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Board of Governors Meeting. Science & Quality Division Update William J. Oetgen, MD, MBA, FACC September 9, 2012. ACCF Heart House Organization. Seven Divisions Business Development & Entrepreneurship Finance & Strategy Technology & Business Services Marketing & Communications Advocacy
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Board of Governors Meeting Science & Quality Division Update William J. Oetgen, MD, MBA, FACC September 9, 2012
ACCF Heart House Organization Seven Divisions Business Development & Entrepreneurship Finance & Strategy Technology & Business Services Marketing & Communications Advocacy Lifelong Learning Science & Quality
ACCF Heart House Organization Seven Divisions Business Development & Entrepreneurship Finance & Strategy Technology & Business Services Marketing & Communications Advocacy Lifelong Learning Science & Quality International Affairs
ACCF Heart House Organization Science & Quality NCDR National Quality Initiatives Science & Clinical Policy – Document Development
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
Quality Improvement Products(Toolkits and Guidelines Implementation Tools)Overall Development ProcessAtrial Fibrillation ToolkitH2H “Mind Your Meds” ToolkitHeart Failure ToolkitQI 101 Toolkit
ACC Toolkit Development The tools are not a list of things. They are solutions to a specific gap or need in care.
ACC Toolkits Atrial Fibrillation (AFib) Toolkit cardiosource.org/afibtools H2H Mind Your Meds Toolkit h2hquality.org (login required) Heart Failure Toolkit cardiosource.org/hftools Quality Improvement (QI) 101 Toolkit cardiosource.org/Science-And-Quality/Clinical-Tools.aspx
ACCF Heart House Organization Science & Quality NCDR National Quality Initiatives Science & Clinical Policy – Document Development
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
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)
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)
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)
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)
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)
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…)
Board of Governors Meeting Science & Quality Division Update Thank You!