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ACC.org, Clinical Tools/Apps,

and CardioSmart—

What the College is Doing for You!

Ty J. Gluckman MD, FACC, FAHA

Medical Director, Clinical Transformation

Providence Heart and Vascular Institute

Disclosure Statement

• No disclosures

ACC.org Overview

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ACC.org launched in January 2015 to significantly improve

how the College engages with members and other

stakeholders

• Easy and intuitive access to

clinical content

• Personalized views based on

interests and specialties

• Community engagement

• Mobile-friendly access

ACC.org—Primary Value to Members

Get coverage of important new developments in cardiology

• On a daily basis, the ACC.org Editorial

Board selects the most significant

advances to report to members

• The feed includes content such as

news stories, meeting coverage,

journal scans, clinical trials, advocacy

updates, and expert opinions

• Browse or filter content by topic,

date range, and editors’ picks

ACC.org—Latest in Cardiology

• Includes stories, JACC articles,

guidelines, meetings, education,

images and slides

• Automatically surfaces content

tagged with matching key terms

• Ability to “drill down” into

subtopics and see a similar view

• Content supplemented/curated by

relevant Member Sections

ACC.org—Clinical Topic Collections

Access all ACC content related to a specific area of interest

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• Easily find and participate in educational

activities from ACC’s rich Online Learning

Catalog including Patient Cases, SAPs,

JACC CME, and MOC modules

• Earn MOC, CME, and CE and review

your educational transcript

• Learn about and register for upcoming

meetings and conferences

• Search and browse for clinical images,

videos, and slidesets

ACC.org—Education and Meetings

Improve competency while earning CME and MOC credit

• Download field-tested guideline-

based Clinical Toolkits for clinicians

and patients to use at the point of

care to improve the quality of CV

care

• ACC's Quality Initiatives help CV

professionals bridge the gaps

between science and practice and

ensure patient access to high-

quality, appropriate, and cost-

effective care

ACC.org—Tools and Practice Support

Discover practical resources for delivering high quality care

• Download ACC Mobile Apps to

support clinical care and patient

engagement, access ACC publications,

or engage with the ACC

• Join the ACC’s Advocacy efforts to

lead the transformation of care by

advocating for a quality driven health

care system, provider stability,

population health and the future of

cardiovascular care

ACC.org—Tools and Practice Support

Discover practical resources for delivering high quality care

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Guidelines: Sort and filter all ACC

guidelines and clinical policy

documents with links to related

resources

JACC Journals: Sort and filter the listing of articles from the entire

family of JACC journals

Membership: Access valuable member benefits, use the member

directory, and visit your Section’s dedicated area

About ACC: Learn about the College’s strategy, leadership, and

history

ACC.org—Additional Highlights

One-click access to these key content areas and features

• Maintain a personal profile and

account

• Manage communication

preferences

• Get to your Chapter and Sections

• Renew membership and pay

dues

• Access a personal library of

bookmarked content, including

purchased products

• Receive system notifications and

content updates

ACC.org—My ACC

Manage your digital profile and your ACC membership

Recommended for You

View a set of

personalized

content matching

your declared

interests

Recommended for You

View a set of

personalized

content matching

your declared

interests

My Library

Build, organize,

and access a

personal library

of bookmarked

content

My Library

Build, organize,

and access a

personal library

of bookmarked

content

Personalized eNewsletters

Receive a daily or

weekly digest of

new content

related to your

interests

Personalized eNewsletters

Receive a daily or

weekly digest of

new content

related to your

interests

ACC.org—Personalization Features

Log in to get an experience designed around your interests

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Log into ACC.org Go to My ProfileSelect Clinical Topics

of Interest in

Personalization Options

Set Notification

Frequency

Go to My

Communication

Preferences

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ACC.org—Set Up Personalized eNewsletters

ACC’s Clinical Tools/Apps Product Portfolio

http://www.acc.org/tools-and-practice-support/quality-programs

http://www.acc.org/tools-and-practice-support/clinical-toolkits

http://www.acc.org/tools-and-practice-support/mobile-resources

ACC’s Clinical Tools/Apps—Underlying Process

Tool/AppGuidelines

NCDR

Pathways

AUCQuality

Initiatives

Education

Other

Many workstreams lead to an idea . . .

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ACC’s Clinical Tools/Apps—Involved Groups

ACC Best Practice Quality

Improvement Subcommittee

Product Work Group

Staff Team

ACC’s Clinical Tools/Apps—Development Method

STEP 1. Overall Goal Statement

STEP 2.

Success

Metric/Goal

Stated actions or

principles that

achieve the goal

statement.

STEP 3.

Barrier/Need

Provider, patient, or

system barriers that

limit achievement of

the individual success

metric.

STEP 4.

Method of

Measurement

Not limited to

collection of clinical

data and can include

process information or

qualitative

assessments for a

Plan-Do-Study-Act test

cycle.

STEP 5.

Strategy/Tool

Feasible solutions or

strategies which

address the identified

barriers. These

should aim to

support achievement

of the stated success

metrics. Solutions

may be pre-existing

or newly developed

tools.

Tools are not a random list of things.

They are solutions to a specific gap or need in care.

ACC’s Clinical Tools/Apps—Development Schedule

1. Define Project –what, who, etc.

2. Collect Content –graphics, etc.

3. Create Wireframe – doc requirements

4. Design Application

5. Develop and Integrate

6. Test and Retest7. Submit and

Launch App

8. Support App

Stage 1. Design

Stage 2. Develop

Stage 3. Launch

= approximately 16 weeks

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ACC’s Clinical Tools/Apps—Guideline Clinical App

ACC’s Clinical Tools/Apps—Anticoag Evaluator App

ACC’s Clinical Tools/Apps—ASCVD Risk Estimator App

Total Since Launch 2015

Visitors 355,000 108,000

Sessions 720,000 200,000

Page Views 830,000 230,000

Search Engines 43% 56%

Direct 41% 31%

Referrer 14% 14%

Social, Email, Other 2% <1%

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ACC’s Clinical Tools/Apps—Focus App

ACC’s Clinical Tools/Apps—Statin Intolerance App*

*Not yet released

CardioSmart Overview

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• ~5% of the U.S. population accounts for ~50% of total health

expenditures

• ~25% in the U.S. have >1 of the 5 major chronic conditions:

– Mood disorder

– Diabetes

– Heart disease

– Asthma

– Hypertension

• A rise in the population that is treated for 7 of the top 15

conditions, rather than rising treatment costs per case,

accounts for the greatest part of growth in spending

• The prevalence of obesity continues to climb, which

contributes to many chronic conditions

CardioSmart—Why?

CardioSmart—Partnering with Patients

• Less than 50% of patients receive clear benefits from their

treatment plans

• Patients desire more control and choice in their healthcare

relationships

• Patients are seeking more convenient access to care

• Patients want to own their medical information

• Patients are increasingly cost-conscious (especially with

high deductible plans)

• Patients may want to connect with others afflicted by the

same disease

• Patients want access to patient-friendly medical

information

• Patients desire a personalized healthcare experience

The CardioSmartContinuum of Care

CardioSmart—Connecting with Patients

Tries to equip patients and their care providers with tools and

resources that empower them to be engaged in care decisions

and enable a more effective clinician-patient dialogue

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CardioSmart.org

CardioSmart.org Features

CardioSmart—What’s Inside

• Thirty six condition centers, containing:

• Understanding your condition (cause, symptoms, risk,

and treatment)

• Your responsibilities

• Your care team

• Getting peer support

• Research and news

• More than 200 fact sheets (also in Spanish)

• Health tracking tools and interactive resources

• Educational patient videos

CardioSmart—Find a Hospital

• Find a hospital search tool:

• Helps leverage your

hospital’s dedication to

quality

• Ensures patients receive

credible information about

your institution

• Sets your facility apart

• Patients can browse through

hospital profiles and find

appropriate services at

CardioSmart.org/FindAHosp

ital

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CardioSmart—Congenital Heart Disease Directory

• Congenital heart disease (CHD) clinic directory

• Helps patients, families and providers find specialty CHD care

• Users can search for services, centers, and CV specialists in pediatric cardiology and adult CHD

• Patients can browse through CHD practice profiles and find appropriate physicians and services at CardioSmart.org/CHDDirectory

CHD Directory

Mobile Apps

CardioSmart—Heart Explorer App

• CardioSmart Heart Explorer

App

• Provides high-resolution

cardiac graphics and

animations of the heart’s

anatomy

• Review and discuss

common heart problems

and treatment options with

patients and their

caregivers in an interactive

way

• More than 9,000

downloads

Growth and ReachCardioSmart—State of the state

• Hospital and clinic adoption

• >1 CardioSmart tool or

resource is being used at

>850 practices and hospitals

• CardioSmart TV

• Used at >550 practices and

hospitals in addition to >1000

primary care provider sites

• Patient education

• Members have helped >2000

patients and caregivers

• Social media

• There are >5 million users

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CardioSmart inClinical Practice

CardioSmart—Proof of Concept

• 2013 study sought to evaluate CardioSmart in clinical practice

• Participants were “prescribed” CardioSmart resources after

being trained on how to use the website

• Results

• >25% of patients logged on and used the website

• 92% rated the content quality as very good or good

• 86% rate the quantity of information as very good or good

• Reasons patients visited the site

• 27% needed help in understanding their condition

• 22% needed help managing their condition

• 16% wanted a way to interact with similar patients

• 25% were recommended it by their provider

CardioSmart inClinical Practice

CardioSmart—The Future of Patient Engagement

• Many healthcare systems are using

CardioSmart as their primary source

of cardiovascular information for

patients

• Some healthcare systems have

integrated CardioSmart materials into

their EHR systems

• Work is underway to better link

CardioSmart tools and patient

registries (e.g., PINNACLE)

• Work is underway to provide

customized patient information

through patient portals based on

registry reported outcomes

CardioSmart—Sign Your Practice or Hospital Up Today

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Questions