The College’s Mission: Our mission is to transform cardiovascular care and improve heart health.
Vision: Our vision is to reflect a world where innovation and knowledge optimize cardiovascular care and outcomes.
- Teamwork and Collaboration
- Professionalism and Excellence
September 2022 Regional Meeting Event at The Historic Davenport, Boated More Than 90 Attendees
Peri-Procedural Code Status for Transcatheter Aortic Valve Replacement: Absence of Program Policies and Standard Practices
Article By: Gwen M. Bernacki, MD, MHSA; Helene Starks, PhD, MPH; Ashok Krishnaswami, MD; Jill M. Steiner, MD, MS; Matthew B. Allen MD; Wayne B. Batchelor, MD, Eugene Yang, MD, MS; Janet Wyman, NP; James N. Kirkpatrick, MD
Background: Little is known about policies and practices for patients under-going Transcatheter Aortic Valve Replacement (TAVR) who have a documen-ted preference for Do Not Resuscitate (DNR) status at time of referral. Weinvestigated how practices across TAVR programs align with goals of care forpatients presenting with DNR status.
Methods: Between June and September 2019, we conducted semi-structuredinterviews with TAVR coordinators from 52/73 invited programs (71%) inWashington and California (TAVR volume > 100/year:34%; 50–99:36%; 1–50:30%); 2 programs reported no TAVR in 2018. TAVR coordinators describedperi-procedural code status policies and practices and how they accommodatepatients’ goals of care. We used data from the Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy Registry, strati-fied by programs’ DNR practice, to examine differences in program size,patient characteristics and risk status, and outcomes.
Results: Nearly all TAVR programs (48/50: 96%) addressed peri-proceduralcode status, yet only 26% had established policies. Temporarily rescindingDNR status until after TAVR was the norm (78%), yet time frames for rein-statement varied (38% <48 h post-TAVR; 44% 48 h-to-discharge; 18% >30 dayspost-discharge). For patients with fluctuating code status, no routine practicesfor discharge documentation were well-described. No clinically substantial dif-ferences by code status practice were noted in Society of Thoracic SurgeonsPredicted Risk of Mortality risk score, peri-procedural or in-hospital cardiacarrest, or hospice disposition. Six programs maintaining DNR status recog-nized TAVR as a palliative procedure. Among programs categorically reversingpatients’ DNR status, the rationale for differing lengths of time to reinstate-ment reflect divergent views on accountability and reporting requirements.
Summer 2022 Women in Cardiology Event
L-R: Kristy M Heppner, MBA, PhD; Samira Bahrainy, MD; Beteal Ashinne, MD; Ruchi Kapoor, MD, PhD; Tina Ghia, MD; Susie Woo, MD, FACC; Naseem Ghazanfari, MD; Nina Rashedi, MD, FACC; Lianna Collinge, CAE; Therese Dumas, ACNP
Occupational Work Letter Template
Webinar Recording: Cardiovascular Manifestation & Management Strategy of COVID-19 Patients:
Originally Recorded: April 2, 2020
David Zhang, MD, PhD, FACC | CHI Franciscan | Tacoma, WA
Gautam Nayak, MD, FACC | President, WA ACC | Confluence Health | Wenatchee, WA
Free Wellness Resources for Your Teams
These are apps that are used for mindfulness and meditation, which may sound hokey to some, but is vitally important in times like this when we’re stressed. they have very short options – 1-3 minute exercises – that are great to do midday or pre-sleep.
Ten Percent Happier (free with code HEALTHCARE)
Mission of the Washington Chapter of the American College of Cardiology
The Goal of the Washington American College of Cardiology is to improve Cardiovascular health for residents of Washington State through education, care, and advocacy.
The purpose of the Chapter is to contribute to the prevention of cardiovascular diseases and to ensure optimal quality of care for individuals with such diseases in Seattle, Tacoma, Olympia, Spokane and other cities in Washington State. In carrying out these purposes, the Chapter functions, in consultation with the leadership of the College, as a source of advice to local and state governmental and professional organizations concerning issues related to cardiovascular disease. The Chapter, in the interest of patients, physicians, and the public in general, maintains a high level of social consciousness and involvement with socioeconomic factors and access to the highest possible quality of cardiovascular health care.
American College of Cardiology Mission:
To Transform Cardiovascular Care and Improve Heart Health
Leadership and the ACC: Developing Leaders to Transform Cardiovascular Care and Improve Heart Health
Thank You Louis Schwartzberg for Creating This Beautiful Film in Gratitude to Fellows of the American College of Cardiology (FACC’s)
William Shatner Thanks Cardiologists
[February 28, 2015] William Shatner owes his good health and being able to enjoy his active life to taking advice from good physicians, including his cardiologist. Please share any of the four versions with your friends. The :30, :60 and :90 min. videos are on the California Chapter YouTube channel.
“Every man owes a part of his time and money to the business or industry in which he is engaged. No man has a moral right to withhold his support from an organization that is striving to improve conditions within his sphere.”
– President Theodore Franklin Roosevelt, 1908
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Submit Your Prior Authorization Data!
Having Difficulties Getting Procedures Approved? Yes!
Please take a moment to tell us via ACC’s web-based prior authorization tool (PARTool)!
Do your PART to improve the prior authorization process by recording incorrectly denied or difficult requests through ACC’s PARTool.
The data collected helps the College determine overall prior authorization and test substitution trends by insurer and better understand problematic areas of the process including time burdens, test substitution and peer-to-peer reviews.
The observed trends will be shared with insurers, vendors, state legislators and insurance officials to engage them in ACC’s efforts to reduce the burden of prior authorization and return attention to direct patient interaction.
Practices can submit through a simple online form at ACC.org/PARTool.
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