New in Clinical Documents New Clinical Data Standards on Cardiovascular Endpoint Events in Clinical Trials The ACC and the American Heart Association, collaborating with the U.S. Food and Drug Administration (FDA) and the Standardized Data Collection for Cardiovascular Trials Initiative, have released key data elements and definitions for cardiovascular endpoint events in clinical trials. The document, published Dec. 29 in the Journal of the American College of Cardiology, is designed to “provide a framework of data standards that would simplify the design and conduct of clinical trials for those considering regulatory submissions.” The new terminology set includes cardiovascular endpoints of universal interest in clinical care, research, and regulatory review: death (specifically attribution of the cause of death), myocardial infarction, stroke, transient ischemic attack, coronary intervention (including stent thrombosis), peripheral vascular intervention, hospitalization for unstable angina and acute heart failure events. Report on Clinician-Patient Shared Accountability in Performance Measures A new report detailing concepts for shared accountability in performance measures between clinicians and patients has been released by the ACC, American Heart Association, American Association of Cardiovascular and Pulmonary Rehabilitation, American Academy of Family Physicians and the American Nurses Association in collaboration with other professional organizations. The report was published Nov. 3 in the Journal of the American College of Cardiology, and examines the use of performance measures and how their implementation may be improved for care. While performance measures have traditionally been clinician focused, their goal of improving patient outcomes is heavily dependent on the health care system as well as patient actions. Recognizing this, the developing organizations sought to outline the key concepts, measurements and considerations for implementing patient-clinician shared-accountability performance measures. TVT Registry a Model For Innovation and Surveillance The STS/ACC TVT Registry is a model for collaboration among professional societies and is a model for medical device innovation and surveillance since it “facilitates and accelerates the learning process during the introduction of revolutionary new treatments for heart valve abnormalities,” according to a study published Feb. 2 in Health Affairs. The study, included as part of Health Affairs’ thematic issue on biomedical innovations, was led by John Carroll, MD, FACC, member of the TVT Registry Steering Committee. Carroll and colleagues describe the history of heart valve treatment development, the regulatory process for U.S. market approval of devices, how the TVT Registry was developed and all that it has accomplished since its launch in December 2011. They note that the Registry now has more than 27,000 patient records representing all U.S. patients undergoing new nonsurgical heart valve treatments, with transcatheter aortic valve replacement now available in 354 U.S. hospitals, and transcatheter mitral valve repair now available in 100 U. S. hospitals. With the patient- and procedural-related data that is gathered, “patient-reported outcomes are assessed pre-and post-procedure, and long-term data on mortality and repeat hospitalization are provided by linking the Registry’s data to Medicare patient data.” Further, the Registry has been able to “support Medicare coverage decisions, expand device indications, provide comprehensive device surveillance, and establish national quality benchmarks.” The authors note that moving forward, future goals of the registry include “shortening the U.S. Food and Drug Administration (FDA) approval timeline for devices, providing data for decision-making tools for patients, and public reporting of hospital performance.” “We are pleased to have the structure, accomplishments and future goals of The STS/ACC TVT Registry published in this highly influential journal in the health policy field,” said Carroll. “My coauthors include others representing the ACC and The Society of Thoracic Surgeons as well as leaders from the FDA, the Centers for Medicare and Medicaid Services, and the medical device industry who are all engaged in this collaboration to improve care of patients, the performance of hospitals, and the effectiveness of our national system for medical device regulation and surveillance.” The New Online Professional Home For the Entire CV Care Team Has Arrived By Kim Eagle, MD, MACC As the editor-in-chief for the new ACC.org, I am pleased to announce the launch of the ACC’s new and improved website. Nearly two years ago, the ACC embarked on the redesign of CardioSource.org, with the goal of leveraging new technologies to ensure cardiovascular professionals and their patients have the tools and resources to communicate easily and effectively in today’s increasingly digital world. What you see today is the culmination of this journey. I congratulate the ACC staff and the many member leaders who played a role in this impressive undertaking. The return to the original ACC.org web address symbolizes an overall streamlined approach to the College’s new online home. Centering on the key attributes of anytime and anywhere, focused and personalized, and trusted and in-depth, the new website furthers the ACC’s key missions of science, quality patient care, lifelong learning and member education. Key highlights include mobile optimization, personalization options, streamlined navigation and improved search performance – all of which make the website easier to use whether in the office, at home or on the go. Based on the demands of ACC members, content organization and navigation are at the center of the new ACC.org. The site is built upon intuitive navigation and improved search performance, which will help users easily navigate the large volume of complex ACC content contained in the site. The new site makes it easy to locate clinical guidelines, search Journal of the American College of Cardiology content, and stay on top of the latest research, hot topics and trends. More than 20 new clinical topic collections serve as centralized, topic-specific hubs for latest developments, guidelines, clinical documents, expert commentary and analysis, educational programs, case challenges and more. The Latest in Cardiology section provides front page access to pertinent, timely content like ACC news stories, meeting coverage, journal scans, clinical trials, blog posts and advocacy updates. Users can browse the list or filter by topic, theme or date. The site also offers personalization options that aid in navigation of content and help members stay on top of their specialty. Members can subscribe to email digests by topic collection to receive new content from their designated interest areas directly to their inbox – and to see recommended content on the homepage each time they log in. Members can also track their educational progress, find and join member sections and save and assemble content for later use. Updates were also made to article commentary and social media sharing, enabling greater communication among colleagues. The new ACC.org will not only help us keep current on latest developments in care, practice and research – but will transform the way we search and access the clinical content and practice tools that drive our decisions at the point of care. Through the enhanced website, we can better connect with one another and the ACC, which will have a lasting impact on the provision of cardiovascular care. Eagle is editor-in-chief of ACC.org. Notable News Debra Ness, MS, Receives Barbara Starfield Primary Care Leadership Award In November 2014, Debra Ness, MS, member of the ACC’s Board of Trustees and president of the National Partnership for Women and Families, received the Barbara Starfield Primary Care Leadership Award from the Patient-Centered Primary Care Collaborative (PCPCC). She was named the recipient of the award for her long-standing commitment to advancing patient-centered care for women and families. In her remarks, Ness expressed that “at the National Partnership, we share Barbara Starfield’s conviction that everyone deserves comprehensive, coordinated, patient- and familycentered care – and her recognition that primary care should be the foundation for how we improve our health care system. Building this foundation will help us achieve better health outcomes, improve the care experience for patients and families, and make health care services more affordable … Patients, families, and their advocates need to be full partners in the efforts to redesign our health care system. That kind of partnership must be our North Star as we work to build a system that truly meets the needs of those it serves.” ASCVD Risk Estimator Ranked Best Medical App ACC’s ASCVD Risk Estimator App was ranked the best medical app released in 2014 by iMedicalApps. “ASCVD Risk Estimator is an essential download for any primary care provider and for cardiologists as well,” says the author. Download the app via iTunes or Google Play. Learn more about the ACC’s mobile resources at ACC.org/Apps. New Book: Caring for the Heart: Mayo Clinic and the Rise of Specialization ACC historian and author of American Cardiology: The History of a Specialty and Its College, Bruce Fye, MD, MA, MACC, has written a new book, entitled Caring for the Heart: Mayo Clinic and the Rise of Specialization. Published in early February 2015, the book delves into the major developments in heart disease during the twentieth century, as well as the evolution of the Mayo Clinic. The publisher’s page remarks that, “this book places individuals and events in national and international contexts that emphasize the interplay of medical, scientific, technological, social, political, and economic forces that have resulted in contemporary heart care.” Fostering a Culture of Innovation Kevin Fitzpatrick has been named executive vice president and chief innovation officer of the ACC – a move that signals the college’s commitment to seeking new and innovative ways to support members and improve heart health. “This new position will help the ACC continue its role as a leader in cardiology and among medical societies by exploring new ways to improve cardiovascular care and new ways to address the challenges in medicine,” said ACC Chief Executive Officer Shal Jacobovitz. “The ACC has long been a leader in innovation, from the creation of the NCDR to its state-of-the-art cardiovascular education products and programs. Kevin is forward thinking and the right leader to help the ACC continue this innovation into the future.” CAD Patient Wins 3rd Annual ‘I am CardioSmart’ Contest Gerry Yumul, a coronary artery disease patient from Victoria, MN, was named by members of the cardiovascular care community as the winner of the “I am CardioSmart” contest. Now in its third year, the contest is conducted through the ACC’s CardioSmart patient initiative to find people living well with heart disease and showcase their stories to inspire other patients. Through the “I am CardioSmart” award, the ACC is recognizing Yumul for how he’s lived his life since surgery and for being an inspiration to others at risk for heart disease. “I have lived both the difficulties of having cardiovascular disease and also the rewards of living a heart-healthy lifestyle,” says Yumul. “I continue to follow through on my healthy diet and exercise to achieve full recovery.” For additional patient stories and for prevention tools to use in practice, visit CardioSmart.org/For-Clinicians. In Memoriam: Michael J. Davidson, MD A tragic shooting at Brigham and Women’s Hospital in Boston on Jan. 20, took the life of Michael J. Davidson, MD, director of endovascular cardiac surgery. “Dr. Davidson was a wonderful and inspiring cardiac surgeon who devoted his career to saving lives and improving the quality of life of every patient he cared for,” the hospital said in a statement. “It is truly devastating that his own life was taken in this horrible manner.” “The members and staff of the ACC are shocked and saddened by the shooting death of Dr. Davidson,” said ACC President Patrick T. O’Gara, MD, FACC. “Dr. Davidson was an innovative cardiac surgeon who helped establish the hospital’s transcatheter valve program. He will be sorely missed by colleagues across the country. Senseless acts of this nature cannot be rationalized and the trauma of this event will be felt for a long time. We will not be deterred from providing the care our patients require and honoring the higher calling of the profession we have chosen.” Dr. Davidson will be recognized at the Opening Showcase Session of ACC.15. ACC in Touch Follow @ACC_2015 on Twitter for updates throughout ACC.15 in San Diego, CA, March 14 – 16. Use the hashtag #ACC15 to join the conversation. Interested in Patient Case Quizzes, new studies from the Journal of the American College of Cardiology and updates on the latest cardiovascular news? ‘Like’ the ACC on Facebook to gain access to updates, news, promotions and more. Recent posts on the ACC in Touch Blog include a post on the American Board of Internal Medicine’s announcement to change the new Maintenance of Certifi cation process, written by ACC President Patrick T. O’Gara, MD, FACC. Other topics include a post from William A. Zoghbi, MD, MACC, past president of the ACC, who responded to a New York Times article on echocardiography charges; a post authored by Richard Chazal, MD, FACC, vice president of the ACC, on the ACC’s long-term advocacy focus; and a post authored by C. Michael Valentine, MD, FACC, on the success of the ACC’s Cardiovascular Summit. Check out the ACC in Touch Blog for more insights on the latest in cardiology at blog.acc.org.
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