Healthcare Policy Statement on the Utility of Coronary Computed Tomography for Evaluation of Cardiovascular Conditions and Preventive Healthcare: From the Health Policy Working Group of the Society of Cardiovascular Computed Tomography

J Cardiovasc Comput Tomogr. 2017 Sep-Oct;11(5):404-414. doi: 10.1016/j.jcct.2017.08.008. Epub 2017 Aug 31.

Abstract

The rising cost of healthcare is prompting numerous policy and advocacy discussions regarding strategies for constraining growth and creating a more efficient and effective healthcare system. Cardiovascular imaging is central to the care of patients at risk of, and living with, heart disease. Estimates are that utilization of cardiovascular imaging exceeds 20 million studies per year. The Society of Cardiovascular CT (SCCT), alongside Rush University Medical Center, and in collaboration with government agencies, regional payers, and industry healthcare experts met in November 2016 in Chicago, IL to evaluate obstacles and hurdles facing the cardiovascular imaging community and how they can contribute to efficacy while maintaining or even improving outcomes and quality. The summit incorporated inputs from payers, providers, and patients' perspectives, providing a platform for all voices to be heard, allowing for a constructive dialogue with potential solutions moving forward. This article outlines the proceedings from the summit, with a detailed review of past hurdles, current status, and potential solutions as we move forward in an ever-changing healthcare landscape.

Keywords: Chest pain; Coronary CT angiography; Coronary CTA; Healthcare policy; Healthcare summit.

Publication types

  • Consensus Development Conference
  • Practice Guideline
  • Review

MeSH terms

  • Computed Tomography Angiography* / economics
  • Computed Tomography Angiography* / standards
  • Consensus
  • Coronary Angiography / economics
  • Coronary Angiography / methods*
  • Coronary Angiography / standards
  • Cost Savings
  • Cost-Benefit Analysis
  • Evidence-Based Medicine / legislation & jurisprudence
  • Evidence-Based Medicine / standards
  • Health Care Costs / legislation & jurisprudence
  • Health Policy / economics
  • Health Policy / legislation & jurisprudence*
  • Heart Diseases / diagnostic imaging*
  • Heart Diseases / economics
  • Heart Diseases / prevention & control
  • Humans
  • Policy Making*
  • Predictive Value of Tests
  • Preventive Health Services / economics
  • Preventive Health Services / legislation & jurisprudence*
  • Preventive Health Services / standards
  • Stakeholder Participation