Coronary Artery Disease Clinical Trial
Official title:
Advanced Cardiovascular Imaging Consortium: A Collaborative Quality Improvement Project
The ACIC is a Collaborative Quality Improvement (CQI) program involving the collection of data related to: indications for Coronary Computed Tomography (CCTA), patient health characteristics, acquisition techniques of CCTA scans, physician interpretation of results and short-term outcomes over a 90 day period.
This study is a collaborative quality assurance initiative organized by Blue Cross Blue
Shield of Michigan and Blue Cross Network (BCBSM/BCN) for initiation of insurance coverage
of coronary artery CT scanning (CCTA), a relatively new procedure that can provide
non-invasive coronary angiograms. While this procedure has promise in that it can rapidly
diagnose patients with unknown chest pain and reduce the cost of medical care, there is
substantial potential for abuse and excess cost and inappropriate care if not appropriately
used.
The Consortium's objectives are to educate participating sites of the clinical uses of CCTA
as well as other best-practice recommendations; to create a database (Registry) to develop
evidence of the best-practice utilization of CCTA; to provide a feedback mechanism to the
sites about the positive or negative evidence of best-practice utilization of CCTA; to
develop strategies to improve the utilization of CCTA; to monitor the CQI process of the
individual participating sites; to reduce cost and improve safety and efficiency in in the
care of patients with acute chest pain, indeterminate stress tests results, and to assess
coronary bypass graft patency.
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Observational Model: Cohort, Time Perspective: Prospective
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