QUALITY AND APPROPRIATENESS IN CARDIAC IMAGING

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• NRC recognized pathway for AU Status • Sponsoring organizations -American College of Cardiology -American Society of Nuclear Cardiology • First exam, September 7, 1996 • 6,508 diplomates (as of 8/26/09) • www.cbnc.org • Sponsoring organizations –American College of Cardiology –American Society of Nuclear Cardiology –Society of Cardiovascular Angiography and Interventions –Society of Cardiovascular Computed Tomography • First exam, September 22, 2008 • The mission of the Certification Board of Cardiovascular Computed Tomography (CBCCT) is to promote and enhance patient care by defining the domain of cardiovascular computed tomography and identifying the requisite knowledge and skills for quality practice through a certification program that fosters excellence and encourages continual learning. • 731 diplomates (as of 8/26/09) • www.cbcct.org
GUIDELINES, MEASURES, AND APPROPRIATENESS CRITERIA • Clinical Guidelines 1 –Exhaustive review of literature –Virtually all-inclusive –Best practice –“Should do, should not do” • Performance Measures 2 –Selective, focused, measurable –Based on guidelines –“Must do” –Tools for quality measurement • Appropriateness Criteria 3 –Selective indications –Largely guideline based –Clinical scenarios –“Reasonable to do” 1. Klocke FJ, Baird MG, Lorell BH, et al. ACC/AHA/ASNC guidelines for the clinical use of cardiac radionuclide imaging. Circulation 2003; 106: 1883-92 2. Krumholtz HM, Anderson JL, Brooks, et al. ACC/AHA clinical performance measures for adults with ST-elevation and non-ST-elevation myocardial infarction. J Am Coll Cardiol 2006; 47: 236-65. 3. Hendel RC, Berman DS, Di Carli M Fet al. ACCF/ASNC appropriateness use criteria for cardiac radionuclide imaging. J Am Coll Cardiol 2009; 53: 2201- 29.
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 and 16: CONTINUED EMPHASIS ON QUALITY IN IM
Page 17: ICANL Intersocietal Commission for
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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