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Erschienen in: Current Cardiology Reports 9/2016

01.09.2016 | Echocardiography (JM Gardin, Section Editor)

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

verfasst von: Amita Singh, R. Parker Ward

Erschienen in: Current Cardiology Reports | Ausgabe 9/2016

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Abstract

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.
Literatur
1.
Zurück zum Zitat MEDPAC. Report to the congress: Medicare payment policy. Washington, DC: MEDPAC; 2015. MEDPAC. Report to the congress: Medicare payment policy. Washington, DC: MEDPAC; 2015.
2.•
Zurück zum Zitat Byrd 3rd BF, Abraham TP, Buxton DB, et al. A summary of the American society of echocardiography foundation value-based healthcare: summit 2014: the role of cardiovascular ultrasound in the new paradigm. J Am Soc Echocardiogr: Off Publ Am Soc Echocardiogr. 2015;28:755–69. A review of the economic, political and clinical implications of health care reform and the effect on the field of echocardiography.CrossRef Byrd 3rd BF, Abraham TP, Buxton DB, et al. A summary of the American society of echocardiography foundation value-based healthcare: summit 2014: the role of cardiovascular ultrasound in the new paradigm. J Am Soc Echocardiogr: Off Publ Am Soc Echocardiogr. 2015;28:755–69. A review of the economic, political and clinical implications of health care reform and the effect on the field of echocardiography.CrossRef
3.
Zurück zum Zitat Huang X, Rosenthal MB. Overuse of cardiovascular services: evidence, causes, and opportunities for reform. Circulation. 2015;132:205–14.CrossRefPubMed Huang X, Rosenthal MB. Overuse of cardiovascular services: evidence, causes, and opportunities for reform. Circulation. 2015;132:205–14.CrossRefPubMed
4.
Zurück zum Zitat Ballo P, Bandini F, Capecchi I, et al. Application of 2011 American College of Cardiology Foundation/American Society of Echocardiography appropriateness use criteria in hospitalized patients referred for transthoracic echocardiography in a community setting. J Am Soc Echocardiogr: Off Publ Am Soc Echocardiogr. 2012;25:589–98.CrossRef Ballo P, Bandini F, Capecchi I, et al. Application of 2011 American College of Cardiology Foundation/American Society of Echocardiography appropriateness use criteria in hospitalized patients referred for transthoracic echocardiography in a community setting. J Am Soc Echocardiogr: Off Publ Am Soc Echocardiogr. 2012;25:589–98.CrossRef
5.
Zurück zum Zitat American College of Cardiology Foundation Appropriate Use Criteria Task F, American Society of E, American Heart A et al. ACCF/ASE/AHA/ASNC/HFSA/HRS/SCAI/SCCM/SCCT/SCMR 2011 appropriate use criteria for echocardiography. A report of the American College of Cardiology foundation appropriate use criteria task force, American Society of Echocardiography, American Heart Association, American Society Of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Critical Care Medicine, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance American College of Chest Physicians. J Am Soc Echocardiogr: Off Publ Am Soc Echocardiogr. 2011;24:229–67.CrossRef American College of Cardiology Foundation Appropriate Use Criteria Task F, American Society of E, American Heart A et al. ACCF/ASE/AHA/ASNC/HFSA/HRS/SCAI/SCCM/SCCT/SCMR 2011 appropriate use criteria for echocardiography. A report of the American College of Cardiology foundation appropriate use criteria task force, American Society of Echocardiography, American Heart Association, American Society Of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Critical Care Medicine, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance American College of Chest Physicians. J Am Soc Echocardiogr: Off Publ Am Soc Echocardiogr. 2011;24:229–67.CrossRef
6.
Zurück zum Zitat Douglas PS, Khandheria B, Stainback RF, et al. ACCF/ASE/ACEP/ASNC/SCAI/SCCT/SCMR 2007 appropriateness criteria for transthoracic and transesophageal echocardiography: a report of the American College of Cardiology Foundation Quality Strategic Directions Committee Appropriateness Criteria Working Group, American Society of Echocardiography, American College of Emergency Physicians, American Society of Nuclear Cardiology, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, and the Society for Cardiovascular Magnetic Resonance Endorsed by the American College of Chest Physicians and The Society of Critical Care Medicine. J Am Coll Cardiol. 2007;50:187–204.CrossRefPubMed Douglas PS, Khandheria B, Stainback RF, et al. ACCF/ASE/ACEP/ASNC/SCAI/SCCT/SCMR 2007 appropriateness criteria for transthoracic and transesophageal echocardiography: a report of the American College of Cardiology Foundation Quality Strategic Directions Committee Appropriateness Criteria Working Group, American Society of Echocardiography, American College of Emergency Physicians, American Society of Nuclear Cardiology, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, and the Society for Cardiovascular Magnetic Resonance Endorsed by the American College of Chest Physicians and The Society of Critical Care Medicine. J Am Coll Cardiol. 2007;50:187–204.CrossRefPubMed
7.
Zurück zum Zitat Douglas PS, Khandheria B, Stainback RF, et al. ACCF/ASE/ACEP/AHA/ASNC/SCAI/SCCT/SCMR 2008 appropriateness criteria for stress echocardiography: a report of the American College of Cardiology Foundation Appropriateness Criteria Task Force, American Society of Echocardiography, American College of Emergency Physicians, American Heart Association, American Society of Nuclear Cardiology, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, and Society For Cardiovascular Magnetic Resonance: endorsed by the Heart Rhythm Society and the Society of Critical Care Medicine. Circulation. 2008;117:1478–97.CrossRefPubMed Douglas PS, Khandheria B, Stainback RF, et al. ACCF/ASE/ACEP/AHA/ASNC/SCAI/SCCT/SCMR 2008 appropriateness criteria for stress echocardiography: a report of the American College of Cardiology Foundation Appropriateness Criteria Task Force, American Society of Echocardiography, American College of Emergency Physicians, American Heart Association, American Society of Nuclear Cardiology, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, and Society For Cardiovascular Magnetic Resonance: endorsed by the Heart Rhythm Society and the Society of Critical Care Medicine. Circulation. 2008;117:1478–97.CrossRefPubMed
8.
Zurück zum Zitat Ward RP, Mansour IN, Lemieux N, Gera N, Mehta R, Lang RM. Prospective evaluation of the clinical application of the American College of Cardiology Foundation/American Society of Echocardiography Appropriateness Criteria for transthoracic echocardiography. J Am Coll Cardiol Img. 2008;1:663–71.CrossRef Ward RP, Mansour IN, Lemieux N, Gera N, Mehta R, Lang RM. Prospective evaluation of the clinical application of the American College of Cardiology Foundation/American Society of Echocardiography Appropriateness Criteria for transthoracic echocardiography. J Am Coll Cardiol Img. 2008;1:663–71.CrossRef
9.
Zurück zum Zitat Aggarwal NR, Wuthiwaropas P, Karon BL, Miller FA, Pellikka PA, American College of Cardiology F. Application of the appropriateness criteria for echocardiography in an academic medical center. J Am Soc Echocardiogr: Off Publ Am Soc Echocardiogr. 2010;23:267–74.CrossRef Aggarwal NR, Wuthiwaropas P, Karon BL, Miller FA, Pellikka PA, American College of Cardiology F. Application of the appropriateness criteria for echocardiography in an academic medical center. J Am Soc Echocardiogr: Off Publ Am Soc Echocardiogr. 2010;23:267–74.CrossRef
10.
Zurück zum Zitat Mansour IN, Razi RR, Bhave NM, Ward RP. Comparison of the updated 2011 appropriate use criteria for echocardiography to the original criteria for transthoracic, transesophageal, and stress echocardiography. J Am Soc Echocardiogr: Off Publ Am Soc Echocardiogr. 2012;25:1153–61.CrossRef Mansour IN, Razi RR, Bhave NM, Ward RP. Comparison of the updated 2011 appropriate use criteria for echocardiography to the original criteria for transthoracic, transesophageal, and stress echocardiography. J Am Soc Echocardiogr: Off Publ Am Soc Echocardiogr. 2012;25:1153–61.CrossRef
11.
Zurück zum Zitat Fonseca R, Negishi K, Otahal P, Marwick TH. Temporal changes in appropriateness of cardiac imaging. J Am Coll Cardiol. 2015;65:763–73.CrossRefPubMed Fonseca R, Negishi K, Otahal P, Marwick TH. Temporal changes in appropriateness of cardiac imaging. J Am Coll Cardiol. 2015;65:763–73.CrossRefPubMed
12.
Zurück zum Zitat Bhatia RS, Carne DM, Picard MH, Weiner RB. Comparison of the 2007 and 2011 appropriate use criteria for transthoracic echocardiography in various clinical settings. J Am Soc Echocardiogr: Off Publ Am Soc Echocardiogr. 2012;25:1162–9.CrossRef Bhatia RS, Carne DM, Picard MH, Weiner RB. Comparison of the 2007 and 2011 appropriate use criteria for transthoracic echocardiography in various clinical settings. J Am Soc Echocardiogr: Off Publ Am Soc Echocardiogr. 2012;25:1162–9.CrossRef
13.
Zurück zum Zitat Ward RP, Krauss D, Mansour IN, et al. Comparison of the clinical application of the American College of Cardiology Foundation/American Society of Echocardiography Appropriateness Criteria for outpatient transthoracic echocardiography in academic and community practice settings. J Am Soc Echocardiogr: Off Publ Am Soc Echocardiogr. 2009;22:1375–81.CrossRef Ward RP, Krauss D, Mansour IN, et al. Comparison of the clinical application of the American College of Cardiology Foundation/American Society of Echocardiography Appropriateness Criteria for outpatient transthoracic echocardiography in academic and community practice settings. J Am Soc Echocardiogr: Off Publ Am Soc Echocardiogr. 2009;22:1375–81.CrossRef
14.•
Zurück zum Zitat Matulevicius SA, Rohatgi A, Das SR, Price AL, DeLuna A, Reimold SC. Appropriate use and clinical impact of transthoracic echocardiography. JAMA Intern Med. 2013;173:1600–7. Recent clinical study which emphasizes the importance of clinical decision making in ordering and interpreting echocardiography in the context of AUC.CrossRefPubMed Matulevicius SA, Rohatgi A, Das SR, Price AL, DeLuna A, Reimold SC. Appropriate use and clinical impact of transthoracic echocardiography. JAMA Intern Med. 2013;173:1600–7. Recent clinical study which emphasizes the importance of clinical decision making in ordering and interpreting echocardiography in the context of AUC.CrossRefPubMed
15.
Zurück zum Zitat Koshy TP, Rohatgi A, Das SR, et al. The association of abnormal findings on transthoracic echocardiography with 2011 appropriate use criteria and clinical impact. Int J Cardiovasc Imaging. 2015;31:521–8.CrossRefPubMed Koshy TP, Rohatgi A, Das SR, et al. The association of abnormal findings on transthoracic echocardiography with 2011 appropriate use criteria and clinical impact. Int J Cardiovasc Imaging. 2015;31:521–8.CrossRefPubMed
16.•
Zurück zum Zitat Chiriac A, Kadkhodayan A, Pislaru SV, et al. Clinical importance of transthoracic echocardiography with direct input from treating physicians. J Am Soc Echocardiogr: Off Publ Am Soc Echocardiogr. 2016;29:195–204. Recent study highlighting the value of echocardiographic data in real-world clinical practice, including results which changed clinical decision making by indirect value. Chiriac A, Kadkhodayan A, Pislaru SV, et al. Clinical importance of transthoracic echocardiography with direct input from treating physicians. J Am Soc Echocardiogr: Off Publ Am Soc Echocardiogr. 2016;29:195–204. Recent study highlighting the value of echocardiographic data in real-world clinical practice, including results which changed clinical decision making by indirect value.
17.
Zurück zum Zitat Levy A, Singh A, Ward RP. The association between appropriate use criteria and impact on patient care for transthoracic echocardiography. Portland: American Society of Echocardiography Scientific Sessions; 2014. Levy A, Singh A, Ward RP. The association between appropriate use criteria and impact on patient care for transthoracic echocardiography. Portland: American Society of Echocardiography Scientific Sessions; 2014.
18.
Zurück zum Zitat Bhave NM, Mansour IN, Veronesi F, Razi RR, Lang RM, Ward RP. Use of a web-based application of the American College of Cardiology Foundation/American Society of Echocardiography Appropriateness Use Criteria for transthoracic echocardiography: a pilot study. J Am Soc Echocardiogr: Off Publ Am Soc Echocardiogr. 2011;24:271–6.CrossRef Bhave NM, Mansour IN, Veronesi F, Razi RR, Lang RM, Ward RP. Use of a web-based application of the American College of Cardiology Foundation/American Society of Echocardiography Appropriateness Use Criteria for transthoracic echocardiography: a pilot study. J Am Soc Echocardiogr: Off Publ Am Soc Echocardiogr. 2011;24:271–6.CrossRef
19.
Zurück zum Zitat Boggan JC, Schulteis RD, Donahue M, Simel DL. Guideline-based decision support has a small, non-sustained effect on transthoracic echocardiography ordering frequency. BMJ Qual Saf. 2016;25:57–62.CrossRefPubMed Boggan JC, Schulteis RD, Donahue M, Simel DL. Guideline-based decision support has a small, non-sustained effect on transthoracic echocardiography ordering frequency. BMJ Qual Saf. 2016;25:57–62.CrossRefPubMed
20.
Zurück zum Zitat Lin FY, Dunning AM, Narula J, et al. Impact of an automated multimodality point-of-order decision support tool on rates of appropriate testing and clinical decision making for individuals with suspected coronary artery disease: a prospective multicenter study. J Am Coll Cardiol. 2013;62:308–16.CrossRefPubMed Lin FY, Dunning AM, Narula J, et al. Impact of an automated multimodality point-of-order decision support tool on rates of appropriate testing and clinical decision making for individuals with suspected coronary artery disease: a prospective multicenter study. J Am Coll Cardiol. 2013;62:308–16.CrossRefPubMed
21.
Zurück zum Zitat Levitt K, Edwards J, Chow CM, Bhatia RS. Development of an educational strategy and decision support tool to enhance appropriate use of stress echocardiography at a large academic medical center: a prospective, pre- and postintervention analysis. J Am Soc Echocardiogr: Off Publ Am Soc Echocardiogr. 2015;28:1401–9.CrossRef Levitt K, Edwards J, Chow CM, Bhatia RS. Development of an educational strategy and decision support tool to enhance appropriate use of stress echocardiography at a large academic medical center: a prospective, pre- and postintervention analysis. J Am Soc Echocardiogr: Off Publ Am Soc Echocardiogr. 2015;28:1401–9.CrossRef
22.
Zurück zum Zitat Remfry A, Abrams H, Dudzinski DM, Weiner RB, Bhatia RS. Assessment of inpatient multimodal cardiac imaging appropriateness at large academic medical centers. Cardiovasc Ultrasound. 2015;13:44.CrossRefPubMedPubMedCentral Remfry A, Abrams H, Dudzinski DM, Weiner RB, Bhatia RS. Assessment of inpatient multimodal cardiac imaging appropriateness at large academic medical centers. Cardiovasc Ultrasound. 2015;13:44.CrossRefPubMedPubMedCentral
23.
Zurück zum Zitat Bhatia RS, Milford CE, Picard MH, Weiner RB. An educational intervention reduces the rate of inappropriate echocardiograms on an inpatient medical service. J Am Coll Cardiol Img. 2013;6:545–55.CrossRef Bhatia RS, Milford CE, Picard MH, Weiner RB. An educational intervention reduces the rate of inappropriate echocardiograms on an inpatient medical service. J Am Coll Cardiol Img. 2013;6:545–55.CrossRef
24.
Zurück zum Zitat Bhatia RS, Dudzinski DM, Malhotra R, et al. Educational intervention to reduce outpatient inappropriate echocardiograms: a randomized control trial. J Am Coll Cardiol Img. 2014;7:857–66.CrossRef Bhatia RS, Dudzinski DM, Malhotra R, et al. Educational intervention to reduce outpatient inappropriate echocardiograms: a randomized control trial. J Am Coll Cardiol Img. 2014;7:857–66.CrossRef
25.•
Zurück zum Zitat Bhatia RS, Ivers N, Yin CX, et al. Design and methods of the echo WISELY (Will Inappropriate Scenarios for Echocardiography Lessen SignificantlY) study: an investigator-blinded randomized controlled trial of education and feedback intervention to reduce inappropriate echocardiograms. Am Heart J. 2015;170:202–9. Study design of a large prospective randomized trial to determine whether educational interventions for AUC use among physicians across multiple centers can improve appropriateness of physician ordering.CrossRefPubMed Bhatia RS, Ivers N, Yin CX, et al. Design and methods of the echo WISELY (Will Inappropriate Scenarios for Echocardiography Lessen SignificantlY) study: an investigator-blinded randomized controlled trial of education and feedback intervention to reduce inappropriate echocardiograms. Am Heart J. 2015;170:202–9. Study design of a large prospective randomized trial to determine whether educational interventions for AUC use among physicians across multiple centers can improve appropriateness of physician ordering.CrossRefPubMed
26.
Zurück zum Zitat Fonseca R, Marwick TH. Appropriateness and outcomes: is it time to adopt appropriate use criteria outside of North America? Heart. 2014;100:357–8.CrossRefPubMed Fonseca R, Marwick TH. Appropriateness and outcomes: is it time to adopt appropriate use criteria outside of North America? Heart. 2014;100:357–8.CrossRefPubMed
27.
Zurück zum Zitat Garbi M, Habib G, Plein S, et al. Appropriateness criteria for cardiovascular imaging use in clinical practice: a position statement of the ESC/EACVI taskforce. Eur Heart J Cardiovasc Imaging. 2014;15:477–82.CrossRefPubMed Garbi M, Habib G, Plein S, et al. Appropriateness criteria for cardiovascular imaging use in clinical practice: a position statement of the ESC/EACVI taskforce. Eur Heart J Cardiovasc Imaging. 2014;15:477–82.CrossRefPubMed
28.
Zurück zum Zitat Garbi M, McDonagh T, Cosyns B, et al. Appropriateness criteria for cardiovascular imaging use in heart failure: report of literature review. Eur Heart J Cardiovasc Imaging. 2015;16:147–53.CrossRefPubMed Garbi M, McDonagh T, Cosyns B, et al. Appropriateness criteria for cardiovascular imaging use in heart failure: report of literature review. Eur Heart J Cardiovasc Imaging. 2015;16:147–53.CrossRefPubMed
29.
Zurück zum Zitat Fonseca R, Negishi K, Marwick TH. What is the evidence status of appropriate use criteria (AUC)? Insight from a matching exercise with the guidelines for echocardiography. Intern Med J. 2015;45:864–9.CrossRefPubMed Fonseca R, Negishi K, Marwick TH. What is the evidence status of appropriate use criteria (AUC)? Insight from a matching exercise with the guidelines for echocardiography. Intern Med J. 2015;45:864–9.CrossRefPubMed
30.
Zurück zum Zitat Fonseca P, Sampaio F, Ribeiro J, Goncalves H, Gama V. Appropriate use criteria for transthoracic echocardiography at a tertiary care center. Revista Port Cardiol: Orgao Of Soc Port Cardiol = Port J Cardiol: Off J Port Soc Cardiol. 2015;34:713–8. Fonseca P, Sampaio F, Ribeiro J, Goncalves H, Gama V. Appropriate use criteria for transthoracic echocardiography at a tertiary care center. Revista Port Cardiol: Orgao Of Soc Port Cardiol = Port J Cardiol: Off J Port Soc Cardiol. 2015;34:713–8.
31.
Zurück zum Zitat Gurzun MM, Ionescu A. Appropriateness of use criteria for transthoracic echocardiography: are they relevant outside the USA? Eur Heart J Cardiovasc Imaging. 2014;15:450–5.CrossRefPubMed Gurzun MM, Ionescu A. Appropriateness of use criteria for transthoracic echocardiography: are they relevant outside the USA? Eur Heart J Cardiovasc Imaging. 2014;15:450–5.CrossRefPubMed
32.
Zurück zum Zitat Rameh V, Kossaify A. Appropriate use criteria in echocardiography: an observational institutional study with the perspective of a quality improvement project. Clin Med Insights Cardiol. 2016;10:23–8.PubMedPubMedCentral Rameh V, Kossaify A. Appropriate use criteria in echocardiography: an observational institutional study with the perspective of a quality improvement project. Clin Med Insights Cardiol. 2016;10:23–8.PubMedPubMedCentral
Metadaten
Titel
Appropriate Use Criteria for Echocardiography: Evolving Applications in the Era of Value-Based Healthcare
verfasst von
Amita Singh
R. Parker Ward
Publikationsdatum
01.09.2016
Verlag
Springer US
Erschienen in
Current Cardiology Reports / Ausgabe 9/2016
Print ISSN: 1523-3782
Elektronische ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-016-0758-1

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