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Advanced Cardiovascular Imaging Consortium

Information source: William Beaumont Hospitals
ClinicalTrials.gov processed this data on August 23, 2015
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Chest Pain; Coronary Occlusion; Coronary Artery Disease

Phase: N/A

Status: Completed

Sponsored by: William Beaumont Hospitals

Official(s) and/or principal investigator(s):
Kavitha Chinnaiyan, MD, Study Director, Affiliation: William Beaumont Hospitals


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.

Clinical Details

Official title: Advanced Cardiovascular Imaging Consortium: A Collaborative Quality Improvement Project

Study design: Observational Model: Cohort, Time Perspective: Prospective

Primary outcome: Educate participating sites on appropriate use of CCTA

Secondary outcome: To monitor the CQI process of individual participating sites and the ACIC as a whole.

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.


Minimum age: N/A. Maximum age: N/A. Gender(s): Both.


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.

Locations and Contacts

St. Joseph Mercy Hospital Ann Arbor, Ann Arbor, Michigan 48706, United States

University of Michigan, Ann Arbor, Michigan 48109, United States

Bay Regional Medical Center, Bay City, Michigan 48708, United States

DMC Huron Valley-Sinai, Commerce, Michigan 48382, United States

Oakwood Hospital, Dearborn, Michigan 48124, United States

Harper University Hospital, Detroit, Michigan 48201, United States

Henry Ford Hospital, Detroit, Michigan 48202, United States

St. John Hospital and Medical Center, Detroit, Michigan 48236, United States

McLaren Flint, Flint, Michigan 48532, United States

McLaren Regional Medical Center, Flint, Michigan 48532, United States

Premier Medical Clinics, Flint, Michigan 48532, United States

Garden City Hospital, Garden City, Michigan 48135, United States

North Ottawa Community Hospital, Grand Haven, Michigan 49417, United States

East Beltline Imaging, Grand Rapids, Michigan 49525, United States

Henry Ford Cottage Hospital, Grosse Pointe, Michigan 48043, United States

William Beaumont Hospital - Grosse Pointe, Grosse Pointe, Michigan 48230, United States

Hillsdale Community Health Center, Hillsdale, Michigan 49242, United States

Borgess Medical Center, Kalamazoo, Michigan 49048, United States

Bronson Hospital, Kalamazoo, Michigan 49007, United States

Ingham Regional Medical Center, Lansing, Michigan 48910, United States

Sparrow Health System, Lansing, Michigan 48909, United States

Thoracic and Cardiovascular Institute, P.C., Lansing, Michigan 48910, United States

McLaren Lapeer Region, Lapeer, Michigan 48446, United States

St. John Oakland, Madison Heights, Michigan 48071, United States

Marquette General Health System, Marquette, Michigan 49855, United States

Mercy Memorial, Monroe, Michigan 48162, United States

McLaren Macomb, Mount Clemens, Michigan 48043, United States

Hackley Hospital, Muskegon, Michigan 49442, United States

Northern Michigan Hospital, Petoskey, Michigan 49770, United States

Pontiac Osteopathic Hospital, Pontiac, Michigan 48124, United States

St. Joseph Mercy Hospital Oakland, Pontiac, Michigan 48341, United States

Crittenton Hospital, Rochester, Michigan 48307, United States

William Beaumont Hospital-Royal Oak, Royal Oak, Michigan 48073, United States

Covenant Healthcare, Saginaw, Michigan 48602, United States

Chippewa County War Memorial, Sault Saint Marie, Michigan 49783, United States

St. John Providence Hospital, Southfield, Michigan 48075, United States

Southgate Radiology & Southgate CT, Southgate, Michigan 48195, United States

Lakeland Regional Health System, St. Joseph, Michigan 49085, United States

St. Joseph Health System - Tawas, Tawas City, Michigan 48764, United States

Heritage (Oakwood) Hospital, Taylor, Michigan 48180, United States

Munson Medical Center, Traverse City, Michigan 49684, United States

Oakwood Southshore Medical Center, Trenton, Michigan 48183, United States

William Beaumont Hospital, Troy, Troy, Michigan 48085-1117, United States

St. John Macomb, Warren, Michigan 48093, United States

Oakwood Annapolis Hospital, Wayne, Michigan 48184, United States

Health First Imaging, West Bloomfield, Michigan 48323, United States

Henry Ford West Bloomfield Hospital, West Bloomfield, Michigan 48322, United States

West Branch Regional Medical Center, West Branch, Michigan 48661, United States

Henry Ford Wyandotte Hospital, Wyandotte, Michigan 48192, United States

Michigan Heart, P.C., Ypsilanti, Michigan 48197, United States

Additional Information

Starting date: July 2007
Last updated: April 2, 2014

Page last updated: August 23, 2015

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