4. Low Volume Operators
• Even with “number” change in the competency document
– Understanding experience of low volume operators can be
difficult
• Are they doing a good job
– Patient Selection
– Technical Proficiency
– Ancillary therapies
– Alternative choices
5. Data Integrity Audit
• I just looked at my NCDR Data
– It doesn’t make sense
– I know we are better than that
• Documentation Issue
• Abstractor Issue
• Real Finding
– Opportunity for improvement
6. We think we are doing a
good job but……
• Want to validate
– Angiographic review
• Usually visual assessment but QCA is available
– Appropriate Use
– By the way
• Angiographic quality
• Documentation completeness
7. Someone thinks there may
be a problem
• Customized to address issue
• Usually about Appropriateness
– May have already had an internal review
– May have already had a “friend” review
8. The OIG has already been
here
• An outlier operator has already been identified
• Seeing more interest in diagnostic cath indications
• Need to understand the context
– Review sample of other operators for perspective
• May evolve into IRO for CIA
• FPPE
9. ACE E3 Processes
• Consistency of reviews
– QC of Reviewers
• Objective
– Unbiased
– Reviewers blinded to sites/operators
– No COI
• Corrective action plans
– Ongoing support for implementation
10. ACE E3 Contacts
– Sheree Schroeder, Director Peer Review Services
• sschroeder@cvexcel.org
– Mary Heisler, ACE Executive Director
• mheisler@cvexcel.org
– Bonnie H. Weiner MD MSEC MBA, ACE Board Chair CMO
• bweiner@cvexcel.org
