ACIC: Advanced Cardiovascular Imaging Consortium

Sponsor

William Beaumont Hospitals (Other)

Overall Status

Completed

CT.gov ID

NCT00640068

Collaborator

Blue Cross Blue Shield of Michigan Foundation (Other)

42,926

Enrollment

Locations

Duration (Months)

858.5

Patients Per Site

10.6

Patients Per Site Per Month

Study Details

Study Description

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.

Condition or Disease	Intervention/Treatment	Phase
Chest Pain Coronary Occlusion Coronary Artery Disease

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.

Study Design

Study Type:

Observational

Actual Enrollment :

42926 participants

Observational Model:

Cohort

Time Perspective:

Prospective

Official Title:

Advanced Cardiovascular Imaging Consortium: A Collaborative Quality Improvement Project

Study Start Date :

Jul 1, 2007

Actual Primary Completion Date :

Apr 1, 2014

Actual Study Completion Date :

Apr 1, 2014

Arms and Interventions

Arm	Intervention/Treatment
1 All patients in whom a clinical CCTA was ordered by their physician at a participating site. Patient must have a prescription for CCTA ordered by their physician.

Outcome Measures

Primary Outcome Measures

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

To monitor the CQI process of individual participating sites and the ACIC as a whole. [5 years]

Eligibility Criteria

Criteria

Ages Eligible for Study:

N/A and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

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.

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	University of Michigan	Ann Arbor	Michigan	United States	48109
2	St. Joseph Mercy Hospital Ann Arbor	Ann Arbor	Michigan	United States	48706
3	Bay Regional Medical Center	Bay City	Michigan	United States	48708
4	DMC Huron Valley-Sinai	Commerce	Michigan	United States	48382
5	Oakwood Hospital	Dearborn	Michigan	United States	48124
6	Harper University Hospital	Detroit	Michigan	United States	48201
7	Henry Ford Hospital	Detroit	Michigan	United States	48202
8	St. John Hospital and Medical Center	Detroit	Michigan	United States	48236
9	McLaren Flint	Flint	Michigan	United States	48532
10	McLaren Regional Medical Center	Flint	Michigan	United States	48532
11	Premier Medical Clinics	Flint	Michigan	United States	48532
12	Garden City Hospital	Garden City	Michigan	United States	48135
13	North Ottawa Community Hospital	Grand Haven	Michigan	United States	49417
14	East Beltline Imaging	Grand Rapids	Michigan	United States	49525
15	Henry Ford Cottage Hospital	Grosse Pointe	Michigan	United States	48043
16	William Beaumont Hospital - Grosse Pointe	Grosse Pointe	Michigan	United States	48230
17	Hillsdale Community Health Center	Hillsdale	Michigan	United States	49242
18	Bronson Hospital	Kalamazoo	Michigan	United States	49007
19	Borgess Medical Center	Kalamazoo	Michigan	United States	49048
20	Sparrow Health System	Lansing	Michigan	United States	48909
21	Ingham Regional Medical Center	Lansing	Michigan	United States	48910
22	Thoracic and Cardiovascular Institute, P.C.	Lansing	Michigan	United States	48910
23	McLaren Lapeer Region	Lapeer	Michigan	United States	48446
24	St. John Oakland	Madison Heights	Michigan	United States	48071
25	Marquette General Health System	Marquette	Michigan	United States	49855
26	Mercy Memorial	Monroe	Michigan	United States	48162
27	McLaren Macomb	Mount Clemens	Michigan	United States	48043
28	Hackley Hospital	Muskegon	Michigan	United States	49442
29	Northern Michigan Hospital	Petoskey	Michigan	United States	49770
30	Pontiac Osteopathic Hospital	Pontiac	Michigan	United States	48124
31	St. Joseph Mercy Hospital Oakland	Pontiac	Michigan	United States	48341
32	Crittenton Hospital	Rochester	Michigan	United States	48307
33	William Beaumont Hospital-Royal Oak	Royal Oak	Michigan	United States	48073
34	Covenant Healthcare	Saginaw	Michigan	United States	48602
35	Chippewa County War Memorial	Sault Saint Marie	Michigan	United States	49783
36	St. John Providence Hospital	Southfield	Michigan	United States	48075
37	Southgate Radiology & Southgate CT	Southgate	Michigan	United States	48195
38	Lakeland Regional Health System	St. Joseph	Michigan	United States	49085
39	St. Joseph Health System - Tawas	Tawas City	Michigan	United States	48764
40	Heritage (Oakwood) Hospital	Taylor	Michigan	United States	48180
41	Munson Medical Center	Traverse City	Michigan	United States	49684
42	Oakwood Southshore Medical Center	Trenton	Michigan	United States	48183
43	William Beaumont Hospital, Troy	Troy	Michigan	United States	48085-1117
44	St. John Macomb	Warren	Michigan	United States	48093
45	Oakwood Annapolis Hospital	Wayne	Michigan	United States	48184
46	Henry Ford West Bloomfield Hospital	West Bloomfield	Michigan	United States	48322
47	Health First Imaging	West Bloomfield	Michigan	United States	48323
48	West Branch Regional Medical Center	West Branch	Michigan	United States	48661
49	Henry Ford Wyandotte Hospital	Wyandotte	Michigan	United States	48192
50	Michigan Heart, P.C.	Ypsilanti	Michigan	United States	48197