Features and Benefits of Accreditation

Cardiac Cath Lab Accreditation is the result of diligent work by leading interventional cardiologists and cath lab administrators. It incorporates the ACC/SCAI* Consensus Document for Catheterization Laboratory Standards and other evidence-based science with quality initiatives.

Cardiac Cath Lab Accreditation Supports Your Process Improvement Efforts

• Utilizes NCDR CathPCI Registry^® data to support clinical decisions
• Links process improvement to patient outcomes
• Promotes consistent processes across the care continuum

The Essential Components of Cardiac Cath Lab Accreditation

• Governance: Recommends proven practices to orchestrate, monitor, and optimize clinical practices.
• Quality: Integrates continuous improvement of all aspects of care.
• Pre-Procedure: A standardized assessment process for patients before undergoing a heart catheterization to ensure quality and patient safety are first and foremost.
• Peri-Procedure: Care coordination in the procedure room for sedation, infection control, radiation safety and universal protocol and time out procedures.
• Post-Procedure: Appropriate hand-off to a cath recovery unit, access site management and monitoring and tracking complications, physician to patient and family communication, and discharge instructions and patient information for follow-up.
• Clinical Quality: Active participation in PI initiatives derived from the NCDR CathPCI Executive Summary Metrics.

*American College of Cardiology/Society for Cardiovascular Angiography and Interventions

Updated Accreditation Tool: Clinical and Technical Advancements

• Consolidated Device Implant Section
• Faster re-Accreditation with new features that allow re-Accrediting facilities to take advantage of new time-saving options:
  • Auto-populate key areas of Foundational Information, Contacts, Electronic Health Records
  • Porting in supporting documents
  • Bypass Essential Components (EC) during Baseline Gap Analysis phase
  • Attestation of EC in the application phase
• Greater alignment with other procedural service lines for sites pursuing more than one ACC procedural accreditation
• Addition of guidelines from ACC campaigns such as Reduce the Risk: PCI Bleed
• Facility procedure volume tracking to meet state department of health requests
• Enhanced Shared Practices library
• Enhanced guideline criteria for sites implementing same-day PCI discharge
• And important updates:
  • for sites without onsite cardiothoracic surgery
  • for sites that perform device implants
  • to radiation safety and infection control standards