ACC News You Can Use
for December 2012

ACC President Speaks on ‘The State of Cardiology’ During Grand Rounds
During a recent Grand Rounds presentation at the Methodist Hospital System in Houston, Texas, ACC President William Zoghbi, MD, FACC, delved into the current cardiovascular landscape, including health care challenges and innovations on the horizon. Zoghbi discussed the ACC's recent Practice Census, touching on the evolution of practice ownership, electronic health record adoption and shifting demographics. Patient-centered care was also a hot topic and Zoghbi highlighted tools available through ACC's CardioSmart initiative, including the CardioSmart Explorer app (available in the app store) that's designed to enhance the clinician/patient relationship at the point-of-care. View the archived presentation.

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WHO Establishes Health Targets to Combat NCDs
The World Health Organization has established nine health targets designed to combat non-communicable diseases (NCDs) worldwide. Last September, the United Nations (UN) General Assembly declared the need for global control and prevention of NCDs at the first ever UN Summit on NCDs. Since then, the ACC has played a pivotal role in the development of a plan for the global campaign to combat the diseases. On the one-year anniversary of the summit, the ACC jointly published a health policy statement with the World Heart Federation, the European Society of Cardiology and the American Heart Association that pushed for concrete targets. Two months after this call to action, the targets were finally agreed upon under the NCD alliance's tireless guidance. Moving forward, the ACC plans to leverage its 6,000 international members and 24 International Chapters to ensure success when national plans are implemented next year. For more information, or to get involved in these continuing efforts to curb the growing global burden of NCDs, contact international@acc.org.

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Looking Ahead to 2013
CMS released the final 2013 Medicare Physician Fee Schedule in early November. The rule unveiled major changes in cardiology coding for next year. Of note, new CPT codes have been created to report PCI as well as bundle EP studies with ablation. Additionally, the physician work RVUs that were finalized result in physician work RVU reductions of roughly 20 percent to the family of PCI codes and roughly 27 percent to the family of EP/ablation codes. The ACCF/AMA CPT Reference Guide for Cardiovascular Coding is your one-stop resource for navigating these coding changes. Learn more and order your copy. For additional final rule details on the proposed multiple procedure payment reduction; Physician Quality Reporting System (PQRS) and e-prescribing participation; and more, visit CardioSource.org.

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New Guidelines for SIHD Released
New, comprehensive guidelines released by the ACC Foundation (ACCF)/American Heart Association (AHA) Task Force on Practice Guidelines, in partnership with several other medical specialty societies, aim to provide physicians with a framework to optimally diagnose and manage patients with stable ischemic heart disease (SIHD). Among the topics covered: guideline-directed medical therapy as the cornerstone of treatment for most patients; how to optimally care for women and other subgroups of patients who may be more prone to complications; the use of newer imaging and diagnostic technologies; the role of catheter-based and surgical procedures in treatment; the value of patient preferences in decision making; and the need for careful follow up to monitor for progression of disease and adherence to therapy. Read more.

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ACCPAC-Supported Candidates Win in November
Results are in! Over the course of the 2012 cycle, ACC's Political Action Committee (ACCPAC) supported 122 candidates throughout the country who formulate and control the policies that impact health care for patients with cardiovascular disease; facilitate the delivery of high-quality, cost-effective cardiovascular services; and fund cardiovascular research and prevention. This November election results were very much in the College's favor, with over 90 percent (104) of ACCPAC-supported candidates winning their elections. Learn more about how contributing to ACCPAC is an investment in your practice, your profession and your future. Now that the elections are over, how will the new Congress shape health reform? Learn more at the Cardiovascular Summit this January, where health policy leaders, payers and other stakeholders will delve into the impacts of the elections on health reform implementation. View the agenda and reserve your spot.

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New on the ACC in Touch Blog:

ACC President William Zoghbi, MD, FACC
ACC President William Zoghbi, MD, FACC delves into the Evolution of the Journal of the American College of Cardiology (JACC) journals in a Nov. 19 post which also touches on the ongoing search for a new JACC editor-in-chief and the new JACC Journals presence on Facebook.

William R. Lewis, MD, FACC
William R. Lewis, MD, FACC chair of the ACC’s shared decision making work group and a member of the patient-centered care steering committee, shares his thoughts on improving outcomes through shared decision making in the latest post in the quality series by ACC Quality leaders.

William R. Lewis, MD, FACC
William R. Lewis, MD, FACC chair of the ACC’s shared decision making work group and a member of the patient-centered care steering committee, shares his thoughts on improving outcomes through shared decision making in the latest post in the quality series by ACC Quality leaders.

The link between diabetes and cardiovascular disease is explored in a number of posts throughout November as part of National Diabetes Month. For example, Joanne Foody, MD, FACC, editor of CardioSmart.org, discusses the growing diabetes epidemic that is expected to impact one in three Americans by 2050 (check out a special infograph on ACC's Facebook page for other staggering statistics and share it with your patients). CardioSmart offers a number of tools to help patients manage the disease, including a collection of patient fact sheets, the CardioSmart med reminder app and the CardioSmartTXT program. Learn more about these and additional resources on the Blog.

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Value-Based Payment Phase-In Coming
In 2015, the Centers for Medicare and Medicaid Services (CMS) will begin phasing in payment adjustments for quality and cost of care starting with groups of 100 or more professionals who opt-in. While participation in value-based payment will be voluntary at first, CMS intends that all physicians' payments will be adjusted in 2017 using a value-based modifier. The ACC will host a webinar on Dec. 4 at 3 p.m. EST to underscore the need for practices to get ready for value-based purchasing initiatives that were outlined in the 2013 Medicare Physician Fee Schedule. Get the information, instruction and resources you need to understand the implications. Register here. Also, check out the November/December issue of Cardiology for more on this topic.

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FDA Update on Zilver PTX Stent
The U.S. Food and Drug Administration (FDA) recently announced approval of the first drug-eluting stent for use in patients with peripheral artery disease (PAD). The Zilver PTX Stent will expand treatment options for patients with PAD beyond the current options that include exercise, drug therapy, balloon angioplasty, bare-metal stenting or surgical bypass. According to Christy Foreman, director of the Office of Device Evaluation at FDA's Center for Devices and Radiological Health, a clinical trial "demonstrated that the Zilver is more effective than balloon angioplasty for the treatment of symptomatic peripheral artery disease in above-the-knee femoropopliteal artery." Read the complete FDA statement.

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New Expert Consensus Document on Troponin Elevations
The ACC Foundation (ACCF) recently released the first Expert Consensus Document on Practical Clinical Considerations in the Interpretation of Troponin Elevations. Developed in collaboration with other leading professional societies, the document is the first comprehensive consensus document outlining clinical considerations for ordering and interpreting tests for troponin. The new document provides a framework for clinicians to interpret the results of troponin testing "in a useful mechanism-based construct." Full coverage is available on CardioSource.org.

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Membership Dues Deadline Dec. 10
ACC membership renewal is due on Dec. 10. Membership provides more than $1,800 worth of benefits each year and helps cardiovascular professionals stay up-to-date on the latest in cardiovascular care and at the top of their field. Visit CardioSource.org/Dues to renew.

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Newest ACC Magazines Now Available
The most recent issue of Cardiology magazine is now available and focuses on the value of ACC membership in terms of advocacy, quality and lifelong learning as well as across career stages and paths. Read more here. Also, you can find the newest issues of CardioSource InterventionalNews and CardioSourceWorldNews magazine online.

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Don’t Miss CV Summit!
Cardiovascular Summit: Solutions for Thriving in a Time of Change
Las Vegas; Jan 10 – 12 , 2013

Enhance your knowledge of the evolving healthcare environment to ensure the clinical and business success of new practice models and clinical care designs. Presentations and workshops will synthesize the status of health care reform, explore strategies that will facilitate successful navigation of the maze of expected healthcare changes. Attendees can expect to learn more about finance and evolving payment models, designing a successful CV service line, creating an effective team, and leadership and governance within an organization. Register here. To see all upcoming conferences offered by the ACC, visit here.

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Special ACC Partnership Helps You Save on Medical Liability Coverage
Founded by doctors for doctors, The Doctors Company has partnered with the ACC to provide discounts on medical liability coverage for ACC members. The Doctors Company provides a unique combination of coverage features, aggressive claims defense, superior protection, and unrivaled rewards, including the Tribute® Plan, a groundbreaking financial benefit that rewards members for their loyalty and commitment to outstanding patient care. Visit CardioSource.org/TheDoctorsCompany to get a no-obligation quote and more information.

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ACC Can Help Plan Your Chapter State Advocacy Strategy
Each state, including DC and Puerto Rico, legislature will convene next year and a comprehensive advocacy strategy can ensure success in 2013. ACC’s state government relations team is available to help Chapters design their strategy in cooperation with Chapter Advocacy Council and Committee calls. Working together, the collaboration will help to identify key issues and determine how best to communicate the Chapter's concerns to lawmakers. Contact Frank Ryan , Jim Boxall, and Saiza Elayda to begin strategizing.

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Stay In Touch with the ACC Via Social Media
Stay in touch with the ACC and the latest clinical and advocacy news through ACCinTouch. ACCinTouch connects ACC members and those interested in cardiovascular news through popular social networking channels like Facebook, Twitter, LinkedIn and YouTube. Look for the ACCinTouch logo for the official ACC presence on these social media channels in order to connect with ACC members and those interested in cardiology. In addition to the ACC's main Twitter profile , the College also has profiles dedicated to the ACC.13 Annual Meeting as well as news from the Advocacy team . CardioSmart, the ACC's patient education and support program, also has patient-centered cardiovascular news available through Facebook, Twitter , and YouTube. For more information about ACC’s social media channels, visit CardioSource.org/ACCinTouch.

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