Cardiovascular Business - October/November 2007 - (Page 23) Some of its next steps include: affirming its purpose, goals and target audience; streamline data collection by removing data fields not used and clarifying data definitions; expanding the registry to follow pacemaker and ICD leads; meeting public policy, including use as a performance reporting tool; and adding longitudinal data collection that includes merging data with Medicare claims data, the National Death Index and home device monitoring systems. As one answer to refining the registry, the working group developed the Longitudinal ICD Registry study to complement the baseline registry and obtain device firing data, which was ap- proved by CMS in May. The study will include 350 randomly selected physicians and follow some 3,500 CMS beneficiaries receiving a primary prevention ICD. End points will include survival at three years and five years; death from any cardiovascular cause; total number and rate of device therapies; and ratio of inappropriate to total device therapies. What is evident from this first year is that both short-term and long-term data on ICD implementation provides hospitals and payors with a vital tool for quality improvement and payfor-performance programs. › The Stats patient Heritage Heart Rhythm Society ICD Implantation Guidelines 15% African American 11% Hispanic 4% Other 2% Thoracic/cardiac surgery residency 11% EP fellowship only 6% Pediatric EP fellowship 1% physician Training White 83% None mentioned 14% Electrophysiology fellowship & clinical cardiac electrophysiology 53% April 2006 - July 2007 Total ICD implementations: 108,341 | U.S. Hospitals: 1,117 | Physicians: 3,249 patient Gender Male 74% Female 26% primary Insurance payor Medicare / Medicaid 70% CardiovascularBusiness.com Other payor 30% Cardiovascular Business 23 http://www.CardiovascularBusiness.com
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