Advanced Cardiovascular Imaging Consortium
- Conditions
- Chest PainCoronary OcclusionCoronary Artery Disease
- Registration Number
- NCT00640068
- Lead Sponsor
- William Beaumont Hospitals
- Brief Summary
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.
- Detailed Description
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.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 42926
(Patient must meet one criteria)
- Patient has had a CCTA examination ordered by a referring physician at a participating site.
- Patient is a self referral.
Clinical contraindications to CCTA are present as determined by attending physician or staff, including but not limited to:
- Pregnancy or potential pregnancy.
- Renal failure or dysfunction.
- Inability to receive beta blockers.
- Allergy to iodinated contrast without prior premedication.
- Unwillingness to participate.
- Inability to read or understand Patient Information Sheet.
- Age less than 18 years without parent or guardian's evaluation of Patient Information Sheet. Underage and other vulnerable populations are included as the CQI process is intended to detect and correct adverse consequences of CCTA, e.g., excessive radiation, and protect such patients.
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Educate participating sites on appropriate use of CCTA 5 years To educate participating sites in the clinical uses of CCTA recommended by the ACC/ACR as well as other best-practices
- Secondary Outcome Measures
Name Time Method To monitor the CQI process of individual participating sites and the ACIC as a whole. 5 years
Trial Locations
- Locations (50)
McLaren Flint
🇺🇸Flint, Michigan, United States
Borgess Medical Center
🇺🇸Kalamazoo, Michigan, United States
Sparrow Health System
🇺🇸Lansing, Michigan, United States
Ingham Regional Medical Center
🇺🇸Lansing, Michigan, United States
Thoracic and Cardiovascular Institute, P.C.
🇺🇸Lansing, Michigan, United States
William Beaumont Hospital-Royal Oak
🇺🇸Royal Oak, Michigan, United States
Bronson Hospital
🇺🇸Kalamazoo, Michigan, United States
Oakwood Hospital
🇺🇸Dearborn, Michigan, United States
East Beltline Imaging
🇺🇸Grand Rapids, Michigan, United States
Bay Regional Medical Center
🇺🇸Bay City, Michigan, United States
DMC Huron Valley-Sinai
🇺🇸Commerce, Michigan, United States
North Ottawa Community Hospital
🇺🇸Grand Haven, Michigan, United States
Hillsdale Community Health Center
🇺🇸Hillsdale, Michigan, United States
Premier Medical Clinics
🇺🇸Flint, Michigan, United States
Garden City Hospital
🇺🇸Garden City, Michigan, United States
Henry Ford Cottage Hospital
🇺🇸Grosse Pointe, Michigan, United States
Health First Imaging
🇺🇸West Bloomfield, Michigan, United States
West Branch Regional Medical Center
🇺🇸West Branch, Michigan, United States
Harper University Hospital
🇺🇸Detroit, Michigan, United States
St. John Hospital and Medical Center
🇺🇸Detroit, Michigan, United States
Henry Ford Hospital
🇺🇸Detroit, Michigan, United States
William Beaumont Hospital - Grosse Pointe
🇺🇸Grosse Pointe, Michigan, United States
Oakwood Annapolis Hospital
🇺🇸Wayne, Michigan, United States
McLaren Regional Medical Center
🇺🇸Flint, Michigan, United States
St. John Oakland
🇺🇸Madison Heights, Michigan, United States
McLaren Lapeer Region
🇺🇸Lapeer, Michigan, United States
Marquette General Health System
🇺🇸Marquette, Michigan, United States
McLaren Macomb
🇺🇸Mount Clemens, Michigan, United States
Mercy Memorial
🇺🇸Monroe, Michigan, United States
Hackley Hospital
🇺🇸Muskegon, Michigan, United States
Crittenton Hospital
🇺🇸Rochester, Michigan, United States
St. Joseph Mercy Hospital Oakland
🇺🇸Pontiac, Michigan, United States
Northern Michigan Hospital
🇺🇸Petoskey, Michigan, United States
Covenant Healthcare
🇺🇸Saginaw, Michigan, United States
Chippewa County War Memorial
🇺🇸Sault Saint Marie, Michigan, United States
St. John Providence Hospital
🇺🇸Southfield, Michigan, United States
Southgate Radiology & Southgate CT
🇺🇸Southgate, Michigan, United States
Lakeland Regional Health System
🇺🇸St. Joseph, Michigan, United States
St. Joseph Health System - Tawas
🇺🇸Tawas City, Michigan, United States
Henry Ford West Bloomfield Hospital
🇺🇸West Bloomfield, Michigan, United States
St. John Macomb
🇺🇸Warren, Michigan, United States
Heritage (Oakwood) Hospital
🇺🇸Taylor, Michigan, United States
Munson Medical Center
🇺🇸Traverse City, Michigan, United States
Oakwood Southshore Medical Center
🇺🇸Trenton, Michigan, United States
William Beaumont Hospital, Troy
🇺🇸Troy, Michigan, United States
Henry Ford Wyandotte Hospital
🇺🇸Wyandotte, Michigan, United States
Michigan Heart, P.C.
🇺🇸Ypsilanti, Michigan, United States
Pontiac Osteopathic Hospital
🇺🇸Pontiac, Michigan, United States
University of Michigan
🇺🇸Ann Arbor, Michigan, United States
St. Joseph Mercy Hospital Ann Arbor
🇺🇸Ann Arbor, Michigan, United States