Advanced Cardiovascular Imaging Consortium

Condition(s) targeted: Chest Pain; Coronary Occlusion; Coronary Artery Disease

Phase: N/A

Status: Recruiting

Sponsored by: William Beaumont Hospitals

Official(s) and/or principal investigator(s):
Gilbert Raff, MD, Principal Investigator, Affiliation: William Beaumont Hospitals

Overall contact:
Ann DePetris, RN,MSA, Phone: 248.551.6683, Email: Ann.DePetris@beaumont.edu

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.

Official title: Advanced Cardiovascular Imaging Consortium: A Collaborative Quality Improvement Project

Study design: Cohort, Prospective

Primary outcome: To educate participating sites in the clinical uses recommended by the ACC/ACR.

Secondary outcome: To monitor the CQI process of individual participating sites and the ACIC as a whole.

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.

Minimum age: N/A. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

(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.

Exclusion Criteria:

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.

Ann DePetris, RN,MSA, Phone: 248.551.6683, Email: Ann.DePetris@beaumont.edu

William Beaumont Hospital, Royal Oak, Michigan 48073, United States; Recruiting
Ann DePetris, RN,MSA, Phone: 248-551-6683, Email: Ann.Depetris@beaumont.edu
Gilbert Raff, MD, Principal Investigator

Borgess Medical Center, Kalamazoo, Michigan 49048, United States; Recruiting
Susan K Smith, MSN, Phone: 269-226-8261, Email: susanksmith@borgess.com
Mark Shaman, MD, Principal Investigator

Bronson Hospital, Kalamazoo, Michigan 49007, United States; Recruiting
Joshua Burnett, CT, Phone: 269-341-6380, Email: burnettj@bronsonhg.org
Robert Williams, DO, Principal Investigator

Chippewa County War Memorial, Sault Saint Marie, Michigan 49783, United States; Recruiting
Erin Stocker, Phone: 906-635-4617, Email: esnyder@wmhos.org
Ralph Duman, MD, Principal Investigator

Crittenton Hospital, Rochester, Michigan 48307, United States; Recruiting
Sharon James, RN, Phone: 248-652-5286, Email: sjames@crittenton.com
Katharine Scharer, MD,FACR, Principal Investigator

Hackley Hospital, Muskegon, Michigan 49442, United States; Recruiting
David Aslakson, RN, Phone: 231-723-4740, Email: daslakso@hackley-health.org
Ralph Ryan, MD, Principal Investigator

Henry Ford Hospital, Detroit, Michigan 48202, United States; Recruiting
Michael Davis, Phone: 313-916-7925, Email: Michaeld@rad.hfh.edu
Thomas Song, MD, Principal Investigator

Heritage (Oakwood) Hospital, Taylor, Michigan 48180, United States; Recruiting
Diane Tesner, Phone: 313-375-7050, Email: tesnerd@oakwood.org
John Finger, MD, Principal Investigator

Hillsdale Community Health Center, Hillsdale, Michigan 49242, United States; Recruiting
Cindy Barker, Phone: 517-437-5153, Email: cbarker@hchc.com
Joseph Painter, MD, Principal Investigator

Lakeland Regional Health System, St. Joseph, Michigan 49085, United States; Recruiting
Angie Padilla, Phone: 269-983-8257, Email: apadilla@lakelandregional.org
Nathan Jordan, MD, Principal Investigator

Marquette General Health System, Marquette, Michigan 49855, United States; Recruiting
Deb Graves, Phone: 906-225-4947, Email: dgraves@mgh.org
Steve Min, MD, Principal Investigator

Mercy Memorial, Monroe, Michigan 48162, United States; Recruiting
Valerie Mefferd, Phone: 734-240-5637, Email: Valerie.Mefferd@MercyMemorial.org
Norma A Flores, MD, Principal Investigator

Michigan Heart, P.C., Ypsilanti, Michigan 48197, United States; Recruiting
Thom Collard, Phone: 734-712-2494, Email: tcollard@michiganheart.com
Tauqir Goraya, MD,PhD, Principal Investigator

Oakwood Hospital, Dearborn, Michigan 48124, United States; Recruiting
Joanne Gies, RN, Phone: 313-438-7701, Email: GiesJ@oakwood.org
John Finger, MD, Principal Investigator

Pontiac Osteopathic Hospital, Pontiac, Michigan 48124, United States; Recruiting
Shawn Cramton, RT, Phone: 248-338-5699, Email: shawn.cramton@pohmedical.org
Quen Dickey, DO, Principal Investigator

Sparrow Health System, Lansing, Michigan 48909, United States; Recruiting
Malinda Clark, RN, Phone: 517-364-2503, Email: malinda.clark@sparrow.org
Ranji Samaraweera, MD, Principal Investigator

St. John Hospital and Medical Center, Detroit, Michigan 48236, United States; Recruiting
Julie A Holland-Alter, RN, Phone: 313-343-7870, Email: julie.holland-alter@stjohn.org
Anthony J Kawa, DO, Principal Investigator

St. John Macomb, Warren, Michigan 48093, United States; Recruiting
Kathy Budka, Phone: 586-573-5891, Email: kathy.budka@stjohn.org
Charles Nino, MD, Principal Investigator

St. John Oakland, Madison Heights, Michigan 48071, United States; Recruiting
Kathy Budka, Phone: 586-573-5891, Email: kathy.budka@stjohn.org
Joan Crawford, MD, Principal Investigator

St. John Providence Hospital, Southfield, Michigan 48075, United States; Recruiting
Mike Harmer, RN, Phone: 248-849-4590, Email: Michael.Harmer@stjohn.org
Souheil Saba, MD, Principal Investigator

St. Joseph Mercy Hospital Ann Arbor, Ann Arbor, Michigan 48706, United States; Recruiting
Sheryl L Wildoner, BBA, Phone: 734-712-3438, Email: wildones@trinity-health.org
Michael Sarosi, MD, Principal Investigator

St. Joseph Mercy Hospital Oakland, Pontiac, Michigan 48341, United States; Recruiting
Jody Evans, Phone: 248-858-3766, Email: evansjol@trinity-health.org
Sharath Chandra, MD, Principal Investigator

Thoracic and Cardiovascular Institute, P.C., Lansing, Michigan 48910, United States; Recruiting
Kyle Willing, Phone: 517-483-8432, Email: kwilling@tciheart.com
Ronald Voice, MD, Principal Investigator

William Beaumont Hospital, Royal Oak, Royal Oak, Michigan 48073, United States; Recruiting
Kathy McCreedy-Hall, RN, Phone: 248-898-9270, Email: mailto:kathy.Mccreedy@beaumonthospitals.com
Gilbert Raff, MD, Principal Investigator

William Beaumont Hospital, Troy, Troy, Michigan 48085-1117, United States; Recruiting
Diana Bacon, RN, Phone: 248-964-8500, Email: dbacon@beaumonthospitals.com
David Forst, MD, Principal Investigator

West Michigan Cardiology, Grand Rapids, Michigan 49525, United States; Not yet recruiting
Paul H Singh, MD, FACC, Phone: 616-301-7500, Email: singhh@wmcardiology.com

Bay Regional Medical Center, Bay City, Michigan 48708, United States; Not yet recruiting
James Finch, MD, Phone: 989-894-3080, Email: james.finch@bhsnet.org

DMC Huron Valley-Sinai, Commerce, Michigan 48382, United States; Not yet recruiting
John Kelly, DO, Phone: 248-937-5020, Email: jkelly@dmc.org

Garden City Hospital, Garden City, Michigan 48135, United States; Not yet recruiting
Edsa Negussie, MD, Phone: 734-458-3479, Email: edsanegussie@yahoo.com

Harper University Hospital, Detroit, Michigan 48201, United States; Not yet recruiting
Hamid Sattar, MD, Phone: 313-993-7777, Email: hsattar@dmc.org

Ingham Regional Medical Center, Lansing, Michigan 48910, United States; Not yet recruiting
Ronald Voice, MD, Phone: 517-483-7550, Email: rvoice@tciheart.com

Munson Medical Center, Traverse City, Michigan 49684, United States; Not yet recruiting
C. Paul Williams, MD, Phone: 231-935-6008, Email: cwilliams@mhc.net

Northern Michigan Hospital, Petoskey, Michigan 49770, United States; Not yet recruiting
Gerald Gadowski, DO, Phone: 231-487-2490, Email: ggadowski@michiganhvs.com

Oakwood Annapolis Hospital, Wayne, Michigan 48184, United States; Not yet recruiting
Venkat Rudraraju, MD, Phone: 434-467-4174, Email: rudrarajumd@gmail.com

Oakwood Southshore Medical Center, Trenton, Michigan 48183, United States; Not yet recruiting
Bruno Borin, DO, Phone: 734-671-3425, Email: borinb@oakwood.org

St. Joseph Health System - Tawas, Tawas City, Michigan 48764, United States; Not yet recruiting
Vikram Rao, MD, Phone: 989-362-0710, Email: vikrao@comcast.net

St. Mary Mercy Hospital, Livonia, Michigan 48154, United States; Not yet recruiting
Christopher Esshaki, Phone: 734-655-2823, Email: esshakic@trinity-health.org

William Beaumont Hospital - Grosse Pointe, Grosse Pointe, Michigan 48230, United States; Not yet recruiting
Georges Ghafari, MD, Phone: 586-498-0401, Email: georges.ghafari@beaumont.edu

Southgate Radiology & Southgate CT, Southgate, Michigan 48195, United States; Not yet recruiting
Dennis Vollman, DO, Phone: 734-281-7481, Email: RTV0828@aol.com

Starting date: July 2007
Ending date: October 2010
Last updated: March 2, 2009