Exciting Updates to the Get With The Guidelines®-Coronary Artery Disease Registry

Aug 18, 2023

Exciting Updates to the Get With The Guidelines®-Coronary Artery Disease Registry

Learn about exciting updates coming to the Get With The Guidelines-Coronary Artery Disease (GWTG-CAD) registry early next year including:

- Streamlined data collection and improved form function
- Updated Patient Entry Criteria to allow for optional entry of high-risk chest pain and other ACS patients
- Updated data collection for Reasons for Delay, PCI, and Patient Transfer (DIDO) to support your health system’s QI initiatives
We will also provide an introduction to our upcoming GWTG-CAD Rural Acute Initiative.

Content

5.01 -> - [Sandeep] Hello and welcome to today's webinar,

6.93 -> exciting Updates to Get With The Guidelines-CAD.

9.78 -> My name is Sandeep Gill.

11.49 -> I'm the Health IT product manager

13.2 -> that manages Get With The Guidelines-CAD.

15.63 -> I'm joined by fellow AHA staff, Jason Walchok,

18.33 -> Melissa Clark and Mindy Cook.

20.7 -> Before we get started,

21.81 -> I'd like to go over a few items so you know

23.64 -> how to participate in today's event.

26.16 -> This webinar is being recorded and will be available

28.71 -> via email within 48 hours.

31.11 -> There are no CE's associated with this event.

34.38 -> If you experience any technical issues

36.45 -> during this presentation,

37.83 -> most can be resolved by refreshing your browser.

40.74 -> If your issue is not resolved following that refresh,

43.89 -> please refer to your go-to webinar registration

46.41 -> confirmation email with instructions

48.72 -> for checking system requirements for participation.

52.17 -> You can submit a question by typing it

53.91 -> into the question pane of the control panel

56.04 -> at any point during this webinar.

58.86 -> We'll answer some via chat and hold others

61.05 -> to answer live at the end of the webinar.

63.84 -> I will now hand it over to Jason Walchok,

65.88 -> national director for Program Development Health IT

68.46 -> to start us off.

70.77 -> - [Jason] Thank you, Sandeep and welcome, everyone.

73.2 -> It's a pleasure to be here today to present to you

75.96 -> a few exciting things.

77.31 -> I know it's been a few minutes.

78.75 -> We were just talking prior to starting the webinar,

81.78 -> a few minutes since we've really been in front of you,

83.82 -> talk to you about the registry.

85.89 -> We wanted to take this opportunity late in December

89.52 -> to give you all some pertinent updates

92.01 -> that are coming to the registry.

94.26 -> A few important updates at a webinar that's coming

98.28 -> for the targets Type 2 Diabetes Honor Roll,

101.46 -> and then also Mindy Cook, our lead for Rural Health

106.02 -> here at the American Heart Association in Quality

108.69 -> is gonna present a bit on the new rural

111.42 -> acute recognition program and the webinar

114.39 -> that will be held later next month.

117.54 -> So in general, today, what we're gonna go through

120.87 -> in the beginning is an overview of what is being deemed

125.34 -> CAD version three.

127.71 -> So version three of the form really is a new opportunity

132 -> that we're gonna be going into into the next year,

135.03 -> that it's going to leverage a lot of the feedback and input

138.21 -> and user cases that you have all provided to us

141.72 -> over the years through our development.

144.3 -> We're taking the opportunity in 2023 to refresh the form,

149.49 -> to modernize it, to organize it in a way

152.16 -> that that flows better for you all to address questions

157.14 -> and comments that you had about patient populations

160.8 -> on expanded patients and opportunities within the registry

166.38 -> to really move in the direction

168.15 -> of getting the Get With The Guidelines tool

171.24 -> to a quality improvement solution for you,

174.39 -> for your cardiovascular,

176.43 -> your STEMI and STEMI high risk chest pains,

180.06 -> and any other cardiac alert systems

182.85 -> that you have in your hospital.

183.9 -> A way that you have a system and a registry

187.2 -> to capture those data,

188.52 -> provide you with meaningful reports and meaningful metrics

192.39 -> that will help drive your quality improvement

194.43 -> at your hospitals.

196.44 -> So, oh Sandeep, if we can go back for a minute.

200.85 -> So beginning next year,

203.1 -> we will be launching the new version three of the form.

206.76 -> What that means is in a period of time once that's released,

210.3 -> all hospitals will will move over to this new form.

213.106 -> It'll be a streamlined data capture

215.64 -> that'll definitely enhance your abstraction view.

218.7 -> The vast and the bulk majority of the data elements

221.94 -> and everything that you came to love and that you use

225.21 -> within the tool is all going to be there.

227.1 -> It's just going to be structured a little differently,

229.68 -> organized in a better workflow with better high clear

232.44 -> and logic to really, I think enhance how you abstract.

237.72 -> Additional updates are gonna be put into the tool

240.09 -> to enhance reporting, filtering

242.7 -> and other metrics for you to have better opportunities

246.9 -> to use the data within the system

249.06 -> for your quality improvement goals.

251.13 -> And what that means is more granular data around

256.53 -> door and door out timing for both receiving

258.84 -> and referring hospitals, reasons for transfer,

261.54 -> reasons for delay the agencies

263.46 -> around those transfer systems for inter-facility.

267.6 -> A lot better data in a more meaningful way

270.84 -> that allow us to provide you with tools and reporting to go

275.01 -> above and beyond just the standard achievement

277.2 -> and quality measures that are currently in the tool.

279.75 -> So all of this again, has been inspired by all of you.

282.66 -> All of you that have been working

284.16 -> with our field staff diligently, providing feedback,

289.05 -> giving us suggestions and updates.

291.69 -> We try to incorporate as much of that as possible

294.15 -> and also, this next year,

295.56 -> we're gonna be moving into the direction

298.594 -> of having a specific Get With The Guidelines CAD user group

302.82 -> that's going to be made up of users like you

305.58 -> from across the country that's gonna provide us

309.12 -> real time expertise as abstracters and clinical coordinators

313.23 -> at the hospitals as we develop

316.44 -> and put these tools into the system.

318.68 -> So we're really looking forward to that.

320.4 -> We've had great success with some of our other registries

323.34 -> such as stroke and heart failure.

324.99 -> So we're really looking forward to working with you on that.

327.96 -> But at the end of the day,

329.01 -> the Mission Lifeline section of this registry,

333.09 -> it still supports that is still the engine

335.13 -> of Mission Lifeline.

336.39 -> All the recognition and awards will all maintain

339.12 -> the same currently into 2023.

341.7 -> Go ahead, Sandeep, next slide.

347.55 -> So why version three?

349.41 -> So what version three is,

352.89 -> is that originally, within the Get With The Guidelines-CAD

355.5 -> registry, when it was in the patient management tool,

358.26 -> that was version one of the form when we migrated data over

362.22 -> and we rolled out the Get With The Guidelines CAD registry

365.76 -> within the new system several years ago.

369.18 -> That was version two.

370.44 -> You've been in version two

372.09 -> for all of this time, all of your abstraction

374.31 -> and all the data that you've put into the system

376.95 -> and to keep that data and the integrity of it.

382.62 -> We do versioning of the tool.

384.15 -> So that is when version three, when that is released,

388.23 -> all systems basically will move over to that third form.

392.28 -> The version three form also is going to be tied in directly

396.33 -> and used for the rural recognition program,

399.24 -> which Mindy Cook later on in this webinar will give you

401.97 -> some more details and the opportunity

405.038 -> to go to the webinar to hear more details on that.

407.61 -> So all of these things are kind of happening in tandem.

410.46 -> We find that this form,

411.608 -> this will be a significant update to the registry,

414.18 -> which is why it's a full version

417.03 -> with just some minor updates to data elements,

420.6 -> but really more of a layout and a feel for you

423.36 -> as you abstract.

424.26 -> Go to the next slide, Sandeep.

426.87 -> So what are we talking about here?

428.18 -> An update to the interface really to bring this thing,

432.54 -> Get With The Guidelines CAD from a registry

435.27 -> to more of a quality improvement tool to provide you

438.494 -> with opportunities to have more streamlined data capture

440.73 -> to improve logic so that it speeds up your abstraction

444.24 -> and the elements and the pertinent questions

446.04 -> that are in front of you make sense.

448.11 -> They're labeled appropriately, they're clear in in context,

452.37 -> they're organized in a way so that when you're answering

455.04 -> pertinent questions, they're displayed to you

458.19 -> in an appropriate fashion in an appropriate way.

461.88 -> We also wanted to give you options and other tools

466.291 -> to use within the registry that'll come later in the year.

470.55 -> But to do that, we also wanted to make the registry

473.73 -> more broad and more open and and allowing

476.34 -> for a broader patient population

478.05 -> for those of you that have asked for that in the past.

481.02 -> asking for high risk chest pain patients

483.03 -> to have cardiac lists and maybe your stemming alerts

486.3 -> at your hospitals that end up not coding out as STEMIs.

489.24 -> We wanna make those available within the tool for you

492.15 -> to enter those patients in if you choose to.

495.27 -> The patient populations related to the achievement

497.88 -> in the quality measures for your STEMI referring

500.31 -> and receiving and NSTEMI, those will maintain the same.

503.43 -> Those are still those same populations.

505.23 -> The measures still use the same logic,

507.51 -> but we don't wanna restrict the registry

509.67 -> to just those patients if hospitals choose

512.19 -> to enter in others.

513.03 -> So entering in those patients,

514.77 -> we also want other additional patient populations.

516.96 -> We also wanna provide you with tools

518.31 -> so that you can measure performance

520.05 -> and care in those patients through your ED

522.81 -> and maybe up to your cath lab or through to discharge.

527.053 -> Also, with some of this enhanced data elements

530.31 -> and the enhanced form will give us the ability

533.22 -> to do a better patient drill down

535.29 -> into some of these specific patterns

538.8 -> and transitions of care.

540.39 -> And we're gonna get into that a little bit

541.68 -> in the future here.

542.52 -> Sandeep's gonna go over some of the ECRF updates.

545.46 -> But for instance, door in door out,

547.89 -> reasons for transfer reasons for any delays in transfer.

551.85 -> Instead of just documenting that,

553.35 -> there was a non-system reason with a checkbox,

556.14 -> we're now gonna get into more granular

558.39 -> what were those reasons?

559.8 -> Document those in discreet fields

562.38 -> so that you can stratify that

563.88 -> and look for actual holes and reasons for system improvement

568.65 -> from both at a hospital level, a system level,

571.2 -> a state level, and then at the national level.

574.32 -> And then obviously, this will also continue the support

577.65 -> that we have, really align us well to continue

581.13 -> the cardiac certifications with joint commission

585.69 -> for primary, acute

588.21 -> and comprehensive heart attack certifications.

591.18 -> We'll move into the next slide.

596.28 -> So what is not changing?

598.71 -> I think sometimes, it's good

600.03 -> to put this into the framework

602.64 -> of just to level set everyone.

605.37 -> This is not a new registry,

607.11 -> this is not a significant departure from anything

609.78 -> that you're familiar with.

611.893 -> All of the mission lifeline recognition criteria,

614.547 -> the data capture, all of that will remain the same.

617.19 -> You'll see minor updates to labels, locations,

620.4 -> where elements are and more discrete fields

622.89 -> for reasons for delay transfer and that.

627 -> It's a single form for all

628.44 -> so the flow will work regardless

631.02 -> of what type of institution you are.

632.58 -> Only pertinent questions will be displayed

636.36 -> depending on what care you provide

638.55 -> or what capabilities you have.

640.5 -> So all of that will remain the same.

642.27 -> Again, the entry criteria, initial patient populations

645 -> for all of the referring, receiving and NSTEMI

648 -> will all remain the same.

649.11 -> Those same elements are still present on the form.

651.81 -> No change there.

653.49 -> Your internal abstraction process, again, doesn't change.

656.16 -> If you are a hospital that only enters in STEMI patients

659.82 -> for the STEMI awards, you can maintain that.

661.65 -> If you do NSTEMI, you can continue to do that.

663.93 -> There is a new opportunity for you to enter in

665.91 -> some chest pain, high-risk chest pain patients on beyond.

669.33 -> Those again, are optional patient populations,

671.73 -> but the tool is now going to be positioned to allow you

674.97 -> to put those in and pull those patients out

676.86 -> via the time tracker and some future metrics

679.38 -> that we're going to be providing as reporting measures.

681.51 -> And it will continue to support

683.91 -> all your cardiac certifications.

685.44 -> So there's no interruption, no change,

688.26 -> all of that will remain the same.

690.78 -> Let's go to the next.

694.17 -> So let's talk a little bit more about what is involved then

697.32 -> with CAD version three.

699.24 -> So really again, we're trying to expand on the success

703.29 -> that you all have made.

704.4 -> Get with the guidelines CAD and really move the direction

707.97 -> of providing a quality improvement tool for your ACS,

711.48 -> all of your a ACS patients within your hospital

714.2 -> or your health system.

715.033 -> So it allows sites to choose what data

717 -> that they're going to put in

718.74 -> in those expanded patient populations.

721.14 -> We have heard from the field many times that our focus

725.082 -> and our data system of STEMI and NSTEMI

728.94 -> really didn't allow for a lot of output

730.8 -> and collection of some high-risk chest patients

733.74 -> that you guys do focus in on in quality improvement

737.16 -> and also look at your response to those patients.

739.32 -> So we wanna open up the tool and provide an opportunity

742.35 -> for you to enter those patients in so you can have

744.72 -> a sole quality improvement system to benefit

748.05 -> from all of those metrics

749.34 -> and things that we have

750.21 -> within the Get With the Guideline systems

752.1 -> on all of these subpopulations as well.

754.95 -> We wanna enhance that data capture for single dynamic case.

758.88 -> Report again so it flows based on how you abstract

762.9 -> and what capabilities.

764.97 -> For instance, if you transfer a patient out

767.556 -> in the ED disposition is transfer,

768.87 -> then you'll see the transfer section of

770.58 -> and where you set the patient out,

771.99 -> the reasons why and all those.

773.73 -> But you'll never see any of the other downstream care

777.09 -> if you never gave lytics or provided Thrombo or PCI

781.74 -> or any of those.

782.88 -> However, if you're on the receiving hospital,

784.44 -> you won't see any of the transfer out metrics

786.84 -> or data capture.

787.92 -> You'll see metrics related to how the patient

790.5 -> was transferred to you and where they were.

792.51 -> So the form, because of the technology

795.09 -> that we have within the registry,

797.04 -> we're able to provide that with hide, clear and show logic

800.37 -> to really streamline and make that form appropriate for you

803.31 -> and your facility as you're abstracting.

806.43 -> New transfer section, again, updates for reasons for delay,

810.06 -> reasons for delay in all types of treatments.

813.15 -> This is gonna provide us with better granular data

815.22 -> to drill down on those patient populations

817.2 -> to look at patterns, reasons

819.63 -> that you perceive within your hospital for delays

822.51 -> that you're seeing to truly do quality improvement

825.72 -> on those patients.

827.52 -> And then in the future, later down into this year,

830.58 -> we're gonna have more webinars that are gonna explain

832.59 -> some of the tools and reporting

834.104 -> that we are gonna provide to you,

836.34 -> utilizing and leveraging this new V3 form.

839.52 -> So we're gonna look at measures and reports that are focused

842.1 -> on some of those separate patient populations

844.23 -> above and beyond the STEMI and NSTEMIs.

848.28 -> We're gonna look at focus feedback tools that'll provide

852.36 -> one shot simple graphs and feedback metrics

856.98 -> to individual providers at all different levels.

859.5 -> But think of it as a report that you can pull out

863.76 -> for individual care to that individual provider.

867.33 -> So there'd be a separate one for the ED,

869.19 -> separate one for EMS,

870.99 -> showing them metrics that are pertinent to them.

873.54 -> And then we wanna look at all those care segments,

876.27 -> time trackers, feedback tools.

879.15 -> And then also, one exciting thing that we have in the works

881.79 -> for EMS but we're also developing for transfer sites

884.46 -> is data sharing.

885.93 -> Think of it as pulling data in

887.73 -> from another Get With The Guidelines-CAD system.

890.07 -> If a patient's entered in, in and transferred to you,

891.93 -> you'll be able to retrieve certain pertinent elements

894.36 -> that you need to populate your form related to the transfer

897 -> of that patient.

897.99 -> The time they arrived at the hospital,

899.067 -> the time they were transferred out, where they came from

901.14 -> and those pertinent variables.

902.919 -> Connects those two records.

904.778 -> That would be a huge advance advancement in our system.

907.29 -> We're already doing something similar with EMS

909.69 -> from image trend through our EPCR,

912.2 -> pulling in those EMS variables and stroke.

915.75 -> So we are looking this year to roll that out

918.87 -> into CAD as well.

920.16 -> So be on the lookouts

921.03 -> for some of those excitement opportunities.

922.83 -> Go next slide.

925.23 -> So next couple slides,

926.61 -> we're gonna go through the entry criteria.

929.55 -> It's really the same for if you are participating

933.15 -> in STEMI and NSTEMI.

935.688 -> Really, no change.

937.23 -> This is what we're showing is new opportunities

939.69 -> and new expanded patient populations that the registry

942.75 -> and the system will allow to be entered.

945.45 -> Again, the metrics and the awards

948.63 -> are still tied to the same STEMI ECG for the STEMI

953.037 -> and NSTEMI, no STEMI ECG and positive clinical biomarkers.

957.69 -> So none of that is changing quality

959.67 -> all those measures for the awards.

961.89 -> This is truly just allowing a broader net

964.98 -> for the patient population if you choose to enter those in

967.29 -> to benefit from a lot of the time tracker and metrics

969.78 -> that we have within the system.

971.58 -> So the boxes around that third population,

975 -> which historically,

976.11 -> within the Get With The Guidelines-CAD system,

977.7 -> we haven't focused on or asked to be entered

981.21 -> and that is chest pain patients.

982.95 -> Principal diagnosis in general are chest pain.

985.92 -> This really ties into the rural project

988.423 -> that's going to be rolled out this year,

991.525 -> is that there are specific metrics

994.17 -> within that population within that award

998.22 -> that will be on chest pain.

999.36 -> At this time, we don't have anything

1000.92 -> for the broader mission lifeline award,

1003.29 -> but it doesn't mean down the road that something

1005.15 -> is not going to be developed.

1006.44 -> So we're preparing the registry

1008.84 -> to set up in a way so that these patients could be captured.

1012.8 -> So we based on feedback from you all.

1015.32 -> Go to the next slide.

1017.4 -> And so to drill down on that

1018.92 -> and again, in our entry criteria currently

1020.93 -> within the system, we do provide these two tables

1023.27 -> for STEMI and NSTEMI of applicable ICD 10 codes

1027.2 -> that can be used to identify these patients

1029.39 -> that we want entered.

1030.71 -> We're also going to provide you with a list

1032.75 -> of applicable chest pain codes

1036.481 -> that could be used by you to identify those patients

1040.37 -> within your hospital.

1042.71 -> This also includes, remember, we wanna capture patients

1045.71 -> that are treated for those cardiac symptoms.

1048.32 -> So if they're treated for a STEM or NSTEMI,

1050 -> even if they're later transferred and expired,

1052.34 -> we want those patients entered in.

1053.75 -> No change there.

1054.944 -> We'll go to the next slide.

1058.67 -> But there are certain patients

1059.9 -> we really don't want entered into the system

1061.97 -> and those are patients less than 18 or patients that arrive

1064.25 -> at your hospital for a planned scheduled procedure.

1066.65 -> This new optional section is we're just providing this

1069.62 -> as better clarity based on feedback from a lot of users.

1072.92 -> Was, can we enter in these chest pain patients?

1075.59 -> The thing kinda says maybe not.

1077.42 -> So there's a little unsure.

1080.18 -> So we wanted to make this as clear as possible

1082.7 -> that if you have a patient that is a secondary diagnosis

1085.73 -> but you are tracking that patient

1087.23 -> for your hospital's response to their angina or chest pain,

1091.01 -> feel free to enter those patients in.

1092.63 -> We're going to have tools and metrics

1094.19 -> for you to utilize that for quality improvement

1096.597 -> if you choose to enter those in.

1099.074 -> We also wanna capture at the very bottom.

1101.36 -> There's another one we get quite often

1103.07 -> is all of the patients that you may have

1104.87 -> on your cardiac log.

1106.19 -> Some may not code out to be STEMIs

1108.689 -> but they're all part of that response system.

1112.07 -> You wanna have metrics,

1113.15 -> you wanna track those patients in a central location

1116.87 -> and we wanna provide Get With The Guidelines-CAD

1119.6 -> to do that for you.

1120.83 -> Also any in-hospital AMIs.

1123.593 -> Currently, within the system,

1125.45 -> we don't ask for those to be entered.

1127.76 -> They're not included within the metrics,

1130.087 -> in the award criteria.

1132.59 -> But just like in our other disease states,

1135.23 -> we are looking to provide in-hospital response metrics

1139.446 -> and reporting measures for you for those of you

1142.108 -> that do enter those patients in.

1143.72 -> So those will come in the future time.

1145.13 -> So that's another optional patient population

1147.02 -> that you'll be able to enter.

1149.87 -> We'll go to the next slide.

1152.42 -> And so that's a bit of an overview.

1155.33 -> I'm gonna hand it over right now to Sandeep Gill

1158.06 -> who's our product manager for Get With The Guidelines-CAD

1160.25 -> who's gonna go into some more details of the updates

1163.1 -> that are gonna be involved in the ECRF.

1165.382 -> Also, I forgot to mention at the very beginning,

1167.78 -> this is not the last webinar.

1169.16 -> We're taking this opportunity in early December to give you

1171.703 -> this information but be on the lookout

1174.35 -> and I think we have a timeline slide that's coming up later.

1177.23 -> Later in January where we're gonna be able

1179.47 -> to pull the form up, show it to you

1181.16 -> and give you a tour through it long before

1184.1 -> we're gonna see the update come in February.

1186.32 -> so Sandeep, thank you.

1189.23 -> - [Sandeep] Thank you so much, Jason.

1191.57 -> Yeah, so I'm gonna just talk a little bit more about

1194.33 -> the exact ECRF updates that you're going to be seeing.

1198.41 -> We do have a few screenshots

1200.6 -> of what's in development right now

1202.1 -> and as Jason mentioned, we will be holding

1204.17 -> an additional webinar in January

1205.686 -> where I will be able to show you a lot more.

1208.64 -> A lot of this is still in development

1210.11 -> and we don't have it available to show to you just yet.

1214.205 -> But just some key things I wanted to point out,

1217.64 -> we have updates so that we can collect data

1220.61 -> for ED disposition, EMS ECG finding.

1224.297 -> as Jason mentioned before,

1226.31 -> the transfer section for both referring and receiving.

1229.61 -> We'll now have reasons for transfer

1231.23 -> as well as reasons for delay.

1233.082 -> And I do have a little bit of that to show for you, guys.

1236.78 -> And we will also have some items

1238.76 -> like final clinical diagnosis.

1241.4 -> We redesigned some sections

1243.29 -> that are very familiar to you guys

1244.76 -> like medications prior to admission,

1246.77 -> thrombolytic administration, our PCI section,

1250.01 -> reasons for delay as Jason mentioned

1251.81 -> and I will be showing you a little bit of that as well.

1254.96 -> We've also created a whole NPI section

1257.96 -> to kind of pull those together into one area

1260.15 -> and added additional physician fields

1263.261 -> so you can track additional physicians.

1266.663 -> These are not exhaustive lists and we will be giving you

1270.11 -> a lot more information as we get closer

1272.392 -> to all the different updates that are going to be happened.

1275.03 -> But these are just some of the key ones

1277.19 -> that I've heard a lot of personally

1279.718 -> that have been looked for.

1281.03 -> So we hope you're just as excited as we are.

1287.78 -> So first, I just wanted to show you guys a look

1290.21 -> at our new tab.

1291.74 -> These were redesigned from a chronological

1293.662 -> patient care perspective.

1295.64 -> The patient's demographics,

1297.32 -> their admin arrived at your hospital

1300.05 -> and now any pre-hospital information that you've collected,

1304.1 -> evaluating them for their cardiac evaluations

1307.49 -> in-hospital medications, PCI and then discharge.

1311 -> A little bit more user-friendly

1312.56 -> and just a little bit more logical in care.

1315.181 -> All the previous elements that you're used to

1317.48 -> exist in the appropriate tabs

1319.16 -> and we hope this helps with your abstraction.

1325.33 -> So as promised, here is a little screenshot that I am able

1328.13 -> to share with you guys right now.

1330.17 -> This is our reasons for transfer for the referring section.

1334.07 -> What I wanna point out here is that there's logic built in.

1337.16 -> So this is not something that as a receiving center,

1341.15 -> you'll see unless for some reason, you referred a patient.

1345.41 -> If here where there is ed disposition,

1348.23 -> once you hit transfer to acute care,

1351.013 -> the reason this whole transfer data section will show

1354.38 -> and the reasons for transform this facility will then show

1358.75 -> and you'll be able to select all the reasons.

1360.32 -> This is a multi-select so we think that's important.

1362.6 -> You can note all the different reasons

1364.73 -> why there was a transfer

1366.53 -> and this will help in drilling down later

1369.05 -> if you're trying to figure out,

1370.43 -> well, what are all the reasons that we transfer?

1373.31 -> As usually for PCIs, there another reason.

1376.397 -> We'll be able to drill down a little bit more in that.

1379.94 -> And then I wanted to highlight here we also have

1383 -> was our documented reason for delay in transfer?

1385.94 -> And this is a yes, no.

1387.11 -> A lot of our reasons for delay that you guys are used to

1390.38 -> are check boxes.

1392 -> We've kind of moved away from that into yes no questions

1396.41 -> and that'll help for data polls and we've also moved away

1399.98 -> from just saying non-system reasons.

1401.96 -> So we are able to collect all the reasons for delay.

1405.95 -> And what we've noted here are non-system reasons

1409.52 -> don't have asterisks

1410.81 -> and that means that they will be excluded from measures

1413.63 -> as you guys are used to.

1416.15 -> And any reasons that or system reasons

1419.09 -> that are going to be fallout will have asterisks here

1423.08 -> and they're at the bottom of the list in alphabetical order.

1427.58 -> So that's something a change that you're gonna see

1429.32 -> across the board.

1431.45 -> And we'll go ahead and move to our reasons for delay.

1434.06 -> A little bit more examples here.

1435.65 -> We have our ECG non-system reason for delay

1439.07 -> and we have our EMS non-system reason for delay.

1441.56 -> And again, I know you guys are used to this checkbox

1444.17 -> and having to memorize what counts

1446.81 -> as a non-system reason for delay,

1449.082 -> referring to our coding instructions to figure that out.

1453.207 -> And here, we've taken that guesswork out for you guys.

1456.98 -> Instead of saying checkbox,

1459.86 -> is there a documented reason for delay,

1461.782 -> whether it be system reason or non-system.

1464.84 -> Once that's selected, it'll have a multi-select field here.

1470.78 -> We're able to select all the different reasons.

1472.64 -> And again, this is gonna really help for drill downs

1475.07 -> and quality improvement care

1477.26 -> and I will go into that a little bit in the future slide

1479.508 -> that I'm coming to in a minute.

1483.05 -> But again, we have all of our system reasons down here

1489.5 -> with asterisks and our non-system reasons here.

1492.08 -> So these are the ones that are listed

1493.61 -> in our coding instructions.

1495.5 -> This does not change our measures,

1496.952 -> the measures you're used to,

1498.71 -> all of the reasons that you're used to

1501.915 -> electing for non-system reason are going to be here

1504.95 -> and will appropriately exclude patients.

1507.61 -> So we just wanna make it clear that while we're changing

1510.32 -> the data collection, the measure is not changing.

1514.22 -> And again, we have the same thing here

1515.48 -> for EMS non-system reason for delay.

1518.27 -> We've painted to a documented scene delay

1520.82 -> and a multi-select you can check

1522.35 -> all the different reasons for delay

1529.04 -> And what that allows us to do is move away from just looking

1532.73 -> at the measure as a whole and really drill down into seeing

1536.75 -> what is happening with your patient care.

1539.57 -> So we're used to this measure just running it

1542.63 -> and seeing what the fallouts are

1544.4 -> and usually, you can stipulate that you had fallouts

1548.63 -> because there was some reason for delay.

1552.08 -> But now, you'll be able to say

1554.42 -> what were those reasons for delay?

1556.58 -> Are there specific reasons

1558.74 -> that are more prevalent than others?

1562.43 -> Is it happening with certain facilities more than other?

1565.07 -> We'll be able to drill down and really get

1567.38 -> to a more granular detailed what is happening

1569.9 -> with patient care and how we can utilize

1572.42 -> the Get With The Guidelines-CAD registry

1575.06 -> as not just a registry to put data into

1577.31 -> and expanded populations but how do we move this

1579.92 -> to being more of a QI one-stop shop for you

1582.98 -> to really utilize it to improve patient care as well.

1590.18 -> And while our first phase right now

1593.736 -> is just to enter all of this into the tool,

1596.15 -> v3 is really going to go into phases.

1598.97 -> The first phase is being this data collection.

1601.13 -> You're gonna see the ECRF changes happen.

1604.61 -> The second phase will include these reports.

1606.8 -> So this won't be in the first iteration but it's coming.

1614.927 -> And as always, we have many resources available to you guys.

1618.32 -> We have training webinars like this.

1620.06 -> We will hold office hours as we get closer to that release

1623.63 -> and right after so we can answer any of your questions

1626.27 -> while you're abstracting data,

1628.19 -> we'll have updated coding instructions,

1630.29 -> I know a lot of you've been waiting

1631.52 -> for some changes to that.

1633.29 -> So we'll have updated coding instructions to reflect

1635.78 -> all these changes that are happening in ECRF.

1639.53 -> We will also create a new uploader sample template

1643.34 -> so that way, you can update your template

1646.407 -> for all these new data collection elements

1650.6 -> as well as the changes to like the reasons for delay

1653.561 -> and get that all up-to-date.

1656.48 -> And as always, you have your QI consultant,

1659.42 -> formerly your AHA quality improvement representative

1664.31 -> to go ahead and ask questions too.

1668.21 -> And a lot of these resources are not available quite yet

1670.52 -> but they will be and I'm gonna talk about that here

1672.65 -> in this timeline.

1673.94 -> So right now, we're here in December in our webinar

1677.393 -> and updates are in development.

1678.74 -> In January, we're gonna have

1680.21 -> user acceptance testing beginning

1682.7 -> and we will have another webinar as we discuss.

1685.76 -> We don't have a date for that just yet,

1688.01 -> but I will get back to you with that soon after the holidays

1691.82 -> with the webinar date and a link to register

1695.48 -> that will come through the same way

1697.16 -> that you heard about this one through our IQ emails.

1700.94 -> So please keep an eye out for that after the holidays.

1706.564 -> And we will then move to giving you resources

1708.35 -> in early February and as soon as I have

1710.51 -> some of that available, I will go ahead

1712.07 -> and start releasing that to you guys just so I know.

1715.46 -> It's just so you have those and you're prepared and ready

1718.58 -> and you can start asking any questions that you have

1721.61 -> and we can get you prepared for any of these changes

1724.438 -> that might seem a little daunting, hopefully not.

1727.85 -> We'll then move into final user acceptance testing

1730.46 -> and the release in mid-February

1732.2 -> for this initial data collection enhancement.

1735.86 -> So this won't include all the reporting yet

1737.6 -> but we are working on that

1739.34 -> and we'll continue to have webinars

1741.95 -> and update you guys on the development of those reports.

1746.24 -> As Jason mentioned,

1747.26 -> we are hoping to create our CAD user group

1750.26 -> and get some of you guys in the tool and testing

1753.86 -> this new data collection as well as those reports.

1756.08 -> And this will, as this arrow indicates, continue on for us

1761.78 -> so that you can also help us with the testing

1764 -> for the reports and give us new ideas

1766.07 -> of what will really help you guys.

1769.37 -> So if you're interested in joining that,

1772.34 -> please reach out to your QI representative,

1774.697 -> we'd be happy to have you guys join us

1776.86 -> in any testing that we do.

1780.427 -> Jason, do you have anything to add that I may have missed?

1784.91 -> Otherwise, I think that we are done

1787.76 -> with our little intro on CAD v3.

1798.53 -> All right, well thank you, guys for that.

1801.41 -> Again, if you have questions about CAD v3,

1803.75 -> please email your AHA QI consultant.

1807.68 -> If you're unsure who that is,

1808.79 -> you can email [email protected]

1811.64 -> and we will get you to your representative.

1816.11 -> And on that note, as Jason mentioned,

1818.78 -> we have this a few other exciting things

1820.73 -> to share with you guys.

1822.11 -> One of these is our Get With The Guidelines-CAD,

1825.89 -> Target Type 2 Diabetes Honor Roll Update.

1829.01 -> So starting in 2024 awards based on the 2023 data.

1836.45 -> So this will not be your spring awards that are happening

1841.07 -> in April May of this year.

1842.915 -> This will be the following year,

1845.27 -> but based on your 2023 data,

1847.88 -> there will be a new opportunity for a new award

1851.3 -> for Target type 2 diabetes.

1854.93 -> We will have a webinar on this on Tuesday, January 31st

1859.28 -> from 12 to one, Central Time

1861.08 -> where we'll be able to give you a lot more details

1863.87 -> on what exactly this entails.

1867.83 -> The webinar registration link will be sent to you guys

1872.45 -> tomorrow from IQ (indistinct)

1874.326 -> and we'll also have it in this slide deck and everything.

1876.82 -> So we'll get that out to you guys so you guys can listen in

1880.16 -> and hear this exciting update on a new award opportunity

1884.12 -> for you guys.

1884.953 -> As a reminder, the data collection for diabetes

1888.59 -> was added in December, 2021,

1891.98 -> so about just about a year ago.

1894.71 -> And we've held some webinars on that in December

1897.11 -> as well as February.

1899.48 -> So this will just be another one to get you up-to-date

1904.25 -> on what's happening with Target Type 2 Honor Roll.

1907.91 -> And I will now hand it to Mindy Cook

1911.87 -> to talk about our rural health opportunity.

1917.27 -> - [Mindy] Thanks, Sandeep, appreciate it.

1921.076 -> So as mentioned, my name is Mindy Cook,

1923.36 -> I'm the national senior director for rural health programs

1925.937 -> and our quality portfolio.

1930.35 -> So I've had the pleasure of over the last couple years,

1933.65 -> working with our Coronary Artery Disease Advisory

1938 -> group of volunteers from across the country

1940.37 -> to really look at bringing in equitable solution

1945.29 -> to our recognition programs

1947.24 -> in the coronary artery disease space.

1949.7 -> Really going back to the need for this being identified

1955.61 -> in the call to action for rural health

1958.16 -> presidential advisory that was published in 2020.

1961.55 -> This publication, if you haven't had a time

1964.25 -> to take a peek at it, really does go into detail

1967.55 -> on the disparity that's been identified in mortality

1971.48 -> for residents across the US living in rural

1973.88 -> versus urban areas.

1975.89 -> This gap began in the '80s

1978.017 -> and it continued to widen over the last 30 years,

1981.65 -> really resulting in a three-year shortened life expectancy

1985.79 -> for residents in rural areas

1987.95 -> and a much higher increased risk of mortality

1990.77 -> due to cardiovascular diseases.

1993.68 -> Here at the Heart Association,

1994.91 -> it is our priority to mobilize our programs to help bring

1999.17 -> this gap and disparities back together

2001.63 -> over the next several years.

2005.17 -> The area of influence that we have here

2007.24 -> is within the arm of improving healthcare quality.

2010.48 -> So I'm gonna talk a little bit about our program

2012.85 -> to support that in the core space.

2015.91 -> But we also, through that publication that two other areas

2020.83 -> of opportunity put forth as those that are priority

2025.99 -> and areas of impact that we can work on.

2027.94 -> And those are to expand our work in public policy

2031.27 -> around Medicaid expansion and telehealth access

2034.6 -> and support workforce development.

2037.24 -> And thirdly, to address risk factors

2039.7 -> through our outpatient and community impact programs

2043.06 -> such as Heart Corps, the Social Impact Fund,

2046.15 -> the Health Equity Research Network,

2047.92 -> and reduction in tobacco usage.

2050.02 -> So I'm here today to talk a little bit

2052.45 -> about our rural programs

2053.8 -> in the coronary artery disease space.

2056.08 -> Next slide.

2057.684 -> And to that end,

2058.6 -> we launched a program this summer that happened to,

2061.3 -> oh you can move to the, thanks, Sandeep.

2064.15 -> We launched a program this this past summer

2066.43 -> that is a national initiative

2068.26 -> called the Rural Healthcare Outcomes Accelerator

2070.57 -> in tandem to our work around rural acute recognition

2074.35 -> in our Get With The Guidelines quality programs

2076.81 -> to really expand access to utilization

2079.66 -> of our quality programs at hospitals

2082.03 -> serving rural communities across the country.

2084.91 -> This enrollment criteria is the same criteria

2087.55 -> that we're using to allow eligibility

2090.28 -> to our rural acute recognition programs

2093.01 -> within each Get With The Guidelines module.

2095.68 -> So all critical access hospitals

2098.2 -> that are federally designated

2099.67 -> and short-term acute care facilities that are located

2102.232 -> within rural urban commuting areas as classified

2107.52 -> by the census track data into rural, large, small

2113.44 -> or isolated areas are eligible

2115.9 -> for our Rural Healthcare Outcomes Accelerator program

2120.13 -> and our Get With The Guidelines

2123.78 -> Rural Acute Recognition Programs

2125.05 -> within three focused modules of stroke,

2129.22 -> coronary artery disease and heart failure.

2132.64 -> So we have partnered with some of the well-established

2136.66 -> programs to define rurality and one of those

2141.01 -> is the Health Resources

2142.605 -> and Human Services administration page.

2145.6 -> So if you're wondering and you're joining us today

2148.36 -> from an area that serves a large rural community

2151.609 -> and you're wondering if you might be eligible

2153.13 -> or some of your partnered hospitals

2154.72 -> might be eligible for the accelerator

2156.46 -> or the Rural Acute Recognition Programs,

2158.95 -> I'd encourage you to take a peek at the MI rural tool

2162.76 -> supported by HRSA as a first step in looking

2166.93 -> into whether your community might meet that criteria.

2170.29 -> The Rural Accelerator Beyond Recognition

2172.57 -> also offers participants access

2174.528 -> to our Get With The Guideline stroke,

2176.89 -> coronary artery disease and heart failure modules

2179.17 -> that are newly added to their programming

2182.35 -> through 2025 at no cost.

2185.14 -> We've built out a specialized rural quality consultant team

2189.22 -> that will be also assigned and providing one-on-one support

2192.4 -> to each of those facilities enrolled.

2195.7 -> We're standing up virtual learning collaboratives

2198.207 -> within each condition to support model practice sharing

2202.06 -> and protocolization and streamlining of care.

2205.63 -> We've also put together continuing education bundles

2210.04 -> within each condition that our virtual and on demand

2214.12 -> that will be made available to rural hospitals

2216.64 -> to really ensure that they have the tools and resources

2219.91 -> at their fingertips to educate clinical staff

2222.55 -> at the bedside on the current

2224.136 -> evidence-based recommendations.

2227.11 -> We're also providing AHA professional membership

2230.32 -> rural community network participation.

2233.41 -> And lastly, our recognition program materials

2236.77 -> and community resources.

2239.59 -> Next slide.

2244.06 -> We understand and I grew up in a rural area and continue

2247.15 -> to actually live in a rural area,

2248.83 -> the unique strengths and opportunities available

2252.07 -> within the rural space

2253.15 -> and I'm so excited that we're able to bring

2257.107 -> this equitable approach to recognition

2259.727 -> within our Get With The Guidelines

2261.55 -> Coronary Artery Disease module.

2263.89 -> Hospital serving rural communities

2265.75 -> are essential services to those areas and really provide

2271.12 -> a personalized approach to care

2272.92 -> that we don't often hear about or see in more urban areas.

2278.95 -> They have great strengths in longitudinal relationships.

2282.07 -> Such is something we wanna continue to support

2284.41 -> with our systems of care work and partnerships

2287.53 -> with other organizations who might be able to help

2290.14 -> with resources in the rural space as well.

2293.53 -> Next slide

2299.467 -> And Jason and Sandeep alluded to,

2301.36 -> we are launching our Get With The Guidelines

2304.549 -> Coronary Artery Disease Rural Recognition Program in 2023.

2308.17 -> This will relate to cases entered within the calendar year

2313.3 -> of 2023 and will begin issuing awards

2316.72 -> based on quarterly data within that calendar year.

2320.32 -> We're excited about that.

2321.4 -> We have three clinical experts who will be joining us

2325.81 -> to share a description of the program and talk through

2330.43 -> the background and really get into the detail

2332.86 -> of the scientific rationale

2334.553 -> behind each of the new performance metrics.

2338.59 -> The Rural Acute Coronary Artery Disease Program

2341.83 -> breaks into two arms,

2343.63 -> so there'll be two recognition opportunities

2346.21 -> within this program, including the STEMI patients

2350.26 -> that we've all been familiar with,

2352.96 -> capturing within coronary artery disease

2355.15 -> and really is a great strength of our programming.

2359.56 -> We have some new measures that we'll be launching

2362.53 -> with the Rural Acute Coronary Artery Disease STEMI arm

2365.53 -> that really relate directly to the cares

2368.29 -> provided to STEMI patients

2370.21 -> prior to transfer and assist with throughput

2373.24 -> of those patients in the ED

2375.22 -> to move them on to definitive care with PCI

2378.52 -> at a center with those capabilities.

2383.8 -> Within the chest pain and acute coronary syndrome arm,

2388 -> we also have seven performance metrics,

2391.27 -> some of which are an adaption of the (indistinct) patient

2397.75 -> ACS metrics we have in place now.

2400.33 -> And some will be brand new to performance

2403.15 -> based upon chest pain, throughput and risk stratification,

2408.7 -> which we're hopeful will be bring great value to hospitals

2412 -> that are serving these rural areas and haven't had

2415 -> the ability to collect chest pain

2417.94 -> and acute coronary syndrome patient performance

2422.92 -> up until this point.

2425.56 -> So I'm not gonna spill the beans on the entire program

2429.16 -> during our talk today,

2430.492 -> but I just wanted to give you an idea of the structure

2433.72 -> of this program and a little bit about what we're going

2437.38 -> to cover with our volunteers on the 26th.

2440.56 -> I hope you can all join us

2442.51 -> and plan to put this on your calendar.

2445.66 -> And even if you can't join us on the 26th,

2447.82 -> please register so you receive access

2450.73 -> to the recording after the event.

2452.5 -> I think it's going to be very well done

2455.41 -> and go into great detail on the evidence

2458.53 -> behind each of the performance measures and the methodology

2462.4 -> for the Composite Rule Acute Coronary Artery Disease award.

2470.17 -> Next slide.

2472.507 -> And I think that's all I have.

2474.01 -> I'm happy to take any questions or turn it back over to you,

2476.56 -> Sandeep and Jason for the Q&A period.

2483.91 -> - [Sandeep] Thank you Mindy, that was great information.

2486.67 -> Exciting we have so much going on for CAD right now.

2491.309 -> We will now be taking some questions.

2494.14 -> Just a reminder, you can submit questions

2496.33 -> through the question pane in your attendee control panel.

2500.448 -> We're gonna answer as many as we can through the chat

2503.83 -> and live today as we can.

2507.486 -> We'll go ahead and get started.

2510.67 -> I'm actually gonna pull up,

2512.197 -> go back in the slides up for this question

2515.08 -> so we can take a look at this.

2518.74 -> Apologies for that right now.

2522.07 -> Let me go ahead.

2523.54 -> It was here.

2524.65 -> So under ED disposition, there was a question

2527.65 -> of what is the difference between admission

2531.22 -> and transferred to acute care.

2535.24 -> I think it's transferred to acute care

2537.13 -> but they said transferred to acute care unit.

2540.58 -> Admission would be an admission

2542.5 -> at your hospital and transferred to acute

2545.08 -> would mean that you transferred to another hospital.

2551.02 -> And then we have another question about the data timeline

2558.01 -> that we're gonna be using.

2559.33 -> So this is going to be available in February, 2023

2563.827 -> and from that time period on, all patients will run,

2567.765 -> will be under this version three.

2570.61 -> Now if patients are entered for 2023 admissions

2578.41 -> before we do the update, there's no need to panic.

2582.19 -> The measures will just run on that form

2586 -> but you will not need to go back and do any abstraction

2589.24 -> or re-abstraction or delete patients or anything.

2593.17 -> The measures will go ahead and run

2595.03 -> on whatever form version that patient is under.

2599.2 -> So just continue with your abstraction.

2602.02 -> There's no need to stop and wait for this update to occur.

2606.64 -> Please go ahead and continue to abstract data as you do

2609.79 -> and in February, we will move over to the version three form

2613.6 -> and you'll continue to abstract 2023 data on that version.

2618.76 -> But if you abstract any 2023 patients,

2623.92 -> patients with that admission date from January,

2626.35 -> tell our update that is okay to go ahead and have that

2631.33 -> in our version two.

2632.92 -> The measures will run appropriately so.

2636.36 -> So there should be no impact or change

2639.88 -> to what you're doing currently,

2642.01 -> you'll just go ahead and make changes

2644.53 -> when we go ahead and get to the update.

2647.65 -> Another question that we have is about our vendors.

2651.52 -> We actually have a few of those.

2653.08 -> So I want you guys to be aware that we have had vendor calls

2656.71 -> and they are aware and they've been kept up-to-date

2660.1 -> on where we are in the process for these updates

2663.25 -> and they're aware they're coming down the pipe.

2666.52 -> And we will get them all the specifications

2669.04 -> that we can as soon as possible.

2671.23 -> But they are aware of these updates.

2674.83 -> And they were also invited to join today's webinar

2677.41 -> to get some more information

2678.82 -> and we'll be giving them more information as soon as we can.

2691.45 -> I also see a request for FAQ submissions.

2695.11 -> So I'm really glad to hear that

2697.84 -> because I've worked on that submission

2699.58 -> for some of our other registries.

2701.62 -> I would be happy to create an FAQ

2705.64 -> with questions that we're receiving and get that out

2708.91 -> to you guys as another resource.

2711.25 -> So we can definitely make an FAQ for our CAD questions.

2719.41 -> Mindy, I have a question for you.

2723.167 -> "Where can I register

2724.18 -> for the CAD Rural Acute Recognition Program webinar?"

2728.019 -> - [Mindy] Yeah, we can send it out to attendees from today.

2730.54 -> It is linked in the slide deck that I shared.

2734.08 -> So on that slide where the three volunteers are pictured,

2740.95 -> that link is active but we can send out

2743.83 -> the actual save the date to attendees today

2746.38 -> in follow up as well.

2751.18 -> - [Sandeep] Yeah I'd be happy

2752.013 -> to send that out with everything.

2753.435 -> We'll make sure to include both registration links

2756.285 -> for both our diabetes webinar as well as our rural acute.

2764.162 -> That's great.

2770.133 -> This is a great question.

2772.51 -> We have a user who's asking,

2774.527 -> "If we volunteer as a user for v3."

2776.8 -> I'm assuming with the V3 user,

2780.55 -> our customer focus group.

2783.047 -> "Will we need to enter patients in both forms?"

2787.06 -> So the testing,

2788.042 -> we haven't decided if that would be a beta test

2790.54 -> to bring you over earlier,

2791.83 -> it would mostly be in our testing environment.

2795.52 -> And so I'm not exactly sure if you'd have to,

2798.4 -> I don't think we'd be making you enter in both places.

2802.24 -> Jason, please feel free to let me know.

2803.86 -> I know you've been working on this with our stroke folks

2806.83 -> but they were on a different timeline

2808.24 -> and had a whole beta system

2809.86 -> so that's probably where this is coming from.

2812.74 -> - [Jason] Sure.

2813.573 -> So in general, when we involve external users

2817.27 -> such as yourself in UATs or acceptance testing,

2821.92 -> we'll usually provide a test environment of your facility

2826.6 -> in a lower environment that'll allow you to abstract cases

2829.96 -> in there as a test.

2832.99 -> There will be absolutely no requirement

2834.73 -> for you to abstract in both at the same time.

2838.6 -> When the version becomes available,

2840.46 -> all users will see that,

2842.29 -> the new version of the form and all records,

2845.23 -> newly created records with a discharge that's past 2023,

2849.82 -> we'll then see that form

2851.08 -> and they'll just begin using that after launch.

2854.56 -> But before launch, while everybody was still in version two,

2858.01 -> if you opt to be a part of that user group

2860.83 -> and we have you involved,

2863.037 -> then yes then you could go in and you could just put in

2864.85 -> some sample CAD cases.

2866.62 -> Really to get the feel the look, the layout.

2869.08 -> It is very impactful to us to have users entering

2872.296 -> in live cases into the test environment

2875.41 -> because that's the only way

2876.31 -> for us to get that true workflow and care pattern

2880.27 -> as you abstract that data in way beyond just putting in

2886 -> a sampling of options as we just peruse through it.

2891.34 -> So we do want that real life experience.

2894.07 -> There would not be a requirement for you to do both

2897.04 -> if you didn't want to work in the test environment.

2902.59 -> - [Sandeep] Thanks, Jason.

2903.61 -> I have another question I think you can help me with.

2906.557 -> "There was a mention of aligning QI improvement

2908.77 -> and data metrics

2910.451 -> with certain specialty accreditation bodies.

2912.73 -> Which will these include joint commission DMV, etc.?"

2917.35 -> - [Jason] Sure.

2918.183 -> so our registry currently Get With Guidelines CAD does align

2923.35 -> and include all of the metrics needed

2925.21 -> for all of the joint commission cardiac certification.

2929.98 -> So utilizing the Get With The Guidelines-CAD registry,

2933.25 -> you can meet all the data requirements and all the metrics

2936.43 -> are included and also electronic data submission

2939.91 -> of that performance quarterly to the joint commission

2944.05 -> is all available within the CAD registry.

2946.99 -> So all of our metrics

2949.99 -> do align with joint commission in regard to that.

2953.86 -> If you're interested in any of those certifications,

2956.47 -> please reach out to your local QI manager

2959.26 -> that can take you through that process

2961.33 -> and give you some more information.

2963.28 -> But Acute Heart Attack Ready, Primary Heart Attack Center

2966.22 -> and Comprehensive Heart Attack Certification

2968.23 -> are all 100% supported

2969.97 -> by the Get With The Guidelines-CAD registry.

2973.03 -> Now beyond that,

2974.29 -> 'cause there's a lot of things that are also

2976.291 -> in specifications that look at different segmented times

2979.03 -> and goals and benchmarks that are beyond

2982.03 -> the standard reporting metrics that you have to have.

2985.72 -> Yes, the goal is much like we've done

2988 -> in our other disease states

2989.47 -> is to provide tools and reporting

2992.484 -> not used for awards but reporting and tools in the system

2997.96 -> so that you can go in and run a period of time

3000.57 -> of all of your responses to high-risk chest pain,

3004.14 -> STEMI patients and truly drill down into those

3006.81 -> to look at what are all the segments of care

3010.05 -> and the performance in each of those metrics of arrival

3013.624 -> to position to ECG, to cath lab,

3016.05 -> to cardiac alert notification.

3018.87 -> All those different segments of time.

3021.3 -> We wanna make the tool positioned in a way

3023.07 -> so that you have that.

3024.09 -> And then also give you the opportunity

3027.21 -> to report on those metrics for whatever purpose

3029.64 -> you need it for.

3030.473 -> Whether it be joint commission,

3031.44 -> whether it be DMV, any of those types of things.

3036.03 -> So a lot of good things coming out in the future

3040.112 -> but our system currently does the joint certifications

3042.51 -> with joint commission and the American Heart Association

3044.7 -> for acute heart attack, primary heart attack

3047.04 -> and comprehensive heart attack

3048.09 -> are 100% supported by Get The Guidelines-CAD.

3052.8 -> - [Sandeep] Thanks, Jason.

3054.225 -> There's a question,

3055.35 -> actually two questions about our LV assessment.

3058.77 -> So I know right now that it is requiring that value

3064.56 -> to be filled in for different scenarios

3068.461 -> of if it's been taken at this hospitalization or prior.

3077.7 -> And I'm actually redesigning that per your guys' feedback

3081.72 -> to change that to ask if first,

3085.35 -> and I'm sorry don't have that up for you guys

3087.57 -> but in the next webinar,

3088.98 -> I will be sure to show you guys this

3090.81 -> since I know there's some interest here.

3092.28 -> I'll make sure to do a demo of this specifically this update

3096.6 -> for the LVF assessment.

3099.69 -> Where we are now switching that into asking first

3103.83 -> when was this taken or is it planned.

3106.11 -> And if so, what is the value and requiring the value

3109.65 -> only in the situations

3111.24 -> where you would have an actual value.

3113.64 -> Cause I know that currently, there's not an option,

3116.85 -> we'll also have an option for not documented

3119.49 -> 'cause I know that is also impeding a lot of measures

3125.4 -> and and in such cases, there isn't anything to document.

3129.27 -> So we will also have the not documented option

3132.18 -> for that question.

3133.56 -> So I'll be sure in our next webinar in January to do a demo

3137.31 -> of that specifically since I see that interest

3141.75 -> in fixing that and enhancing that

3144.99 -> to really work with your abstraction process.

3152.25 -> Go ahead and see what else we can answer.

3156.09 -> I know we are getting close to time.

3162.667 -> "Will there be a report that shows door to EKG in 10 minutes

3166.41 -> including all patients and only those who qualify?"

3170.46 -> Yes, that data can be pulled through a data download

3174.33 -> and the time tracker and we will be sure to enhance that.

3177.78 -> I love to see this feedback so we know

3180.448 -> what are those reports that you'd like

3183.96 -> a little bit more detail on

3185.7 -> and how we can highlight those more.

3188.16 -> So I will make sure to make a note of that.

3199.272 -> "Is there any chance to get metrics done

3201.39 -> for all MI patients instead of breaking it

3204.3 -> between NSTEMI and STEMI?"

3209.43 -> - [Jason] Just add a little context here too,

3212.01 -> this is such a great question and one thing

3214.32 -> that within into this year and into next,

3217.56 -> what we really wanna bring the system into is answering

3221.91 -> some of these questions like this one which is so pertinent

3225.84 -> is that the achievement in the quality measures reporting

3229.17 -> into your award are fantastic.

3231.33 -> We need those in the support

3232.53 -> but there's so many more questions that you,

3234.96 -> your colleagues at your hospital, your administration,

3237.81 -> your coordinators, your ED

3239.91 -> that wanna know holistically

3242.152 -> of your patient populations and your response.

3244.53 -> So the goal is to move into the direction to have

3247.26 -> more broader reporting measures

3249.39 -> just as like what you're describing.

3250.95 -> So to give you the ability within the registry system.

3256.05 -> So then when you run these metrics

3258 -> to look at all MI patients that receive let's say,

3261.78 -> beta blockers for instance,

3263.01 -> you can then have filtering options to then drill down

3265.47 -> on those individual patient populations.

3267.21 -> You want to instead of that happening initially

3270.84 -> with the initial patient population

3272.34 -> because we have heard back from you all

3274.8 -> where there is challenges where you have to run

3278.723 -> two separate measures to look at your STEMIs

3279.93 -> versus your NSTEMIs for very similar care.

3282.03 -> So we wanna eliminate that barrier.

3283.71 -> Those measures will still exist obviously for achievement

3286.5 -> on awards but we do wanna make

3288.06 -> a much more simplified version

3289.56 -> of you looking at your data in reporting measures.

3292.29 -> So that is something that we're definitely moving

3294.12 -> in the direction for.

3296.07 -> - Thank you, Jason. - Sorry for interjecting.

3297.447 -> - [Sandeep] No, thank you Jason.

3298.95 -> And to that point,

3300.39 -> I know there's a few more questions that are very similar

3302.76 -> to that and these are some of these items that are you guys

3307.08 -> are bringing up, we have heard and some we haven't.

3310.515 -> So I'm going to take these back and collect them

3311.64 -> and I will answer them in the FAQ.

3314.22 -> Just because I'll need to do a little bit more research

3316.2 -> on some of these and work on them

3318.267 -> and some are brand new to me.

3320.07 -> So if you didn't get your answer today,

3323.76 -> please know that we are not ignoring you.

3325.83 -> We will go ahead and email you

3328.26 -> after this webinar and get back to you on those.

3335.37 -> And someone has brought up to an issue

3338.46 -> that they're experiencing version two as well

3340.23 -> that I haven't heard of.

3341.07 -> So I'm going to go ahead and also look into that

3344.61 -> and get back to you as well, Margaret.

3347.34 -> I haven't heard of that yet so thank you

3349.92 -> for bringing that to my attention.

3352.98 -> And thank you, all for attending.

3355.404 -> On behalf of the American Heart Association,

3358.38 -> thank you for participating and Get With The Guidelines-CAD

3361.29 -> and joining us today to hear about these updates.

3365.55 -> Again, I will go ahead and get through this FAQ

3369.78 -> and if you have more questions,

3371.22 -> please feel free to email your QI consultant

3373.47 -> and they'll get them over to me

3375.292 -> and I'll start to develop that FAQ as well

3377.94 -> as get back to you, some of you individually

3380.748 -> to see if we can enhance the tool further and make sure

3387.456 -> that it's really a QI tool for you guys to really go ahead

3392.64 -> and improve patient care.

3395.045 -> We hope you have a great holiday season

3400.849 -> We'll be in touch in the new year.

3402.27 -> I'm sorry about that, you guys.

3403.95 -> I'm a little sick right now,

3405.69 -> but thank you again for attending

3408.09 -> and have a great rest of the week.

Source: https://www.youtube.com/watch?v=bu5OnxMcbUk