QUALITY AND APPROPRIATENESS IN CARDIAC IMAGING

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M<strong>AND</strong>ATORY IMAG<strong>IN</strong>G LABORATORY ACCREDITATION • Endorsed by ACC and subspecialty organizations (ASNC, ASE) • Provided by ACR or ICA (Intersocietal Accreditation Commission) –ICAVL, ICANL, ICAEL, ICAMRL, ICACTL • United Healthcare and other require accreditation –CT and CTA –CMR and MRA –Nuclear cardiology –PET –Echocardiography • CMS to require lab accreditation by 2012
ICANL Intersocietal Commission for the Accreditation of Nuclear Medicine Laboratories ICACTL Intersocietal Commission for the Accreditation of Computed Tomography Laboratories • 1,719 accredited labs, 2,406 sites (8/25/09) • Sponsored by ASNC, ACC, SNM, SNM-TS, AMI, ACNP • Substantial QA review, sample reports • Site visits now selective • 33% re-accreditation applications • Ensures quality • Basis for reimbursement Payers often now requiring accreditation Accreditation mandated by ACC and ASNC • 45 accredited lab/sites for CCS, CCTA • Sponsoring organizations: – American Academy of Neurology – American Academy of Otolaryngology – American Association of Physicists in Medicine – American College of Cardiology – American Society of Echocardiography – American Society of Nuclear Cardiology – Society for Cardiovascular Angiography and Interventions – Society for Vascular Surgery – Society of Cardiovascular Computed Tomography – Society of Nuclear Medicine • Substantial QA review, sample reports, representative cases
Page 1 and 2: ACOI’s 69 th ANNUAL CONVENTION AN
Page 3 and 4: FOCUS ON MEDICAL IMAGING MEDPAC Eva
Page 5 and 6: GEOGRAPHIC VARIATIONS IN IMAGING ST
Page 7 and 8: THE INCREASE OF IN-OFFICE IMAGING F
Page 9 and 10: UTILIZATION MANAGEMENT FOR CARDIAC
Page 11 and 12: WHY APPROPRIATENESS Background •
Page 13 and 14: PHYSICIAN RESPONSES TO MEDICAL IMAG
Page 15: CONTINUED EMPHASIS ON QUALITY IN IM
Page 19 and 20: GUIDELINES, MEASURES, AND APPROPRIA
Page 21 and 22: APPROPRIATE USE CRITERIA The ACC Qu
Page 23 and 24: APPROPRIATE USE CRITERIA USING THE
Page 25 and 26: KEY DEFINITION ISCHEMIC EQUIVALENT:
Page 27 and 28: HIERARCHY OF POTENTIAL TEST ORDERIN
Page 29 and 30: APPROPRIATE USE OF MPI-REVISED AUC
Page 31 and 32: APPROPRIATENESS USE CRITERIA Concer
Page 34 and 35: Hendel RC et al ACC, 2009 ACCF/UNIT
Page 36 and 37: ACCF/UNITEDHEALTHCARE SPECT PILOT M
Page 38 and 39: APPROPRIATE USE CRITERIA Educationa
Page 40 and 41: AUC: IMPLEMENTATION AND EVALUATION
Page 42 and 43: WHITE HOUSE SUMMIT ON HEALTH CARE M

QUALITY AND APPROPRIATENESS IN CARDIAC IMAGING

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