American College of Cardiology updates appropriate use criteria methodology

02/25/2013

The American College of Cardiology has released changes to the process for developing appropriate use criteria, including changes to frequently misinterpreted terminology for describing the levels of appropriateness of care. “The new terminology and definitions more accurately reflect how AUC should be used for quality improvement and clinically, including consideration for physician judgment, measurement of patterns of use over time and the potential hazard of applying inflexible rules to individual patient situations,” said AUC Writing Committee Chair and lead author Robert C. Hendel, MD, FACC. The updated methodology was published Feb. 20 in the Journal of the American College of Cardiology. In addition, according to ACC President William Zoghbi, “the College will continue to work with practices and researchers to document the impact of AUC on care and encourage their use as a part of comprehensive payment reform.” Likewise, the College will continue to push AUC to patients through initiatives like Choosing Wisely, which released its second set of lists last week.

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