Wisconsin Chapter ACC

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Funded by a $15.8 million dollar grant from the Center for Medicare & Medicaid Innovation (CMMI), SMARTCare is a physician-driven quality initiative developed by the American College of Cardiology (ACC) and its Florida and Wisconsin Chapters.
SMARTCare, which stands for Smarter Management And Resource use for Today’s complex cardiac Care, is focused on three main goals:

  1. Improving care for patients with stable ischemic heart disease (SIHD);
  2. Decreasing costs of health care through reduction of unnecessary procedures;
  3. Engaging patients in their care management. 

Developed by physicians with the input of patients and the business community, SMARTCare links several evidence-based tools and resources, including two clinical decision support tools, a risk evaluation tool, and patient education/decision aids, with electronic health records (EHRs) at 10 clinical sites in Florida and Wisconsin.  The sites include a mix of private practices and academic hospital centers, and cover a diverse demographic landscape. 
How SMARTCare Works
There is often no "right" answer to patient care decisions.  By leveraging SMARTCare clinical tools, decision aids, and educational resources physicians and patients are able to take advantage of real-time access to appropriate use criteria (AUC) and further data sources based on a patient’s history and symptoms. This systematic, informed decision making process empowers patients to become actively involved in the management of their SIHD care and leads to stronger satisfaction on the part of the patient. In addition, it brings overall improvement in quality metrics and decreases unnecessary procedures.
While the SMARTCare tools are designed to help physicians and patients make better decisions about care today, they are also intended to help physicians and patients make even better decisions in the future. By analyzing electronic ordering data, physicians can receive feedback on their own ordering patterns and clinical outcomes and see how they compare to other physicians with similar patients, and the outcomes in those cases.  Quality metrics are therefore tracked without significantly adding time to the clinical workflow day.
In total, SMARTCare offers a chance for physicians to align their clinical practice with the best evidence-based recommendations, reduce unnecessary invasive procedures, and provide a streamlined mechanism for physicians and patients to collaborate in the health care process through shared decision making.
The project described was supported by Grant Number 1C1CMS331322 from the Department of Health and Human Services, Centers for Medicare & Medicaid Services.
The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of the U.S. Department of Health and Human Services or any of its agencies.