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Board of Governors Meeting

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Board of Governors Meeting Science & Quality Division Update William J. Oetgen, MD, MBA, FACC September 9, 2012 – PowerPoint PPT presentation

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Title: Board of Governors Meeting


1
Board of Governors Meeting
  • Science Quality Division Update
  • William J. Oetgen, MD, MBA, FACC
  • September 9, 2012

2
ACCF Heart House Organization
  • Seven Divisions
  • Business Development Entrepreneurship
  • Finance Strategy
  • Technology Business Services
  • Marketing Communications
  • Advocacy
  • Lifelong Learning
  • Science Quality

3
ACCF Heart House Organization
  • Seven Divisions
  • Business Development Entrepreneurship
  • Finance Strategy
  • Technology Business Services
  • Marketing Communications
  • Advocacy
  • Lifelong Learning
  • Science Quality
  • International Affairs

4
ACCF Heart House Organization
  • Science Quality
  • NCDR
  • National Quality Initiatives
  • Science Clinical Policy Document Development

5
ACCF Heart House Organization
  • Science Quality
  • NCDR
  • Science Clinical Policy Document Development
  • National Quality Initiatives
  • FOCUS
  • SMARTCare
  • Door-to-Balloon
  • Hospital-to-Home
  • Million Hearts

6
Quality Improvement Products (Toolkits and
Guidelines Implementation Tools) Overall
Development Process Atrial Fibrillation
Toolkit H2H Mind Your Meds Toolkit Heart
Failure Toolkit QI 101 Toolkit
7
The tools are not a list of things. They are
solutions to a specific gap or need in care.
ACC Toolkit Development
STEP 1. Overall Goal Statement STEP 1. Overall Goal Statement STEP 1. Overall Goal Statement STEP 1. Overall Goal Statement
STEP 2. Success Metric/Goal Stated actions or principles that achieve the goal statement. The statement should clearly identify the role responsible. STEP 3. Barrier/Need Provider, patient, or system barriers that impede achievement of the individual success metric. STEP 4. Method of Measurement Not limited to collection of clinical data and can include process information or qualitative assessments for a Plan-Do-Study-Act test cycle. STEP 5. Strategy/Tool Feasible solutions or strategies which address the identified barriers. These should aim to support achievement of the stated success metrics.
8
ACC Toolkits
Atrial Fibrillation (AFib) Toolkit cardiosource.or
g/afibtools H2H Mind Your Meds Toolkit h2hquality.
org (login required) Heart Failure
Toolkit cardiosource.org/hftools Quality
Improvement (QI) 101 Toolkit cardiosource.org/Scie
nce-And-Quality/Clinical-Tools.aspx
9
ACCF Heart House Organization
  • Science Quality
  • NCDR
  • National Quality Initiatives
  • Science Clinical Policy Document Development

10
2012 Published Documents ACCF/AHA
  • PRACTICE GUIDELINES
  • PERFORMANCE MEASURES
  • DATA STANDARDS
  • APPROPRIATE USE CRITERIA
  • CLINICAL COMPETENCE STATEMENT
  • HEALTH POLICY STATEMENT
  • EXPERT CONSENSUS DOCUMENTS
  • CONFERENCE REPORT

11
2012 Published Documents ACCF/AHA
  • PRACTICE GUIDELINES
  • Perioperative Cardiac Evaluation for Noncardiac
    Surgery Addendum published (July)
  • UA/NSTEMI Focused Update (July)
  • Device-Based Therapy Focused Update (Sept 10)
  • Stable Ischemic Heart Disease Revision (Nov 20)
  • ST Elevation MI Revision (in press pub date TBD)
  • Guideline Methodology Summit Report (in press
    pub date TBD)

12
2012 Published Documents ACCF/AHA
  • PERFORMANCE MEASURES
  • Heart Failure (discussion of 2011 Measures)
    (April)
  • Atrial Fibrillation Implementation Notes (August)
  • DATA STANDARDS
  • Acute Coronary Syndromes/Coronary Artery Disease
    (in press pub date TBD)

13
2012 Published Documents - ACCF
  • APPROPRIATE USE CRITERIA
  • Diagnostic Catheterization (May)
  • PVD Arterial (June) (Note PVD Venous in
    progress)
  • CLINICAL COMPETENCE STATEMENT
  • Institutional and Operator Requirements for
    Transcatheter Valve Replacement and Repair Part
    I TAVR (SCAI/ACCF March)
  • HEALTH POLICY STATEMENT
  • Patient-Centered Care (May)

14
2012 Published Documents - ACCF
  • EXPERT CONSENSUS DOCUMENTS
  • Transcatheter Aortic Valve Replacement (January)
  • Catheterization Laboratory Standards Update (May)
  • CVD Evaluation and Management Among Kidney and
    Liver Transplant Patients (AHA/ACCF July)
  • Pacemaker Device Selection (HRS/ACCF July)
  • Third Universal Definition of MI (ESC/ACCF
    August)
  • Advisory to Prevent Deaths from CVD (WHF/ACCF
    Sept 10)
  • Interpretation of Troponin Elevations (in press
    pub date TBD)
  • CONFERENCE REPORT
  • Patient Radiation Safety in Adult CV Medicine
    (March)

15
BOG Participation
  • BOG Authors
  • Catheterization Lab Standards ECD Cavendish
    (CA)
  • Patient-Centered Care HPS Teichholz (NJ)
  • BOG Reviewers
  • Acute Coronary Syndromes/Coronary Artery Disease
    DS Cox (Halifax, Canada)
  • Catheterization Lab Standards ECD Robb (NH)
  • Device-Based Therapy Focused GL Update
    Lewandowski (WI)
  • Heart Failure PM Hobbs (OH)
  • Pacemaker Device Selection ECD Strobel (IN)
  • Patient-Centered Care HPS Haffey (CO) and
    Vijayaraghavan (AZ)
  • ST Elevation Myocardial Infarction (STEMI) GL
    Revision Kutscher (NJ)
  • Stable Ischemic Heart Disease GL Revision
    Poirier (Sainte-Foy, Canada)
  • TAVR ECD and TVRR CCS Ramee (LA)
  • Troponin Markers ECD Sherman (CO)
  • Unstable Angina/Non-STEMI Focused GL Update
    Zimmerman (Regina, Canada)

16
Documents in Progress
  • Radiation Safety for Patients (lifetime
    cumulative dose) ECD
  • Radiation Safety for Providers ECD (Revision of
    1998 doc)
  • Use of Percutaneous Cardiac Assist Devices ECD
    (SCAI/ACCF)
  • Analysis of 12-Lead ECG as Screening Test for CVD
    in General Populations of Young People
    (AHA/ACCF)
  • Treatment of HTN in Prev (AHA/ACCF)

17
Board of Governors Meeting
  • Science Quality Division Update
  • Thank You!
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