A Summary of the American Society of Echocardiography Foundation Value-Based Healthcare: Summit 2014

Byrd, Benjamin F.; Abraham, Theodore P.; Buxton, Denis B.; Coletta, Anthony V.; Cooper, James H.S.; Douglas, Pamela S.; Gillam, Linda D.; Goldstein, Steven A.; Graf, Thomas; Horton, Kenneth; Isenberg, Alexis A.; Klein, Allan L.; Kreeger, Joseph; Martin, Randolph P.; Nedza, Susan M.; Navathe, Amol S.; Pellikka, Patricia A.; Picard, Michael H.; Pilotte, John; Ryan, Thomas J.; Rychik, Jack; Sengupta, Partho P.; Thomas, James D.; Tucker, Leslie E.; Ward, R. Parker; Weissman, Neil J.; Wiener, David; Woodruff, Sarah Beth

doi:10.1016/j.echo.2015.05.007

Cited by 17 publications

(10 citation statements)

References 52 publications

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“…Medical diagnostic imaging experienced a cumulative growth of 85 % from 2000 to 2009, far exceeding any other physician service [1, 2•]. While not the fastest growing imaging modality, transthoracic echocardiography (TTE) volume nearly doubled in this time period and remains the highest volume cardiac imaging test.…”

Section: Changing Trends In Cardiac Imaging Utilizationmentioning

confidence: 99%

“…In the proceedings, the trifecta of an ideal healthcare system in this current atmosphere was proposed, underscoring the importance of (a) the achievement of a higher quality of care for the patient population and (b) an improved patient experience while (c) accomplishing all of this at a lower cost [2•]. The pressure to enhance cost-conscious healthcare utilization, particularly within the realm of cardiac imaging, has been hugely emphasized in the media and among governmental and private payers over the last decade.…”

Section: Auc In the Era Of Value-based Healthcarementioning

confidence: 99%

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Appropriate Use Criteria for Echocardiography: Evolving Applications in the Era of Value-Based Healthcare

Singh

Ward

2016

Curr Cardiol Rep

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The current climate in healthcare is increasingly emphasizing a value-based approach to diagnostic testing. Cardiac imaging, including echocardiography, has been a primary target of ongoing reforms in healthcare delivery and reimbursement. The Appropriate Use Criteria (AUC) for echocardiography is a physician-derived tool intended to guide utilization in optimal patient care. To date, the AUC have primarily been employed solely as justification for reimbursement, though evolving broader applications to guide clinical decision-making suggest a far more valuable role in the delivery of high-quality and high-value healthcare.

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Section: Changing Trends In Cardiac Imaging Utilizationmentioning

confidence: 99%

Section: Auc In the Era Of Value-based Healthcarementioning

confidence: 99%

Appropriate Use Criteria for Echocardiography: Evolving Applications in the Era of Value-Based Healthcare

Singh

Ward

2016

Curr Cardiol Rep

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“…As cardiac imaging has become a focal point of intense scrutiny on the potential overuse and increasing expenditures on healthcare procedures and services over the last decade, echocardiography has held a unique role. On the one hand, while data from the pre-AUC era confirmed rapid growth in the utilization of echo procedures, this growth rate paled in comparison with cardiac imaging brethren such as MRI, CT, and SPECT/PET MPI [2,3]. This is not surprising given that many of these newer cardiac imaging modalities were experiencing a formative era of evolving technology and expanding indications.…”

Section: Why Should Echo Stakeholders Care About a Mandate That Does mentioning

confidence: 99%

Appropriate Use Criteria for Echocardiography in the Era of Value-Based Care: Mission Accomplished or Future Mandates?

Hackett

Ward

2020

Curr Cardiol Rep

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Purpose of Review The purpose of this review is to highlight the past impact and current role of the Appropriate Use Criteria (AUC) for echocardiography in value-based healthcare, and to address future implications in light of the recent mandate from the Centers for Medicare and Medicaid Services to incorporate AUC for other imaging modalities. Recent Findings Several studies have proven that the AUC effectively stratify the clinical practice of echocardiography as they predict important echo abnormalities and impact optimal patient care. Recent investigations have tested new technologies and demonstrated the feasibility and scalability of the application of the AUC for echocardiography at the point of care. Summary The AUC for echocardiography has accomplished their core mission, as utilization has moderated over the last decade and mandatory implementation at the point of care for echocardiography remains rare. While a new mandate signals another wave of focus on appropriate utilization, echocardiography stands ready.

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“…Echocardiography is an excellent tool for the diagnosis of acute, chronic and exercise-induced ischemia. The critical use of echocardiography is recommended (94). In brief, it is necessary to use echocardiography in the assessment of CHD, and it is important to gain solid expertise with the related techniques (59).…”

Section: Conclusion and Insights For The Futurementioning

confidence: 99%

Echocardiographic assessment of myocardial ischemia

Leischik¹,

Dworrak²,

Sanchís-Gomar³

et al. 2016

Ann. Transl. Med.

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Over the last 60 years, echocardiography has emerged as a dominant and indispensable technique for the detection and assessment of coronary heart disease (CHD). In this review, we will describe and discuss this powerful tool of cardiology, especially in the hands of an experienced user, with a focus on myocardial ischemia.Technical development is still on-going, and various new ultrasound techniques have been established in the field of echocardiography in the last several years, including tissue Doppler imaging (TDI), contrast echocardiography, three-dimensional echocardiography (3DE), and speckle tracking echocardiography (i.e., strain/strain rateechocardiography). High-end equipment with harmonic imaging, high frame rates and the opportunity to adjust mechanical indices has improved imaging quality. Like all new techniques, these techniques must first be subjected to comprehensive scientific assessment, and appropriate training that accounts for physical and physiological limits should be provided. These limits will constantly be redefined as echocardiographic techniques continue to change, which will present new challenges for the further development of ultrasound technology.

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A Summary of the American Society of Echocardiography Foundation Value-Based Healthcare: Summit 2014

Cited by 17 publications

References 52 publications

Appropriate Use Criteria for Echocardiography: Evolving Applications in the Era of Value-Based Healthcare

Appropriate Use Criteria for Echocardiography: Evolving Applications in the Era of Value-Based Healthcare

Appropriate Use Criteria for Echocardiography in the Era of Value-Based Care: Mission Accomplished or Future Mandates?

Echocardiographic assessment of myocardial ischemia

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