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American College of Cardiology Transforming Science into Quality Care ACC Mission

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american college of cardiology

American College of Cardiology

Transforming Science into Quality Care

acc mission
ACC Mission

“The mission of the American College of Cardiology is to advocate for quality cardiovascular care—through education, research promotion, development and application of standards and guidelines—and to influence health care policy.”

overarching goals
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
slide4
The ACC is recognized as a leader in the development of an evidence-based quality platform (QCARE).

The ACC’s 37,000 members are committed to patient-centered quality care around the world

slide7

“Science tells us what we can do;Guidelines what we should do;

Registries what we are actually doing.”

slide8

What is the National Cardiovascular Data Registry?

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

Analytic

Reporting Services

Registries

WellPoint

CMS

BCBSA

CathPCI

IMPACT

WVMI

United

ACC

BMC2

Aetna

ICD

IC3

Research &

Publication Services

HCA

CARE

FDA

Yale

ACC

ACTION-GWTG

Industry

DCRI

Adhoc

MAHI

Registry Studies

Quality Improvement

SPECT MPI

Care Plans

Standard Order Sets

ICD Long.

uses of registry data
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

appropriate use criteria
Appropriate Use Criteria
  • SPECT MPI (Updated May 2009)
  • CCT
  • CMR
  • TTE/TEE
  • Stress Echocardiography
  • Coronary Revascularization
why health care reform
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
acc principles for reform
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
acc action plans for reform
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

slide15

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
acc action plans for reform16
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
hospital to home
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
on the legislative front
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
on the payer front
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-certification
future system should reward
Future System Should Reward …
  • Fee-for-Service + episodes of care
  • Coordination of care
  • Registry Use
  • Adherence to guidelines
  • Measured Performance Improvement
acc s year of the patient
ACC’s “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
acc s year of the patient24
ACC’s “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
contact acc
Contact ACC
  • ACC Website: www.acc.org
  • ACC Phone Number: 800-253-4636