Rationale, design, and goals of the Advanced Cardiovascular Imaging Consortium (ACIC): A Blue Cross Blue Shield of Michigan collaborative quality improvement project
Background Coronary computed tomography angiography (CCTA) is an emerging noninvasive anatomical method for evaluation of patients with suspected coronary artery disease (CAD). Multicenter clinical registries are key to efforts to establish the role of CCTA in CAD diagnosis and management. The Advan...
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| Veröffentlicht in: | The American heart journal 2012-03, Vol.163 (3), p.346-353 |
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| creator | Chinnaiyan, Kavitha M., MD DePetris, Ann M., RN, MSA Al-Mallah, Mouaz, MD Abidov, Aiden, MD, PhD Ananthasubramaniam, Karthik, MD Gallagher, Michael J., MD Girard, Steven, MD, PhD Goraya, Tauqir Y., MD, PhD Kazerooni, Ella A., MD Patel, Smita, MD Peyser, Patricia, PhD Poopat, Chad, MD Raff, Gilbert L., MD Saba, Souheil, MD Song, Thomas, MD Share, David, MD |
| description | Background Coronary computed tomography angiography (CCTA) is an emerging noninvasive anatomical method for evaluation of patients with suspected coronary artery disease (CAD). Multicenter clinical registries are key to efforts to establish the role of CCTA in CAD diagnosis and management. The Advanced Cardiovascular Imaging Consortium (ACIC) is a statewide, multicenter collaborative quality initiative with the intent to establish quality and appropriate use of CCTA in Michigan. Methods The ACIC is sponsored by the Blue Cross Blue Shield of Michigan/Blue Care Network, and its 47 sites include imaging centers that offer CCTA and meet established structure and process standards for participation. Patients enrolled include those with suspected ischemia with or without known CAD, and individuals across the entire spectrum of CAD risk. Patient demographics, history, CCTA scan-related data and findings, and 90-day follow-up data are entered prospectively into a centralized database with strict validation tools and processes. Collaborative quality initiatives include radiation dose reduction and appropriate CCTA use by education and feedback to participating sites and referring physicians. Conclusions Across a wide range of institutions, the ACIC permits evaluation of “real-world” utilization and effectiveness of CCTA and examines an alternative, nontraditional approach to utilization management wherein physicians and payers collaborate to address the growing problem of cardiac imaging overutilization. |
| doi_str_mv | 10.1016/j.ahj.2011.11.018 |
| format | Article |
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Multicenter clinical registries are key to efforts to establish the role of CCTA in CAD diagnosis and management. The Advanced Cardiovascular Imaging Consortium (ACIC) is a statewide, multicenter collaborative quality initiative with the intent to establish quality and appropriate use of CCTA in Michigan. Methods The ACIC is sponsored by the Blue Cross Blue Shield of Michigan/Blue Care Network, and its 47 sites include imaging centers that offer CCTA and meet established structure and process standards for participation. Patients enrolled include those with suspected ischemia with or without known CAD, and individuals across the entire spectrum of CAD risk. Patient demographics, history, CCTA scan-related data and findings, and 90-day follow-up data are entered prospectively into a centralized database with strict validation tools and processes. Collaborative quality initiatives include radiation dose reduction and appropriate CCTA use by education and feedback to participating sites and referring physicians. Conclusions Across a wide range of institutions, the ACIC permits evaluation of “real-world” utilization and effectiveness of CCTA and examines an alternative, nontraditional approach to utilization management wherein physicians and payers collaborate to address the growing problem of cardiac imaging overutilization.</description><identifier>ISSN: 0002-8703</identifier><identifier>EISSN: 1097-6744</identifier><identifier>DOI: 10.1016/j.ahj.2011.11.018</identifier><identifier>PMID: 22424004</identifier><identifier>CODEN: AHJOA2</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Biological and medical sciences ; Blue Cross Blue Shield Insurance Plans - utilization ; Cardiology. Vascular system ; Cardiovascular ; Cardiovascular disease ; Cardiovascular Diseases - diagnosis ; Committees ; Coronary Angiography - economics ; Coronary Angiography - utilization ; Coronary Artery Disease - diagnostic imaging ; Costs ; Hospitals ; Humans ; Initiatives ; Medical imaging ; Medical sciences ; Michigan ; Mortality ; Prospective Studies ; Quality Improvement - organization & administration ; Tomography, X-Ray Computed - economics ; Tomography, X-Ray Computed - utilization</subject><ispartof>The American heart journal, 2012-03, Vol.163 (3), p.346-353</ispartof><rights>Mosby, Inc.</rights><rights>2012 Mosby, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 Mosby, Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Mar 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c465t-60f1ff8bdb821234e41627bef8a0598c94872e9d050130743a45ef0f4a578a0c3</citedby><cites>FETCH-LOGICAL-c465t-60f1ff8bdb821234e41627bef8a0598c94872e9d050130743a45ef0f4a578a0c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002870311008763$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25963719$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22424004$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chinnaiyan, Kavitha M., MD</creatorcontrib><creatorcontrib>DePetris, Ann M., RN, MSA</creatorcontrib><creatorcontrib>Al-Mallah, Mouaz, MD</creatorcontrib><creatorcontrib>Abidov, Aiden, MD, PhD</creatorcontrib><creatorcontrib>Ananthasubramaniam, Karthik, MD</creatorcontrib><creatorcontrib>Gallagher, Michael J., MD</creatorcontrib><creatorcontrib>Girard, Steven, MD, PhD</creatorcontrib><creatorcontrib>Goraya, Tauqir Y., MD, PhD</creatorcontrib><creatorcontrib>Kazerooni, Ella A., MD</creatorcontrib><creatorcontrib>Patel, Smita, MD</creatorcontrib><creatorcontrib>Peyser, Patricia, PhD</creatorcontrib><creatorcontrib>Poopat, Chad, MD</creatorcontrib><creatorcontrib>Raff, Gilbert L., MD</creatorcontrib><creatorcontrib>Saba, Souheil, MD</creatorcontrib><creatorcontrib>Song, Thomas, MD</creatorcontrib><creatorcontrib>Share, David, MD</creatorcontrib><title>Rationale, design, and goals of the Advanced Cardiovascular Imaging Consortium (ACIC): A Blue Cross Blue Shield of Michigan collaborative quality improvement project</title><title>The American heart journal</title><addtitle>Am Heart J</addtitle><description>Background Coronary computed tomography angiography (CCTA) is an emerging noninvasive anatomical method for evaluation of patients with suspected coronary artery disease (CAD). Multicenter clinical registries are key to efforts to establish the role of CCTA in CAD diagnosis and management. The Advanced Cardiovascular Imaging Consortium (ACIC) is a statewide, multicenter collaborative quality initiative with the intent to establish quality and appropriate use of CCTA in Michigan. Methods The ACIC is sponsored by the Blue Cross Blue Shield of Michigan/Blue Care Network, and its 47 sites include imaging centers that offer CCTA and meet established structure and process standards for participation. Patients enrolled include those with suspected ischemia with or without known CAD, and individuals across the entire spectrum of CAD risk. Patient demographics, history, CCTA scan-related data and findings, and 90-day follow-up data are entered prospectively into a centralized database with strict validation tools and processes. Collaborative quality initiatives include radiation dose reduction and appropriate CCTA use by education and feedback to participating sites and referring physicians. Conclusions Across a wide range of institutions, the ACIC permits evaluation of “real-world” utilization and effectiveness of CCTA and examines an alternative, nontraditional approach to utilization management wherein physicians and payers collaborate to address the growing problem of cardiac imaging overutilization.</description><subject>Biological and medical sciences</subject><subject>Blue Cross Blue Shield Insurance Plans - utilization</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular Diseases - diagnosis</subject><subject>Committees</subject><subject>Coronary Angiography - economics</subject><subject>Coronary Angiography - utilization</subject><subject>Coronary Artery Disease - diagnostic imaging</subject><subject>Costs</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Initiatives</subject><subject>Medical imaging</subject><subject>Medical sciences</subject><subject>Michigan</subject><subject>Mortality</subject><subject>Prospective Studies</subject><subject>Quality Improvement - organization & administration</subject><subject>Tomography, X-Ray Computed - economics</subject><subject>Tomography, X-Ray Computed - utilization</subject><issn>0002-8703</issn><issn>1097-6744</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9km-L1DAQxoso3nr6AXwjAREVbtdJmqatgrAW_yycCJ6-Dtl0upu1be6SdmE_kN_TKbt6cC-EgSTwm5kn80ySPOWw4MDVm93CbHcLAZwvKIAX95IZhzKfq1zK-8kMAMS8yCE9Sx7FuKOnEoV6mJwJIYUEkLPk93czON-bFi9YjdFt-gtm-pptvGkj8w0btsiW9d70FmtWmVA7vzfRjq0JbNWZjes3rPJ99GFwY8deLatV9fotW7IP7YisCj7G4_Vq67Ctp5Jfnd26jemZ9W1r1j6QhD2ym9G0bjgw110Hv8cO-4HRbYd2eJw8aEgPPjmd58nPTx9_VF_ml98-r6rl5dxKlQ1zBQ1vmmJdrwvBRSpRciXyNTaFgawsbCmLXGBZQwY8hVymRmbYQCNNlhNi0_Pk5bEu9b0ZMQ66c9EiqezRj1GXoqS6iisin98hd34MNMeoeQZSpSXPS6L4kbLTHAI2-jq4zoSD5qAnC_VOk4V6slBTkIWU8-xUeVx3WP_L-OsZAS9OAPlg2iaQNy7eclmp0pxPzd8dOaSJ7R0GHa3DyUcXaKa69u6_Mt7fybat6x01_IUHjLe_1VFo0FfTrk2rxjlAkas0_QMVJM1O</recordid><startdate>20120301</startdate><enddate>20120301</enddate><creator>Chinnaiyan, Kavitha M., MD</creator><creator>DePetris, Ann M., RN, MSA</creator><creator>Al-Mallah, Mouaz, MD</creator><creator>Abidov, Aiden, MD, PhD</creator><creator>Ananthasubramaniam, Karthik, MD</creator><creator>Gallagher, Michael J., MD</creator><creator>Girard, Steven, MD, PhD</creator><creator>Goraya, Tauqir Y., MD, PhD</creator><creator>Kazerooni, Ella A., MD</creator><creator>Patel, Smita, MD</creator><creator>Peyser, Patricia, PhD</creator><creator>Poopat, Chad, MD</creator><creator>Raff, Gilbert L., MD</creator><creator>Saba, Souheil, MD</creator><creator>Song, Thomas, MD</creator><creator>Share, David, MD</creator><general>Elsevier Inc</general><general>Mosby</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20120301</creationdate><title>Rationale, design, and goals of the Advanced Cardiovascular Imaging Consortium (ACIC): A Blue Cross Blue Shield of Michigan collaborative quality improvement project</title><author>Chinnaiyan, Kavitha M., MD ; DePetris, Ann M., RN, MSA ; Al-Mallah, Mouaz, MD ; Abidov, Aiden, MD, PhD ; Ananthasubramaniam, Karthik, MD ; Gallagher, Michael J., MD ; Girard, Steven, MD, PhD ; Goraya, Tauqir Y., MD, PhD ; Kazerooni, Ella A., MD ; Patel, Smita, MD ; Peyser, Patricia, PhD ; Poopat, Chad, MD ; Raff, Gilbert L., MD ; Saba, Souheil, MD ; Song, Thomas, MD ; Share, David, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c465t-60f1ff8bdb821234e41627bef8a0598c94872e9d050130743a45ef0f4a578a0c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Biological and medical sciences</topic><topic>Blue Cross Blue Shield Insurance Plans - utilization</topic><topic>Cardiology. Vascular system</topic><topic>Cardiovascular</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular Diseases - diagnosis</topic><topic>Committees</topic><topic>Coronary Angiography - economics</topic><topic>Coronary Angiography - utilization</topic><topic>Coronary Artery Disease - diagnostic imaging</topic><topic>Costs</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Initiatives</topic><topic>Medical imaging</topic><topic>Medical sciences</topic><topic>Michigan</topic><topic>Mortality</topic><topic>Prospective Studies</topic><topic>Quality Improvement - organization & administration</topic><topic>Tomography, X-Ray Computed - economics</topic><topic>Tomography, X-Ray Computed - utilization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chinnaiyan, Kavitha M., MD</creatorcontrib><creatorcontrib>DePetris, Ann M., RN, MSA</creatorcontrib><creatorcontrib>Al-Mallah, Mouaz, MD</creatorcontrib><creatorcontrib>Abidov, Aiden, MD, PhD</creatorcontrib><creatorcontrib>Ananthasubramaniam, Karthik, MD</creatorcontrib><creatorcontrib>Gallagher, Michael J., MD</creatorcontrib><creatorcontrib>Girard, Steven, MD, PhD</creatorcontrib><creatorcontrib>Goraya, Tauqir Y., MD, PhD</creatorcontrib><creatorcontrib>Kazerooni, Ella A., MD</creatorcontrib><creatorcontrib>Patel, Smita, MD</creatorcontrib><creatorcontrib>Peyser, Patricia, PhD</creatorcontrib><creatorcontrib>Poopat, Chad, MD</creatorcontrib><creatorcontrib>Raff, Gilbert L., MD</creatorcontrib><creatorcontrib>Saba, Souheil, MD</creatorcontrib><creatorcontrib>Song, Thomas, MD</creatorcontrib><creatorcontrib>Share, David, MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American heart journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chinnaiyan, Kavitha M., MD</au><au>DePetris, Ann M., RN, MSA</au><au>Al-Mallah, Mouaz, MD</au><au>Abidov, Aiden, MD, PhD</au><au>Ananthasubramaniam, Karthik, MD</au><au>Gallagher, Michael J., MD</au><au>Girard, Steven, MD, PhD</au><au>Goraya, Tauqir Y., MD, PhD</au><au>Kazerooni, Ella A., MD</au><au>Patel, Smita, MD</au><au>Peyser, Patricia, PhD</au><au>Poopat, Chad, MD</au><au>Raff, Gilbert L., MD</au><au>Saba, Souheil, MD</au><au>Song, Thomas, MD</au><au>Share, David, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Rationale, design, and goals of the Advanced Cardiovascular Imaging Consortium (ACIC): A Blue Cross Blue Shield of Michigan collaborative quality improvement project</atitle><jtitle>The American heart journal</jtitle><addtitle>Am Heart J</addtitle><date>2012-03-01</date><risdate>2012</risdate><volume>163</volume><issue>3</issue><spage>346</spage><epage>353</epage><pages>346-353</pages><issn>0002-8703</issn><eissn>1097-6744</eissn><coden>AHJOA2</coden><abstract>Background Coronary computed tomography angiography (CCTA) is an emerging noninvasive anatomical method for evaluation of patients with suspected coronary artery disease (CAD). Multicenter clinical registries are key to efforts to establish the role of CCTA in CAD diagnosis and management. The Advanced Cardiovascular Imaging Consortium (ACIC) is a statewide, multicenter collaborative quality initiative with the intent to establish quality and appropriate use of CCTA in Michigan. Methods The ACIC is sponsored by the Blue Cross Blue Shield of Michigan/Blue Care Network, and its 47 sites include imaging centers that offer CCTA and meet established structure and process standards for participation. Patients enrolled include those with suspected ischemia with or without known CAD, and individuals across the entire spectrum of CAD risk. Patient demographics, history, CCTA scan-related data and findings, and 90-day follow-up data are entered prospectively into a centralized database with strict validation tools and processes. Collaborative quality initiatives include radiation dose reduction and appropriate CCTA use by education and feedback to participating sites and referring physicians. Conclusions Across a wide range of institutions, the ACIC permits evaluation of “real-world” utilization and effectiveness of CCTA and examines an alternative, nontraditional approach to utilization management wherein physicians and payers collaborate to address the growing problem of cardiac imaging overutilization.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>22424004</pmid><doi>10.1016/j.ahj.2011.11.018</doi><tpages>8</tpages></addata></record> |
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| subjects | Biological and medical sciences Blue Cross Blue Shield Insurance Plans - utilization Cardiology. Vascular system Cardiovascular Cardiovascular disease Cardiovascular Diseases - diagnosis Committees Coronary Angiography - economics Coronary Angiography - utilization Coronary Artery Disease - diagnostic imaging Costs Hospitals Humans Initiatives Medical imaging Medical sciences Michigan Mortality Prospective Studies Quality Improvement - organization & administration Tomography, X-Ray Computed - economics Tomography, X-Ray Computed - utilization |
| title | Rationale, design, and goals of the Advanced Cardiovascular Imaging Consortium (ACIC): A Blue Cross Blue Shield of Michigan collaborative quality improvement project |
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