Advanced Cardiovascular Imaging Consortium (ACIC)

April 2, 2014 updated by: Kavitha Chinnaiyan, William Beaumont Hospitals

Advanced Cardiovascular Imaging Consortium: A Collaborative Quality Improvement Project

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.

Study Overview

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 Type

Observational

Enrollment (Actual)

42926

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Michigan
      • Ann Arbor, Michigan, United States, 48109
        • University of Michigan
      • Ann Arbor, Michigan, United States, 48706
        • St. Joseph Mercy Hospital Ann Arbor
      • Bay City, Michigan, United States, 48708
        • Bay Regional Medical Center
      • Commerce, Michigan, United States, 48382
        • DMC Huron Valley-Sinai
      • Dearborn, Michigan, United States, 48124
        • Oakwood Hospital
      • Detroit, Michigan, United States, 48202
        • Henry Ford Hospital
      • Detroit, Michigan, United States, 48201
        • Harper University Hospital
      • Detroit, Michigan, United States, 48236
        • St. John Hospital and Medical Center
      • Flint, Michigan, United States, 48532
        • McLaren Regional Medical Center
      • Flint, Michigan, United States, 48532
        • McLaren Flint
      • Flint, Michigan, United States, 48532
        • Premier Medical Clinics
      • Garden City, Michigan, United States, 48135
        • Garden City Hospital
      • Grand Haven, Michigan, United States, 49417
        • North Ottawa Community Hospital
      • Grand Rapids, Michigan, United States, 49525
        • East Beltline Imaging
      • Grosse Pointe, Michigan, United States, 48043
        • Henry Ford Cottage Hospital
      • Grosse Pointe, Michigan, United States, 48230
        • William Beaumont Hospital - Grosse Pointe
      • Hillsdale, Michigan, United States, 49242
        • Hillsdale Community Health Center
      • Kalamazoo, Michigan, United States, 49048
        • Borgess Medical Center
      • Kalamazoo, Michigan, United States, 49007
        • Bronson Hospital
      • Lansing, Michigan, United States, 48910
        • Ingham Regional Medical Center
      • Lansing, Michigan, United States, 48909
        • Sparrow Health System
      • Lansing, Michigan, United States, 48910
        • Thoracic and Cardiovascular Institute, P.C.
      • Lapeer, Michigan, United States, 48446
        • McLaren Lapeer Region
      • Madison Heights, Michigan, United States, 48071
        • St. John Oakland
      • Marquette, Michigan, United States, 49855
        • Marquette General Health System
      • Monroe, Michigan, United States, 48162
        • Mercy Memorial
      • Mount Clemens, Michigan, United States, 48043
        • McLaren Macomb
      • Muskegon, Michigan, United States, 49442
        • Hackley Hospital
      • Petoskey, Michigan, United States, 49770
        • Northern Michigan Hospital
      • Pontiac, Michigan, United States, 48124
        • Pontiac Osteopathic Hospital
      • Pontiac, Michigan, United States, 48341
        • St. Joseph Mercy Hospital Oakland
      • Rochester, Michigan, United States, 48307
        • Crittenton Hospital
      • Royal Oak, Michigan, United States, 48073
        • William Beaumont Hospital-Royal Oak
      • Saginaw, Michigan, United States, 48602
        • Covenant HealthCare
      • Sault Saint Marie, Michigan, United States, 49783
        • Chippewa County War Memorial
      • Southfield, Michigan, United States, 48075
        • St. John Providence Hospital
      • Southgate, Michigan, United States, 48195
        • Southgate Radiology & Southgate CT
      • St. Joseph, Michigan, United States, 49085
        • Lakeland Regional Health System
      • Tawas City, Michigan, United States, 48764
        • St. Joseph Health System - Tawas
      • Taylor, Michigan, United States, 48180
        • Heritage (Oakwood) Hospital
      • Traverse City, Michigan, United States, 49684
        • Munson Medical Center
      • Trenton, Michigan, United States, 48183
        • Oakwood Southshore Medical Center
      • Troy, Michigan, United States, 48085-1117
        • William Beaumont Hospital, Troy
      • Warren, Michigan, United States, 48093
        • St. John Macomb
      • Wayne, Michigan, United States, 48184
        • Oakwood Annapolis Hospital
      • West Bloomfield, Michigan, United States, 48322
        • Henry Ford West Bloomfield Hospital
      • West Bloomfield, Michigan, United States, 48323
        • Health First Imaging
      • West Branch, Michigan, United States, 48661
        • West Branch Regional Medical Center
      • Wyandotte, Michigan, United States, 48192
        • Henry Ford Wyandotte Hospital
      • Ypsilanti, Michigan, United States, 48197
        • Michigan Heart, P.C.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

Referral from other healthcare provider or support staff (e.g. physician office, clinics), Emergency Room, self referral with prescription

Description

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.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
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.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Educate participating sites on appropriate use of CCTA
Time Frame: 5 years
To educate participating sites in the clinical uses of CCTA recommended by the ACC/ACR as well as other best-practices
5 years

Secondary Outcome Measures

Outcome Measure
Time Frame
To monitor the CQI process of individual participating sites and the ACIC as a whole.
Time Frame: 5 years
5 years

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Study Director: Kavitha Chinnaiyan, MD, William Beaumont Hospitals

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

July 1, 2007

Primary Completion (Actual)

April 1, 2014

Study Completion (Actual)

April 1, 2014

Study Registration Dates

First Submitted

March 14, 2008

First Submitted That Met QC Criteria

March 19, 2008

First Posted (Estimate)

March 20, 2008

Study Record Updates

Last Update Posted (Estimate)

April 3, 2014

Last Update Submitted That Met QC Criteria

April 2, 2014

Last Verified

April 1, 2014

More Information

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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