• 09/28/2015

    Taking the Politics Out of the Review Process

    By Sheree Schroeder, MSN, RN, RDCS, FASE, ACE Director, Quality Review Programs

    Our clients realize and appreciate the value of partnering with ACE for their external expert quality review services. One client said it best: "ACE takes the politics out of the review process for us". Another shared, "This is the best insurance policy we could possibly purchase".

    ACE is able to custom tailor our reviews to meet the needs of our clients. We offer our standard review with attention to AUC, overall quality, technique and outcomes. Also available is Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE) Services. Many clients turn to us for review services on non-invasive and invasive cardiovascular procedures. As one client stated, "We don’t have the needed expertise on campus, so we turned to ACE to provide it".

    Interventional Cardiology remains under great scrutiny from our payers. To mitigate risk, ACE recommends that cardiac catheterization laboratories implement structured reporting and design cath lab reports as a "Stand Alone Documents", to include the patient’s cardiovascular H&P, clinical risk and components of the AUC score for diagnostic cases and revascularization, which also addresses medical necessity. A great reference document is the 2014 Health Policy Statement on Structured Reporting for the Cardiac Catheterization.

    External random case Quality Review can provide your cardiac catheterization laboratory an unbiased expert angiographic review with recommendations on how to improve overall quality. Contact us for assistance in assessing and improving your cardiovascular services.