Recent News for the ACC
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ACC News You Can Use
for April 2016
Overarching ACC News/Publications
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|Overarching ACC News/Publications
JACC Leadership Page: A Call to Action in Changing Times
In a recent Leadership Page published in the Journal of the American College of Cardiology (JACC), ACC President Richard A. Chazal, MD, FACC, discusses the recent changes and developments in the field of cardiac care. He discusses not only advancements in diagnostics and treatment, but also in the way medical professionals learn, communicate and function. The College itself has seen a growing number of hospitals and practices joining the NCDR and the majority of submissions to JACC come from outside of the U.S. On top of all of this, the Medicare and CHIP Reauthorization Act of 2015 (MACRA) may have huge effects on our health care system. “I challenge ALL of us to meet these changes—and the challenges and opportunities they present—head on,” Chazal writes. “We cannot make them go away. We are unable to go back to a ‘simpler time.’ We can only decide how we choose to respond.” Read more.
JACC Leadership Page: Paying For Value
In a recent Leadership Page published in the Journal of the American College of Cardiology (JACC), Matthew Phillips, MD, FACC, governor of the Texas Chapter of the ACC, discusses the effects that the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) will have on health care quality. Phillips notes that the College is already committed to tracking data through initiatives such as NCDR, and making sure “technology is meeting its potential” through accreditation programs, such as the Society of Cardiovascular Patient Care, ACC’s new accreditation arm. “The initial metrics will likely be very basic until new measures that accurately capture the complexity of patient care and outcomes can be developed. In the end, however, if MACRA results in an ongoing systematic review of the care we provide in any setting, my guess is that the results will be very helpful and interesting... we will still be providing quality care. The difference now is that we will finally be able to prove it,” he writes. Read more. Also visit the MACRA Information Hub on ACC.org.
Latest Issue of CardioSource WorldNews Examines Depression, Diabetes, & Obesity
The cover story of the latest issue of CardioSource WorldNews examines how depression, diabetes and obesity affect patients with heart disease and why they shouldn’t be ignored. In this month’s Editor’s Corner, Alfred A. Bove, MD, PhD, MACC, discusses the importance of patient-centered care and the team based approach in encouraging healthy behaviors and medication adherence in patients. The In Focus feature highlights the ADAPTABLE trial, which will leverage electronic health records from PCORnet to compare the effects of low dose and regular strength aspirin. Additional highlights from the issue include CRT utilization in ICD patients and the effects of the environment on cardiovascular health. See the full issue at ACC.org/CSWN.
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|Top Science and Quality News
Statement Calls For More Inclusion of Older Patients in CV Clinical Trials
There is a critical need for more large, population-based studies and clinical trials that include adults older than 75 years with complex comorbidities and other issues, according to a scientific statement released April 11 by the ACC, in conjunction with the American Heart Association (AHA) and the American Geriatrics Society, and published in the Journal of the American College of Cardiology. “The incidence and prevalence of most cardiovascular disorders increase with age, and cardiovascular disease is the leading cause of death and major disability in adults ?75 years of age,” the statement’s authors explain, “however... patients aged ?75 have been markedly underrepresented in most major cardiovascular trials.” Read more on ACC.org. View a CardioSource WorldNews video interview with statement author Michael W. Rich, MD, FACC, for more information.
ACC Leading Efforts to Improve Care for VHD Patients
Truly a transformative technology, transcatheter valve therapies (TVT) have provided unprecedented benefit to a host of patients with valvular heart disease (VHD) not amenable to or at high risk for surgical treatment, extending and improving their daily lives. Another transformation is now underway: a reinvigorated view of the management of VHD spurred by the potential capacity of TVT to treat a broader range of patients. Yet, challenges identifying and managing patients with VHD could limit these emerging technologies from reaching all who may potentially benefit. In the United States, some 1.5 million people have moderate or severe aortic stenosis (AS) and approximately 4 million people have significant mitral regurgitation (MR). Against this background, the American College of Cardiology (ACC) is leading efforts to improve patient care and outcomes by identifying gaps in knowledge and care in evaluating and managing VHD, developing tools and resources, particularly at the point of care, to address identified shortcomings and determine priorities for future initiatives. Partnerships with key societies and stakeholders are also moving forward to address these objectives. Read more in CardioSource WorldNews: Interventions.
Consensus Statement Offers Guidance on Preventing Sudden Cardiac Death in Athletes
A new consensus statement, published in the Journal of the American College of Cardiology, establishes guidance for conducting pre-participation screenings of college athletes and encourages emergency action plans for quickly responding to sudden cardiac arrest. The statement was developed by a 29-person task force convened by the National Collegiate Athletic Association (NCAA) in September 2014 that included multidisciplinary physician specialists and athletic trainers representing national sports and medical associations, including the ACC. The NCAA currently requires every student-athlete to undergo a pre-participation evaluation that is conducted by a physician or doctor of osteopathic medicine prior to participation in any NCAA sport. The ACC and the American Heart Association (AHA) both recommend taking an athlete’s family history using the AHA’s 14-point questionnaire and conducting a physical examination to determine the athlete’s risk of cardiovascular disease before the athlete participates in sports. Read more on ACC.org.
Bystander CPR, AED Training Associated With Improved Cardiac Arrest Outcomes
Statewide initiatives to improve bystander cardiopulmonary resuscitation (CPR) and first-responder defibrillation may be associated with improved survival and reduced brain injury in people with out-of-hospital cardiac arrest, according to research published March 23 and presented at ACC.16 in Chicago. Results showed that the proportion of patients receiving bystander CPR increased at home from 28.3 percent to 41.3 percent and in public locations from 61.0 percent to 70.6 percent. “There were three lessons from our study,” said James Jollis, MD, FACC, co-author of the study and immediate past president of ACC’s North Carolina Chapter. “First, patients who suffer out-of-hospital characteristics share the same demographics as our cardiology patients. As part of discharge discussions with patients, we should be sure that they and their families know how to recognize and respond to cardiac arrest: check, call and compress. Second, the best emergency systems have strong cardiology leadership and pre-specified plans for patients who survive cardiac arrest to hospital admission including who to urgently take to the catheterization laboratory. Thirdly, the cardiology community should support the widespread training of chest compression-only CPR to all employees of health systems, interested community groups, and high school students as part of a standard heart health curriculum.” Read more on ACC.org.
New PCI Bleeding Risk Checklist Now Available
The ACC has released a Percutaneous Coronary Intervention (PCI) Bleeding Risk Checklist designed to inform physicians and the cardiovascular care team about common problems and possible solutions to reduce the risk of bleeding complications after PCI procedures. The clinical care team can utilize this checklist during point of care and/or as a reference material during an educational conference relating to bleeding complications. The checklist facilitates consistent risk assessment and communication between a physician and patient undergoing a PCI procedure. The checklist is the first tool in a new PCI Bleeding Risk Toolkit available through Quality Improvement for Institutions. Stay tuned for the release of additional tools to reduce PCI bleeding risk. Download the checklist here.
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|Top Advocacy and Health Policy News
Congressional Subcommittee Hears Clinician Perspectives on MACRA; ACC Submits Statement
This week, the House Energy and Commerce Subcommittee on Health held a hearing to examine the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 and efforts of clinicians to prepare for the new Medicare payment system. The importance of putting electronic health records (EHRs) at the center of the new system was stressed throughout the hearing. Several clinicians emphasized that meaningful data and EHR interoperability are key to improving care and must be core components of MACRA. It was also made clear that specialists and primary care providers must work together to treat populations of patients instead of practicing in silos. Ahead of the hearing, the ACC submitted a statement for the record highlighting its efforts to educate the cardiovascular care team on the transition to new initiatives under MACRA, and underscoring its recommendations to CMS as part of the agency’s request for information. Read more.
New Legislation Proposes Shortened Reporting Period For Meaningful Use
On April 20, Sens. Rob Portman (R-OH) and Michael Bennet (D-CO), along with Reps. Renee Ellmers (R-NC), Tom Price, MD (R-GA), Marsha Blackburn (R-TN), Ron Kind (D-WI), Bobby Rush (D-IL), and Doris Matsui (D-CA) introduced S. 2822/H.R. 5001, the Flexibility in Electronic Health Record (EHR) Reporting Act [PDF]. ACC Advocacy was instrumental in securing the lead cosponsors for this bipartisan, bicameral legislation, which would shorten the EHR Incentive Program (Meaningful Use) reporting period from one year to 90 days in 2016, as it was in 2014 and 2015. Read more.
CMS Releases 2017 Inpatient Proposed Rule
The Centers for Medicare and Medicaid Services (CMS) on April 18 released the 2017 Inpatient Prospective Payment System proposed rule. Of note, there will be a 0.9 percent increase in payments to hospitals successfully participating in the Hospital Inpatient Quality Reporting and Electronic Health Record programs. This increase includes an offset for previous reductions related to the two-midnight rule in 2014, 2015 and 2016. In 2017, coronary artery bypass grafting will be added to the Hospital Readmission Reduction Program. To implement the Notice of Observation Treatment and Implication for Care Eligibility Act, hospitals must begin notifying patients who receive observation services as outpatients for more than 24 hours. There is also a proposal to add condition-specific payment measures for acute myocardial infarction and heart failure in the value-based purchasing program starting in 2021. The ACC is reviewing the rule and will provide additional details in the coming weeks. The College will submit comments to CMS by June 17.
Changing the Conversation: A Unique Approach to Legislative Practice Visits
In a recent post on the ACC in Touch Blog, Edward J. Toggart, MD, FACC, governor of ACC's Oregon Chapter, discusses his unique approach to a practice visit with Rep. Kurt Schrader (D-OR). "[Rep. Schrader and I] went straight to my office... I told him this meeting was all about him. I was there to answer his questions, which actually touched on all of the hot-button issues for cardiology. Some of these included my feelings on the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and my thoughts on the Meaningful Use electronic health record program. I think this strategy worked very well for this meeting and I felt like we made a meaningful connection." Read more about Toggart's practice visit. To set up a legislator visit, contact Kelly Memphis (state) at firstname.lastname@example.org or Elizabeth Shaw (federal) at email@example.com.
STEMI Care in Illinois
In collaboration with the ACC Illinois Chapter, both Jay Alexander, MD, FACC, governor of the ACC Illinois Chapter, and Kim Allan Williams Sr., MD, MACC, past president of the ACC, sent letters opposing Illinois' H.B. 5620, which would create oversight of ST-elevated myocardial infarction systems of care. According to the letters, the College "has [previously] warned against policies that prescribe or mandate care, especially through public policy measures." Further, both add that "concerned that many of the bill's requirements come with high unforeseen costs and uncertain benefits, such as the provision for a registry fund, accreditation requirements and the establishment of new committees who will establish protocols." ACC State Advocacy will keep members updated on the movement of this bill. While the College opposes legislative mandates, it is committed to improving STEMI care through sound use of data registries and examining best practices in states nationwide.
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|Top Membership News
Is Your ACC Member Profile Up-To-Date?
The ACC wants to make sure it's sending members only the most relevant information. To that end, the College is encouraging all members to update their ACC profile, including contact information, specialty areas, clinical interest areas and practice information. Don’t miss out on the latest cardiovascular research, new clinical guidelines, advocacy updates, ACC news and member benefits. Update your profile online at ACC.org/MyProfile.
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|Post-ACC16 Education Details
Claim Your Credit from ACC.16
Don't forget to claim your credit or certificate of participation for ACC.16. Click here to access the Credit System, and review the instructions and frequently asked questions for more information. The deadlines for claiming certificates are:
If you are not already logged in, you will need to enter your ACC username and password. If you need assistance, you may contact the Resource Center by email at firstname.lastname@example.org or phone at 800-253-4636 ext. 5603 (Toll Free, US & Canada) or 202-375-6000 ext. 5603 (Outside US & Canada).
- CPE Certificate: May 2, 2016 at 5:00 p.m. ET
- ECME Certificate: July 5, 2016 at 7:00 p.m. ET
- CME/CNE Certificate and Certificate of Participation: October 4, 2016 at 7:00 p.m. ET
Get Full Coverage from ACC.16
If you missed some of the latest news from the meeting, you can still read all about it. From trial summaries to presentation slides, videos and news articles, get all of the hot clinical news from ACC.16 on ACC.org. Also, get perspectives from leaders on the ACC in Touch Blog and find daily wrap up videos and interviews from the FITs on the GO on ACC's YouTube Channel.
ACC.16 Attendee Portal Details
The Attendee Portal provides attendees with exclusive access to materials from ACC.16 — all in one place!
The Attendee Portal will be available exclusively for ACC.16 attendees until February 2017. Use your ACC username and password* to login and take advantage of all these special features! *If you don't know your ACC password, please use the "Forgot My Password" feature available on the login page. If you are still not able to access the Portal, contact the ACC Resource Center by email at email@example.com or call 800-253-4636 ext. 5603 (Toll Free, US & Canada) or 202-375-6000 ext. 5603 (Outside US & Canada).
- Take a second look at slides from sessions you attended or peruse slides of sessions you missed with PDFs of the Sessions Slides
- Tour the Posters from your computer or iPad with the ePosters
- Access top news from the meeting
- Claim your credit or get your Certificate of Participation
- And much, much more!
Experience ACC.16 with iScience
If you didn't have an opportunity to attend every session of interest or want to re-watch some of the great sessions that you attended, you still can! All the valuable educational content from ACC.16 is available to you with iScience, the ACC.16 Meeting on Demand™ Program. Plus, for a limited time only when you order iScience for $1,499 you’ll receive a complimentary $500 Apple Gift Card!
iScience includes more than 400 hours of presentations from ACC.16, delivering high resolution slides with fully synchronized audio. Using state of the art technology, iScience captures everything presented during the session, including procedure videos and pointer movements. This offer is strictly on a first-come, first-serve basis. So act today and enjoy a $500 Apple Gift Card on us.
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|Digital ACC Resources
Free ACCEL Access for FITs
Did you know that Fellows in Training receive unlimited, complimentary access to ACC’s ACCEL audio journal. Sign up for this unique membership benefit here.
Stay In Touch with the ACC via Social Media
Stay in touch with the ACC and the latest clinical and advocacy news through ACC in Touch. ACCinTouch connects ACC members and those interested in cardiovascular news through popular social networking channels like Facebook, Twitter, LinkedIn and YouTube. Join each of these networks to connect with ACC members and those interested in cardiology. In addition to the ACC's main Twitter profile @ACCinTouch, the College also has a profile dedicated to advocacy-related news (@Cardiology). CardioSmart, the ACC's patient education and support program, also has patient-centered cardiovascular news available through Facebook, Twitter (@CardioSmart), and YouTube. For more information about ACC’s social media channels, visit ACC.org/ACCinTouch.
ACC Archived Webinars
Did you know that you can find archived webinars from throughout the years from the ACC on ACC.org? As a member, you have access to this wealth of information here. To access them, you must have an ACC.org log-in and use the confirmation code and webinar access link emailed to you once you. Questions? Contact ACC’s Resource Center at Phone: 202-375-6000, ext. 5603 or 800-253-4636, ext. 5603 or firstname.lastname@example.org.
Download ACC’s Advocacy Action Mobile App
Be sure to download the ACC Advocacy Action mobile app to get easy access to ACC's advocacy priorities and timely talking points to share during congressional visits. The app was designed to help members engage with lawmakers and influence health policy. Download it today on iTunes (iPhone, iPad) and Google Play (Android devices).
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