Abstract
As medicine and particularly cardiovascular procedures move into the future of value based strategies, cardiovascular imaging will need to provide documented value. For this to occur, robust quality will become an important aspect to reduce unnecessary downstream testing and provide the best diagnostic accuracy. Future mechanisms to demonstrate and improve quality are constantly evolving. These include the use of behavioral theory and feedback, team based quality improvement initiatives, utilization of online learning communities, public reporting mechanisms and the development of registries for cardiac imaging data. These initiatives will require further refinement and implementation as part of electronic health records to improve their accuracy and efficiency. Utilization of the data from these tools will play important roles as we develop clinical decision support systems that can be implemented at the point of care. This will ensure the highest value imaging based upon individual patient characteristics as part of population analysis.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
U.S. Department of Health & Human Services. Better, smarter, healthier: in historic announcement, HHS sets clear goals and timeline for shifting Medicare reimbursements from volume to value. [Internet]. 2015 [cited 2015 Feb 22]. Available from: http://www.hhs.gov/news/press/2015pres/01/20150126a.html.
Committee on the Learning Health Care System in America. Smith M, Saunders R, Stuckhardt L, McGinnis JM, editors. Best care at lower cost: the path to continuous learning health care in America. Washington, DC: The National Academies Press. [Internet]. 2012 [cited 2015 Feb 25]. Available from: http://books.nap.edu/openbook.php?record_id=13444.
Martin RP. Quality is job one, and our patients and our profession deserve it. J Am Soc Echocardiogr. 2011;24(11):1180–2.
Johnson TV, Rose GA, Fenner DJ, Rozario NL. Improving appropriate Use of echocardiography and single-proton emission computed tomographic myocardial perfusion imaging: a continuous quality improvement initiative. J Am Soc Echocardiogr. 2014;27(7):749–57.
Bonow RO, Douglas PS, Buxton AE, Cohen DJ, Curtis JP, Delong E, Drozda Jr JP, Ferguson Jr TB, Heidenreich PA, Hendel RC, Masoudi FA, Peterson ED, Taylor AJ, American College of Cardiology Foundation; American Heart Association Task Force on Performance Measures. ACCF/AHA methodology for the development of quality measures for cardiovascular technology: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Performance Measures. Circulation. 2011;124(13):1483–502.
Kanne JP. Quality management in cardiopulmonary imaging. J Thorac Imaging. 2011;26(1):10–7.
Greaves C, Gilmore J, Bernhardt L, Ross L. Reducing imaging waiting times: enhanced roles and service-redesign. Int J Health Care Qual Assur. 2013;26(3):195–202.
Resnic FS, Welt FGP. The public health hazards of risk avoidance associated with public reporting of risk adjusted outcomes in coronary intervention. J Am Coll Cardiol. 2009;53(10):825–30.
Klein LW, Ho KK, Singh M, Anderson HV, Hillegass WB, Uretsky BF, Chambers C, Rao SV, Reilly J, Weiner BH, Kern M, Bailey S, Society of Cardiovascular Angiography and Interventions. Quality assessment and improvement in interventional cardiology: a position statement of the Society of Cardiovascular Angiography and Interventions, part II: public reporting and risk adjustment. Catheter Cardiovasc Interv. 2011;78(4):493–502.
Smith IR, Foster KA, Brighouse RD, Cameron J, Rivers JT. The role of quantitative feedback in coronary angiography radiation reduction. Int J Qual Health Care. 2011;23(3):342–8.
Adair JG. The Hawthorne effect: a reconsideration of the methodological artifact. J Appl Psychol. 1984;69(2):334–45.
Smith IR, Cameron J, Brighouse RD, Ryan CM, Foster KA, Rivers JT. Impact of quantitative feedback and benchmark selection on radiation use by cardiologists performing cardiac angiography. Radiat Prot Dosimetry. 2013;155(1):32–41.
Chinnaiyan KM, Boura JA, DePetris A, Gentry R, Abidov A, Share DA, Raff GL, Advanced Cardiovascular Imaging Consortium Coinvestigators. Progressive radiation dose reduction from coronary computed tomography angiography in a statewide collaborative quality improvement program: results from the Advanced Cardiovascular Imaging Consortium. Circ Cardiovasc Imaging. 2013;6(5):646–54.
Maddox TM, Plomondon ME, Petrich M, Tsai TT, Gethoffer H, Noonan G, Gillespie B, Box T, Fihn SD, Jesse RL, Rumsfeld JS. A national clinical quality program for Veterans Affairs catheterization laboratories (from the Veterans Affairs clinical assessment, reporting, and tracking program). Am J Cardiol. 2014;114(11):1750–7.
Saifi S, Taylor AJ, Allen J, Hendel R. The use of a learning community and online evaluation of utilization for SPECT myocardial perfusion imaging. JACC Cardiovasc Imaging. 2013;6(7):823–9.
Shaw LJ, Wang TY, Mahmarian JJ, Tilkemeier PL, Douglas PS, Arrighi JA, Denton EA, Flood KB. Registry. J Nucl Cardiol. 2013;20(4):655–6.
Tilkemeier PL, Wang TY, Lytle BL, Denton EA. Milestones: ASNC ImageGuide™: cardiovascular imaging data registry. J Nucl Cardiol. 2013;20(6):1186–7.
Douglas PS, Chen J, Gillam L, Hendel R, Hundley WG, Masoudi F, Patel MR, Peterson E. Achieving quality in cardiovascular imaging II: proceedings from the Second American College of Cardiology – Duke University Medical Center Think Tank on Quality in Cardiovascular Imaging. JACC Cardiovasc Imaging. 2009;2(2):231–40.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Tilkemeier, P. (2016). Additional Quality Activities and the Future. In: Tilkemeier, P., Hendel, R., Heller, G., Case, J. (eds) Quality Evaluation in Non-Invasive Cardiovascular Imaging. Springer, Cham. https://doi.org/10.1007/978-3-319-28011-0_34
Download citation
DOI: https://doi.org/10.1007/978-3-319-28011-0_34
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-28009-7
Online ISBN: 978-3-319-28011-0
eBook Packages: MedicineMedicine (R0)