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Author(s): John S Rumsfeld , Gregory J Dehmer , Ralph G Brindis Added: 3 years ago
High-quality healthcare is that which increases “the likelihood of desired health outcomes and is consistent with standards of health care.”1 Inherent in such a definition is the critical role of measurement of patient outcomes and the ‘standards of healthcare,’ such as those reflected in evidence-based clinical practice guidelines.2 Unfortunately, when the quality of healthcare in the US is… View more
Foreword

Article

Added: 3 years ago
We live in a time in which the speed of scientific advancement in cardiovascular medicine is almost staggering. Journals and scientific meetings overflow with quality research abstracts and even a simple scan of the nation’s newspapers each day reveals important new findings in the prevention and treatment of heart disease. This issue of US Cardiovascular Disease, for example, includes a wealth… View more
Foreword

Article

Author(s): Ralph G Brindis Added: 3 years ago
This issue of US Cardiology offers a wide range of topics exploring the current state of cardiovascular science, promoting cardiovascular education, and, most importantly, promoting cardiovascular quality. US Cardiology is truly supporting cardiovascular professionalism, a core value for all of us practicing cardiovascular medicine and those of us involved in leadership roles in this transitional… View more
Author(s): Blair D Erb , Joseph Allen , Lisa Chambers , et al Added: 3 years ago
In the fall of 2009, the American College of Cardiology (ACC) launched the Practice innovation and clinical excellence (PINNACLE) Network™.1 The foundation of the PINNACLE Network rested on three observations by ACC membership and staff: The medical profession is in the midst of unprecedented social, political, and economic change that dramatically impacts how cardiovascular specialists… View more
Author(s): Gregory J Dehmer Added: 3 years ago
The use of percutaneous coronary intervention (PCI) for coronary artery revascularization has grown considerably since the first balloon angioplasty in 1977. Improvements in equipment and drug therapies plus the development of coronary artery stents have all contributed to the growth of PCI as an alternative to surgical revascularization. Compared with the early days of balloon angioplasty, when… View more
Author(s): Joseph P Drozda Jr Added: 3 years ago
Since its foundation six decades ago, the goal of the American College of Cardiology (ACC) has been to improve the quality of cardiovascular care. The College’s founders initially sought to accomplish this goal by providing the College’s members with access to high-quality educational opportunities such as the ACC’s highly successful annual scientific sessions. In 1984, the quest for improved… View more
Author(s): Marjorie L King Added: 3 years ago
In this era of healthcare financial reform, there is a growing consensus that treatments should be cost-effective, decrease disability, and improve survival. There is also increasing recognition that healthcare should be co-ordinated among clinicians and care settings, and that patients should be involved in the decision-making process. Cardiac rehabilitation (CR) programs are ideally situated to… View more
Author(s): Robert F Riley , James M McCabe Added: 3 years ago
Heart disease remains the leading cause of death in the US, with ischemic heart disease comprising almost half of these deaths based on the most recent 2013 mortality data.1 While there have been reports of declining rates of acute myocardial infarction (AMI) from various registries and Medicare beneficiary reports, coronary heart disease remained the underlying cause of death in one out of seven… View more
Author(s): Larry A Allen , John S Rumsfeld Added: 3 years ago
Hospital readmissions contribute significant clinical and economic burden to patients and payers.1 Nearly 20 % of Medicare patients are readmitted to the hospital within 30 days of discharge, with heart failure listed as the most common reason for readmission.2 Based on a more than twofold variation in institutional readmission rates adjusted for patient clinical characteristics,3 preventable… View more
Author(s): Neal W White Jr Added: 3 years ago
Hospital to Home (H2H) is a national quality improvement initiative of the American College of Cardiology (ACC) and the Institute for Healthcare Improvement (IHI). It builds on the success of the ACC Door-to-Balloon Alliance for Quality and the IHI 100K Lives and 5 Million Lives campaigns. The goal of the H2H initiative is to reduce 30-day all-cause readmission rates for patients discharged with… View more