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Join the MACPAQ Angiogram Film Review Initiative: Elevating Cardiac Care Together


In the dynamic field of cardiology, continuous improvement and rigorous review of procedures are not just goals—they are imperatives. This is where the Maryland Academic Consortium for Percutaneous Coronary Intervention Appropriateness and Quality (MACPAQ) steps in, partnering with VCSQI to offer an unparalleled opportunity for enhancement through angiogram film reviews. We are excited to extend this service to our members at no additional cost, reaffirming our commitment to excellence in cardiac care.


Why Participate in the Angiogram Film Review Initiative?

Quality and Appropriateness at the Forefront

MACPAQ represents a groundbreaking collaboration between the prestigious Divisions of Cardiology at the Johns Hopkins University and the University of Maryland. Our mission is to assure the highest quality of PCI services through ongoing, blinded, independent external peer reviews. This process is meticulously designed to focus on the quality and appropriateness of services, procedural outcomes, and the accuracy of reporting procedures.


Objective Feedback from Esteemed Reviewers

Reviewers are board-certified in interventional cardiology, with a rich background of experience and over 500 lifetime PCI cases to their credit. This ensures that the feedback and insights provided are both highly relevant and deeply informed. The MACPAQ review process evaluates the “appropriateness” of PCI based on ACC/AHA guidelines, standard clinical practice, and a review of the angiographic stenosis severity, among other factors.


Streamlined Workflow and Reporting

Participation in this initiative is facilitated through a simple yet effective workflow. VCSQI will provide MACPAQ with a list of PCI cases in a Microsoft Excel, including blinded information like Hospital ID and Operator ID, ensuring an unbiased review process.


Benefits of Participating

Here are some examples of how participation in this initiative can drive improvement within cardiology programs:


Elevating Clinical Practices

1. Enhanced Adherence to Guidelines: By focusing on the appropriateness of Percutaneous Coronary Intervention (PCI) based on ACC/AHA guidelines, the initiative helps ensure that interventions align with the latest evidence-based practices. This alignment not only improves patient outcomes but also positions programs for ACC Accreditation, which emphasizes adherence to clinical guidelines.

2. Objective Peer Reviews: The initiative's process of blinded, independent peer reviews by highly qualified reviewers ensures unbiased feedback on the quality and appropriateness of PCIs. This external validation can uncover areas for improvement, guide targeted enhancements in clinical practice, and demonstrate a commitment to quality that is critical for

ACC Accreditation.

3. Data-Driven Improvements: By analyzing procedural outcomes and the accuracy of reporting, the initiative provides data that can be used to identify trends, benchmark against peers, and implement quality improvement projects. Such projects are integral to meeting ACC Accreditation standards, which require demonstration of continuous quality improvement efforts.


Supporting Documentation and Reporting

4. Accuracy in Reporting: The initiative emphasizes the accuracy of reporting procedures, a critical aspect for both internal quality improvement and external accreditation processes. Accurate and comprehensive reporting supports the documentation requirements for ACC Accreditation and facilitates a culture of transparency and continuous improvement.

5. Structured Feedback for Educational Growth: The feedback provided through the film review process serves as an invaluable educational tool for clinicians, offering specific insights into areas of strength and opportunities for improvement. This focus on education and skill enhancement aligns with ACC Accreditation’s emphasis on professional development and competency. Programs may opt out of reviewer comments.


Enhancing Patient Safety and Outcomes

6. Focus on Appropriateness and Patient Outcomes: By evaluating the appropriateness of PCI procedures and their outcomes, the initiative directly contributes to improving patient safety and outcomes. ACC Accreditation prioritizes these aspects, requiring evidence of safe, effective, and appropriate care delivery.

7. Benchmarking for Best Practices: Participation in the initiative allows programs to benchmark their performance against other leading institutions. This benchmarking can inform best practices, drive quality improvements, and support the achievement of superior outcomes necessary for ACC Accreditation.


Facilitating Accreditation Process

8. Preparation for Accreditation Reviews: The insights and improvements derived from participating in the MACPAQ initiative can significantly streamline the preparation for ACC Accreditation reviews. By proactively addressing areas of concern and demonstrating a commitment to excellence, programs can navigate the accreditation process more smoothly.

9. Demonstrating Commitment to Quality Care: Engaging in this initiative reflects a program’s dedication to maintaining high standards of care, an essential aspect of ACC Accreditation. This dedication, evidenced through structured review processes and continuous quality improvement, is a key component of the accreditation criteria.


How to Sign Up?

We are keen to have you join this initiative that promises not just to benchmark but to elevate the standard of cardiac care. To participate, simply complete the sign-up form with your details, including your first and last names, email, and organization/site information. This is your opportunity to be at the forefront of enhancing cardiac care quality through rigorous, peer-reviewed analysis and feedback.




For any questions or further information, feel free to reach out to Sherri via Sherri@vcsqi.org.


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