Coming Soon: ICD Registry Version 2.3 Update! - 2020 Quality Summit presentation (Non-CE)-Coming Soon: ICD Registry Version 2.3 Update! -Selzman

Video Transcription

Video Summary

In the video, Dr. Selzman discusses the NCDR ICD registry update version 2.3. She explains that the Center for Medicare and Medicaid Services (CMS) can make national coverage determinations for certain devices or services, and ICDs have been under a national coverage determination since 1986. In 2003, a randomized controlled trial called MADET-2 showed a mortality benefit for primary prevention ICDs in patients with ischemic cardiomyopathy and reduced ejection fraction. This led to an update of the national coverage determination in 2005 to include the indication for primary prevention defibrillators. The NCDR ICD registry was implemented in 2005 as a way to enroll CMS patients in a registry for outcomes research. In 2018, CMS updated the national coverage determination and removed the requirement for the NCDR ICD registry. However, the registry can still be used for quality improvement and research purposes. The new version 2.3 of the registry includes updates such as incorporating shared decision-making requirements for primary prevention ICDs, expanding the data collection form to include newer technologies such as CRTPs, leadless pacemakers, and HISS or left bundle pacemakers, and adding information on prior aortic valve procedures and medications. The registry name will also change to EP Device Implant Registry. The update is expected to be released in spring 2021.

Keywords

NCDR ICD registry

national coverage determination

CMS

primary prevention ICDs

registry

outcomes research

shared decision-making requirements