Should Reward

• Fee-for-Service episodes of care
• Coordination of care
• Registry Use
• Adherence to guidelines
• Measured Performance Improvement

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Wheres the Patient in this Discussion?
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• The best interest of the patient is the only
  interest to be considered.
• -- William Mayo

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ACCs Year of the Patient

• Goals
• Increase transparency and accountability at
  every step of the process
• Better communicate diagnosis and treatment
  options so patients can understand/participate in
  care decisions

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ACCs Year of the Patient

• Tactics
• Develop online and office-based patient materials
  and tools (ie blood pressure monitoring)
• Work with Chapters and other partners to hold
  patient events/Webinars on heart health and
  related issues

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Contact ACC

• ACC Website www.acc.org
• ACC Phone Number 800-253-4636