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Massachusetts Chapter American College of Cardiology
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for August 2017
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ACC and NCDR Committee Nominations Now Open
Nominations for spots on ACC’s major operating committees and NCDR subcommittees are open now until Friday, Sept. 22. ACC members are encouraged to review the open positions and may self-nominate or nominate a colleague on the Committee Nominations Portal. ACC’s ongoing governance transformation has allowed for an increase in open committee positions to expand member involvement and provide additional opportunities for members to impact the work of the College. Applicants will be notified of results in January 2018. For questions or additional information, email firstname.lastname@example.org. For NCDR Committees, contact email@example.com.
ACC BOT Recommends 2018 Slate of Officers and Trustees
The ACC Board of Trustees (BOT) recommended the College’s newest slate of officers and trustees during its August meeting, which took place from Aug. 3 – 5 in Minnesota. The ACC Nominating Committee, led by Immediate Past President Richard Chazal, MD, MACC, put forth the following candidates for BOT recommendation, using the College’s Leadership Competencies as guidance: C. Michael Valentine, MD, FACC, to serve as president from 2018-2019; Richard J. Kovacs, MD, FACC, to serve as vice president from 2018-2019; Howard T. Walpole Jr., MD, MBA, FACC, to serve as treasurer from 2018-2021; Edward T.A. Fry, MD, FACC, and Daniel Jose Pineiro, MD, FACC, to serve as trustees from 2018-2021. "Each of these individuals is uniquely qualified to uphold the mission of the College and provide the strong leadership needed to guide the ACC toward the future," said Chazal. "Congratulations to all the new officers and trustees." Read more on ACC.org.
July Issue of Cardiology Looks at 15 Years of TAVR; ACC Latin America Conference; and More
The cover story in the July issue of Cardiology provides a look at achievements in transcatheter aortic valve replacement (TAVR) in the 15 years since it was first performed, including comments from David R. Holmes, Jr., MD, MACC, and Michael J. Mack, MD, FACC. Gain more perspective on the evolution of TAVR in Harold on History, written by Editor-in-Chief John Gordon Harold, MD, MACC. Also, a feature article reviews the focused education and new research highlighted at the recent ACC Latin America Conference. Don’t miss the photos, including the Best Poster winners. Another feature article looks at the use of fractional flow reserve by computed tomography for the noninvasive assessment of coronary artery disease. Read about Mariell Jessup, MD, FACC, in an interview with Cardiology about advancing heart failure diagnosis and management. Don’t miss The Dogs Days of Summer, by Editor-in-Chief Alfred A. Bove, MD, PhD, MACC.
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Science and Quality News
Latest Issue of Cardiology: Interventions Looks at Robotic PCI; Trials from EuroPCR and SCAI; and More
The cover story in the latest issue of Cardiology: Interventions explores the use and potential benefits of robotics for performing PCI, including comments from Ehtisham Mahmud, MD, FACC, and Ryan Madder, MD, FACC. The feature article highlights some late-breaking trials from EuroPCR and SCAI. Editor-in-Chief Peter C. Block, MD, FACC, provides perspectives on interpreting trial data and the selection of transcatheter aortic valves in the Editor’s Corner. We introduce the new editor of the FIT column, Eric Secemsky, MD, MSc, in an interview and FIT Mazen Albaghdadi, MD, MSc, shares his journey at SCAI, including a case presentation. In Peripheral Matters, learn about the use of supervised treadmill exercise therapy for peripheral artery disease.
JACC: Cardiovascular Imaging Call For Papers: Cardiovascular Imaging in Cardio-Oncology
In line with the promise to meticulously define the role of cardiac imaging in managing various cardiovascular diseases around the world, JACC: Cardiovascular Imaging will publish a themed issue focusing on imaging in cardio-oncology in early 2018. The issue will highlight current and future roles of cardiovascular imaging in understanding the effects of cancer on the heart, as well as diagnosing, monitoring and treating these conditions. The journal’s editors are seeking original research manuscripts addressing all forms of cardiovascular imaging as applied to the growing field of cardio-oncology, such as techniques, paradigms, pathophysiology, clinical care, diagnostic strategies, cost effectiveness and outcomes. Interested authors should submit their papers online at JACCSubmit-Imaging.org by Nov. 1. On the submissions page, please select “Imaging in Cardio-Oncology” from the “Special Issues” pull-down menu. For more information, see “Author Instructions.” For questions, email firstname.lastname@example.org.
First Data Standard Published For Pediatric and Congenital Cardiology
On July 14, the ACC and the American Heart Association (AHA) published the first extensive data dictionary for the outpatient domain of pediatric and congenital cardiology, the 2017 AHA/ACC Key Data Elements and Definitions for Ambulatory Electronic Health Records in Pediatric and Congenital Cardiology, in the Journal of the American College of Cardiology. Due to a wide range of disease processes across a small set of patients in pediatric and congenital heart disease, the data dictionary is crucial to identify best practices, develop evidence-based guidelines and determine statistical significance in patient populations. The committee views this plan as a first step toward achieving electronic health records data exchange for the continuity of clinical care of the pediatric and congenital heart disease patient. Read more on ACC.org.
LAAO Registry Now Open For Research Proposal Applications
The LAAO Registry research and publications subcommittee is now accepting research proposal applications (RPAs) for hypothesis-driven research studies that employ the baseline data collected in the registry. To be considered during this initial review cycle, investigators should submit their RPAs by noon ET on Oct. 16, 2017. Please note that the data currently available at this time are the baseline data; only those RPAs limited to baseline data will be considered. Proposals will be reviewed for feasibility and scientific merit. Each RPA also undergoes a competitive approval process for NCDR funding, which is used to support analysis conducted by an NCDR-contracted data analytic center. Datasets are not released to individual investigators or organizations. Learn more about the proposal process on CVQuality.ACC.org.
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Advocacy and Health Policy News
Last Chance to Register for 2017 Legislative Conference
Your last chance to register for ACC's 2017 Legislative Conference, taking place Sept. 10 – 12 in Washington, DC, is Aug. 21. Register now! A block of rooms for attendees has been secured at the Fairmont Hotel. If you have any questions regarding your hotel reservation, please email Lindsay Lamb or call 202-375-6316. The conference kicks off on Sunday, Sept. 10, with a special ACCPAC-sponsored reception and dinner featuring political analyst and best-selling author Nicolle Wallace. For more information, or to RSVP and purchase your ticket for the dinner or reception, email Lucas Sanders or call 202-375-6397.
FDA Needs Your Pulmonary Arterial Hypertension Expertise
The U.S. Food and Drug Administration (FDA) has reached out through the Network of Experts with a request to speak with ACC members who have expertise in pulmonary arterial hypertension (PAH). The Network of Experts program allows the Agency to quickly reach out to outside experts with specific requests to supplement knowledge and expertise within the Centers. This request pertains to the use of medication therapies to treat PAH. This opportunity is open to all clinicians who have expertise in this topic and pass through FDA’s conflicts of interest screening. Willing experts should contact email@example.com for further information. The FDA will schedule a teleconference with interested individuals.
JACC Leadership Page: MACRA and Practice Transformation
In a recent Leadership Page published in the Journal of the American College of Cardiology (JACC), ACC President Mary Norine Walsh, MD, FACC, how MACRA will bring about change in how frequently stable cardiovascular patients are seen and by whom. MACRA established a framework for rewarding clinicians for value over volume, which will lead to a transformation in how practices function. While cardiologists will need to see sick patients rather than stable ones, it is important to explore and embrace new models of care so that patients do not feel abandoned. “With practice transformation, we will need to work smarter,” Walsh writes. “Systems of care that involve fewer in-person visits, but continue to keep our patients engaged will be necessary.” Read more.
CMS Issues Proposed Rule Canceling EPMs, Cardiac Rehabilitation Incentive Model
The Centers for Medicare and Medicaid Services (CMS) has issued a proposed rule canceling its episode payment models (EPMs) and the cardiac rehabilitation incentive model, which were slated to start on Jan. 1, 2018. The agency also made significant changes to its joint replacement payment model. Cancellation of the program will impact eligible clinicians, including physicians and non-physician practitioners, who were planning to use participation in the EPMs to qualify as participating in Advanced Alternative Payment Models (APMs) outlined under the Quality Payment Program. “The ACC will continue to work with CMS on opportunities for clinicians to participate meaningfully in Advanced APMs,” said ACC President Mary Norine Walsh, MD, FACC. "As we move from volume-based care to value-based care, the path forward is challenging and we must work together to find solutions.” ACC Advocacy staff and leaders are reviewing the update now and more information on the impacts to cardiovascular clinicians and next steps will be posted to ACC.org and included in the Advocate.
CMS Releases Proposed 2018 Medicare PFS and Hospital OPPS Rules
On July 13, the Centers for Medicare and Medicaid Services (CMS) released the proposed 2018 Medicare Physician Fee Schedule (PFS), addressing Medicare payment and quality provisions for physicians in 2018. Under the proposal, physicians will see a less than 0.1 percent conversion factor payment increase on Jan. 1, 2018. CMS estimates that the physician rule will decrease payments to cardiologists by 2 percent from 2017 to 2018. This estimate predicts a 1 percent reduction to changes in practice expense and a 1 percent reduction to changes in malpractice expense. It is based on the entire cardiology profession and can vary widely depending on the mix of services provided in a practice. The PFS proposed rule was released in tandem with the proposed 2018 Hospital Outpatient Prospective Payment System (OPPS) rule. The outpatient rule indicates a 1.75 percent payment update for hospitals. Your ACC staff are reviewing the proposed rules to identify additional topics of interest to members. Read highlights from both proposed rules on ACC.org.
Work Toward Reducing the Burden of Prior Authorization with ACC’s New PARTool
The ACC is seeking input from practices on incorrectly denied or difficult prior authorization requests via the new web-based prior authorization tool (PARTool). The tool collects data to help the College determine overall prior authorization and test substitution trends, and better understand problematic areas of the prior authorization process, including time burdens, test substitution and peer-to-peer reviews. The College will use the data garnered from responses to the 12-question form to share trends with insurers, prior authorization vendors, state legislators and insurance officials to engage them in working to reduce the burden of prior authorization. Submit your issues via the simple online form at www.acc.org/PARTool.
ACC Holds AUC Summit
The ACC held an appropriate use criteria (AUC) summit on Aug. 9 at its Heart House headquarters in Washington, DC. The summit provided an overview of the Centers for Medicare and Medicaid Services' forthcoming AUC program, with discussion among participants about where the program is headed and how the AUC community, including the ACC, can help. Experts discussed ways to collaborate around AUC development, implementation strategies and how to optimize electronic health records and clinical decision support mechanisms, in addition to addressing confusion around contradicting AUC recommendations. In his closing remarks, summit moderator Stephen F. Jencks, MD, MPH, said, "My takeaways from this summit can be broken down into three primary messages. Firstly, it's not easy for groups to rank their priorities for AUC implementation – all of their priorities are high. Secondly, most of the issues raised today could be categorized as either research or nomenclatural issues, and thirdly, different groups have differing priorities regarding the implementation of this program, and they have considerable financial stake in those priorities. These groups must work out their priorities and issues internally before moving forward." Read more on ACC.org. Find more information on the AUC program and ACC's AUC Task Force here.
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Submit Science For the Young Investigator Awards by Sept. 11
Scientific breakthroughs in the field of cardiology depend on the work that so many young scientific investigators are doing today. The Young Investigator Awards Competition was established to recognize and encourage these future cardiovascular leaders. Physicians, scientists, medical students and other health care providers currently in residency or fellowship programs, or who are no more than three years out of training, are invited to submit their science for an opportunity to present their work at ACC.18. PhD, PharmD and DNP candidates no more than three years out of training may also apply. Application deadline is Sept. 11, 2017. Read more on ACC.org.
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New Post-ACC.17 Content Now Available
The ACC.org editors have created additional content meant to reinforce the teaching points and education presented during ACC.17. Test your knowledge with three patient case quizzes. The first quiz examines subacute bacterial endocarditis with acute decompensated heart failure. The second quiz tests your decision-making skills when evaluating the severity of mitral regurgitation. Lastly, the third quiz focuses on how to assess the severity of an aortic stenosis case. Visit the ACC.17 Meeting Coverage Page for full coverage of post-ACC.17 content.
Submit ACC.org Clinical Topic Collections Content
ACC members are invited to submit content to the ACC.org Clinical Topic Collections – the College’s 18 managed digital collections that gather the latest education, guidelines, news, JACC articles, and meeting information pertaining to specific cardiovascular topic areas. Accepted content such as Expert Analysis articles or Patient Case Quizzes will be published in one or more of the topic areas on ACC.org upon review by teams of content experts. Submit content here, selecting “Submit Manuscript” and uploading your proposal when prompted. Submissions will route to an appropriate collection editorial team who will provide feedback within two weeks. Questions? Contact Michelle Partridge-Doerr at firstname.lastname@example.org.
ACC.org Improvements Bring Cleaner Navigation to Education Pages
As part of ongoing improvements to ACC.org, enhancements have recently been made to the Online Learning Catalog and the educational transcript page. Users will benefit from a cleaner look and improved navigation. Additional updates to the online catalog and other aspects of the website are planned for this year. As in the past, ACC.org users can get the most out of the website by personalizing their account and staying logged in. In a few short steps, users can select the Clinical Topic Collections most relevant to them, creating a custom filtered view on their homepage and ACC.org Digest emails with curated content. Logging in also allows users to save content to their personal library, manage ACC newsletter subscriptions and see members’ only content on ACC Member Section homepages. For a quick-start guide to getting the most out of ACC.org personalization, visit ACC.org/Personalize.
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For Patients – CardioSmart
Revamped CardioSmart Heart Explorer App Available for Android
The ACC’s CardioSmart Heart Explorer App has been revamped with the goal of furthering the clinician/patient relationship at the point of care. Newly enhanced high-resolution cardiac graphics and animations are designed to help effectively review and discuss common heart problems and treatment options with patients. New to the app, heart failure and atrial fibrillation information can be emailed directly to patients through the app. The app is now available for Android users via the Google Play Store. Download it for free today. Log-in information is no longer required. Find out more at CardioSmart.org/Explorer.
Atrial Fibrillation, Stroke and Blood Thinners Infographic Now Available
On average, people with atrial fibrillation (AFib) are five times more likely to suffer a stroke. Also, strokes related to AFib are often more severe than strokes from other causes. For these reasons, it is important that your patients understand the risks and balance concerns when choosing blood thinners. The ACC’s CardioSmart team has created an Atrial Fibrillation, Stroke and Blood Thinners Infographic to help illustrate the benefits and risks of blood thinners and help patients understand how the benefit of preventing stroke often outweighs bleeding risk. This infographic can be downloaded for free, along with other CardioSmart infographic posters that can be used as point-of-care graphics for your waiting and exam rooms. Visit CardioSmart.org/BloodThinners for more tools and resources on this subject.
CardioSmart Voted One of the 10 Best Blogs For Heart Disease
Medical News Today featured ACC’s CardioSmart blog as one the 10 best blogs for heart disease, providing useful tips on lifestyle and dietary changes, educational information, and inspiring patient stories. CardioSmart is being recognized for continually improving both care experience and health outcomes in individuals with heart disease through partnership programs, information sharing, patient participation, goal setting and collaboration, while bridging the communications gap between clinicians and patients. Visit CardioSmart.org to get access to free resources for both clinicians and patients, including vibrant infographic posters with visual summaries of cardiovascular and lifestyle topics, the recently updated CardioSmart Heart Explorer App, heart conditions centers, and many more.
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Digital ACC Resources
Download the New CathPCI Bleeding Risk Calculator App
The ACC has recently launched the CathPCI Bleeding Risk Calculator App to help clinicians assess the individualized patient risk of experiencing a bleeding event associated with a PCI procedure. This app allows clinicians to compare individual patient risk with the national average based on data from the CathPCI Registry®. Also, the app facilitates consistent risk assessment and communication between a clinician and patient about the overall PCI procedure. Download the app and find out more about ACC’s clinical apps at ACC.org/Apps.
Get Easy Access to JACC Content on Your Phone or Tablet Via the JACC Journals App
Use the JACC Journals App to access the latest research and clinical practice updates from the top-ranked family of JACC Journals. This single app puts all of your favorite content at your fingertips – and is accessible across all iOS and Android devices. The app lets you browse new issues, link to featured articles, and interact with figures, tables and multimedia content. The “My Reading List” feature allows you to save articles for offline reading; share via social media; email useful content; and much more! Download the app from the iTunes App Store or get it on Google Play today.
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. Join each of these networks to connect with ACC members and those interested in cardiology. In addition to the ACC's main Twitter profile @ACCinTouch, the College also has a channel dedicated to advocacy-related news (@Cardiology), education (@ACCCardioEd), and quality (@ACCCVQuality). CardioSmart, ACC's patient education and support program, also has patient-centered cardiovascular news available through Facebook, Twitter (@CardioSmart), and YouTube. For more information about ACC’s social media channels, visit ACC.org/ACCinTouch.
ACC Archived Webinars
Did you know that you can find archived webinars from throughout the years from the ACC on ACC.org? As a member, you have access to this wealth of information at www.acc.org/WebinarsOndemand. Questions? Contact ACC’s Resource Center at Phone: 202-375-6000, ext. 5603 or 800-253-4636, ext. 5603 or email@example.com.
Download ACC’s Advocacy Action Mobile App
Be sure to download the ACC Advocacy Action mobile app to get easy access to ACC's advocacy priorities and timely talking points to share during congressional visits. The app was designed to help members engage with lawmakers and influence health policy. Download it today on iTunes (iPhone, iPad) and Google Play (Android devices).
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