Live Session Abstracts - Where Quality & Fiscal Responsibility Meet - Insights from Your Peers - 2025 Quality Summit Presentation (Non-CE)-Live Session Abstracts - Where Quality & Fiscal Responsibility Meet

Video Transcription

Video Summary

The Quality Summit session focused on the intersection of healthcare quality and fiscal responsibility, featuring expert panelists discussing innovations in cardiology care. Dr. Kristen Langdon presented a project from the WellSTAR health system using the NCDR-CATH PCI registry and Appropriate Use Criteria (AUC) to reduce unnecessary PCIs in stable ischemic heart disease patients. Key strategies included embedding AUC checklists into EHR templates, provider education, standardized documentation, and increased use of FFR assessments, resulting in a significant decrease in rarely appropriate PCIs to near zero.<br /><br />Dr. Elizabeth Perpetua described a nurse practitioner- and RN-led multidisciplinary heart valve team at UCSF aimed at reducing 30-day readmissions following TAVR. By implementing structured patient risk stratification, post-discharge checklists, early follow-up visits, and strong team communication, they reduced readmission rates from ~15% to below 6.5%, enhancing care coordination and patient outcomes.<br /><br />Spencer Kubo presented a digital health pilot using daily, automated, no-login-required text/email outreach to engage heart failure patients post-discharge. This platform improved patient activation, delivering educational content and symptom surveys. Active participants had readmission rates reduced from 24% to as low as 5.1%, demonstrating that technology combined with easy patient access and human follow-up can effectively lower readmissions.<br /><br />Overall, these programs emphasize combining evidence-based guidelines, multidisciplinary teams, patient engagement, and technology to improve quality, reduce unnecessary procedures and hospital readmissions, and achieve cost-effective cardiovascular care.

Keywords

Cath PCI

intravascular imaging

Dr. David Kanzari

percutaneous coronary intervention

IVUS

OCT

cardiovascular care

coronary CT angiography

CTFFR

healthcare quality

fiscal responsibility

cardiology care

NCDR-CATH PCI registry

Appropriate Use Criteria

heart valve team

TAVR readmissions

digital health outreach

patient engagement