In This Issue:
SCAI Publishes Expert Consensus Document on FFR, IVUS and OCT
In an expert consensus document e-published this week in Catheterization and Cardiovascular Interventions, SCAI offers recommendations for optimal use of fractional flow reserve (FFR), intravascular ultrasound (IVUS) and optical coherence tomography (OCT). The document reviews each of the three technologies in terms of level of benefit to patients, offering perspective on the best current uses of each, where no proven benefit has been shown and where there may be potential for benefit once more information is gathered over time.
“Many patients will not need these techniques in their care, but for those who will benefit from them, this guidance offers physicians the parameters to ensure they are put to use best,” said the document’s senior author Lloyd W. Klein, MD, FSCAI.
“SCAI is dedicated to providing interventional cardiologists with tools and guidance that improve the care and outcomes of our patients every day,” said SCAI President Ted A. Bass, MD, FSCAI. “These recommendations are the latest example of our ongoing efforts, clarifying when and in whom FFR, IVUS and OCT work best.”
Members of the writing committee have also discussed the paper’s recommendations with journalists. The outlets covering the expert consensus document include Cardiac Interventions Today, Cardiology Today’s Intervention, Medpage Today, and TCTMD.
Read the Press Release
Download the Expert Consensus Document
Visit the SCAI Guidelines Center
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Society Requests National Coverage Decision for Mitral Valve Procedures
Yesterday afternoon SCAI submitted a joint formal request to CMS for the development of a National Coverage Decision (NCD) for Transcatheter Mitral Valve Repair(TMVR) along with the Society of Thoracic Surgeons (STS), the American College of Cardiology (ACC), and the American Association for Thoracic Surgery (AATS). This formal request incorporates indications from the recent FDA approval of the Mitraclip, highlights the value of data collection for this emerging technology, and takes steps to ensure TMVR patients will be cared for by a collaborative heart team at high quality facilities.
Read the Formal Request to CMS for NCD of Mitral Valve Therapies
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SCAI Continues to Urge Meaningful Progress on SGR Reform
SCAI continues to make progress in its efforts on Capitol Hill toward meaningful SGR Reform. On Tuesday, SCAI submitted comments to the Senate Finance Committee and the House Ways and Means Committee on its October 31 draft legislative framework for repealing and replacing Medicare's sustainable growth rate (SGR) formula.
In joint comments with SCAI's Alliance of Specialty Medicine partners, the Society summarized the following main concerns with the proposed framework:
- Freezing physician payments for 10 years, which ignores the cost of treating patients and the resources needed to invest in quality improvement activities;
- Preserving, and even adding to, aspects of current quality reporting and value-based payment initiatives that make them irrelevant to specialty medicine, while providing little enhanced flexibility for physicians to determine which quality improvement activities are most relevant to their patient population and most appropriate for their practice;
- Applying budget neutrality across the new Value‐Based Performance Payment Program, which means there will inevitably be "losers" regardless of performance;
- An Alternative Payment Model proposal that ignores the fact that the most widely tested models are most suitable for primary care physicians and present challenges in terms of specialist participation;
- Inappropriate Congressional intervention in the development of procedure codes;
- Egregious penalties for failing to participate in CMS data collection efforts; and
- Expansion of publicly reported data that are not indicative of physician quality
Read the SCAI Comments Letter on the Draft SGR Legislative Framework
In supplemental comments regarding Appropriate Use Criteria (AUCs) SCAI stated that:
- More refinement is needed before we can support the use of AUC for physician payment purposes. Many practicing interventional cardiologists believe that the AUC tools currently developed in cardiology are not accurate enough to be used by the government for payment or quality/necessity assessment purposes. We will reconsider this position when another edition of the AUC is developed.
- The specialties moving most rapidly toward improving quality and medical necessity assessment tools should be rewarded for those efforts. Subjecting cardiologists to a revenue neutral use of AUC does not support our efforts or encourage other groups to follow suit. If you want to see greater use of AUCs, there should be incentives to develop and use them.
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CCI: Which Risk Score is the Best Predictor of Post-PCI Outcomes?
The November 15, 2013 issue of Catheterization & Cardiovascular Interventions (CCI) is now available online. Headlining this issue is the Editor's Choice article submitted by Cardiovascular Institute, Mount Sinai Medical Center, in New York, NY , "Comparison of six risk scores in patients with triple vessel coronary artery disease undergoing PCI: Competing factors influence mortality, myocardial infarction, and target lesion revascularization".
CCI Editor-in-Chief Steven R. Bailey, MD, FSCAI discusses this study's findings regarding the predictive value of several risk score for post-PCI outcomes with study co-author and SCAI ELM Fellow Jason C. Kovacic, MD, PhD, FSCAI. Click here to view this discussion
Also, be sure not to miss lots of new online only content published in this issue.
Member Login to Access the 15 November Issue of CCI
Access the November 15 Editor's Choice Article
View Video on the Key Takeaways from the Editor's Choice Article
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TRIP Phoenix: Make Your Hotel Accommodations Today & Save!
IMPORTANT: The deadline to take advantage of the discounted room rate for SCAI's Transradial Interventional Program (TRIP) Phoenix is TODAY!
Be sure to book your room at the Hyatt Regency Phoenix for the discounted rate of $119 per night plus tax by calling 1 (888) 821-1442 and referencing "Society for Cardiovascular Angiography and Interventions.” Or go online to: https://resweb.passkey.com/Resweb.do?mode=welcome_ei_new&eventID=10725580.
ABOUT TRIP PHOENIX:
Whether you are trying to pick up basic skill or looking for advanced techniques and best practices in transradial interventions, SCAI TRIP Phoenix is the course for you and your cardiac cath lab team! Taking place December 14, 2013, TRIP Co-chairs Samir B. Pancholy, MD, FSCAI and Sunil V. Rao, MD, FSCAI have designed a comprehensive one-day program for interventional and invasive cardiologists, interventional/invasive cardiology fellows-in-training, cath lab techs, and cath lab nurses.
Space is Limited - Enroll Now!
Additional Information on SCAI TRIP Phoenix
Learn About Our Nurse / Tech Breakout Session
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SCAI 2014: i3 Session to Feature Your Interventions, Interaction & Input
Taking place May 28-31, 2014 in Las Vegas, SCAI 2014 Scientific Sessions is going to be INTENSE, INSPIRING and INNOVATIVE!
Returning this year will be the dynamic and exciting “i3: Intervention, Interaction & Input,” a case-based session open to all SCAI 2014 attendees. The i3 Session features coronary, structural, and endovascular (including arterial and venous) cases contributed by attendees, an open-mike forum for discussion, and critical input from expert faculty.
Here is your chance to get involved! Show your great cases: therapeutic dilemmas, disasters, saves, close-calls, creative approaches, YOU NAME IT.
Present to panel of experts in front of your peers so that we might all learn. Presenters will need to send in angiograms in advance, along with a brief clinical synopsis. Panel moderators will select the cases that are most interesting, most spectacular, or make an important teaching point. If your case is selected, you will be expected to present and help discuss.
Get your cases ready now as the i3 Call for Submissions opens next week!
Register for SCAI 2014 Now
Download the Preliminary Program
Find Out More About SCAI 2014 Scientific Sessions
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AMA Joins SCAI in Fighting Payment Cuts for Physician Office Procedures
Echoing SCAI's strong objections voiced to CMS earlier this fall, the AMA has brought together a large coalition — including SCAI — fighting payment reductions for procedures done outside of hospitals and ambulatory surgical centers (ASCs).In its proposed rule for 2014, CMS’s rationale of not paying more for procedures in physician offices than they do in hospitals and ASCs made sense, but unfortunately CMS wasn't doing a fair apples-to-apples comparison of payment rates among the three settings.
Read the AMA Letter to CMS Regarding This Issue
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President's Page Addresses Quality in Treatment of Vascular Disease
In a President’s Page just published in Catheterization and Cardiovascular Interventions, SCAI 2013-14 President Ted A. Bass, MD, FSCAI, and SCAI Trustee Michael R. Jaff, MD, FSCAI, discuss how Interventional Cardiology’s successful quality improvement efforts in coronary interventions provide a model for similar achievements in vascular care. You can access the President’s Page in Catheterization and Cardiovascular Interventions or on SCAI’s website.
Access the November 2013 President's Page
Have Thoughts? Email SCAI President Dr. Ted Bass
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