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Interesting food for thought as the VA works through how to enact the Mission Act Sunil V. Rao Steve Bradley Jay Giri Hani Jneid MD @iwashyna

New work from StephenWaldoMD and colleagues indicates that periprocedural mortality may not accurately reflect interventional quality among patients undergoing #PCI @CartProgram CircInterventions #AHAJournals | ow.ly/7kqP30oMxFk

How often is death after PCI due to PCI? Not often. StephenWaldoMD & team reviewed >1600 deaths in the VA: <10% related to PCI. Implications for public reporting. Circ: CQO Robert W. Yeh Sunil V. Rao Jay Giri Ajay Kirtane Venk Murthy MD PhD Anish Koka, MD ahajournals.org/doi/full/10.11…

Privileged to have collaborated in this effort between CART, VA, SYNTAX and EXCEL investigators Gregg W. Stone MD StephenWaldoMD Joe Sabik Veterans Affairs @CartProgram VA Research JAMA Cardiology Sunil V. Rao Dr. Deepak L. Bhatt

Quality improvement study from the Veterans Health uses peer review of cardiac cath lab cases to quality improvement. @CartProgram JAMA Cardiology ja.ma/2yQ4L7e

Outcomes of Veterans Undergoing TAVR Within Veterans Affairs Medical Centers | JACC: Cardiovascular Interventions #ACCCVFed ⁦Anthony A Bavry⁩ ⁦StephenWaldoMD⁩ ⁦@CartProgram⁩ interventions.onlinejacc.org/content/early/…

Excited to share our work published today in JACC Journals looking at temporal trends, predictors, and outcomes of FFR use in angio-intermediate SIHD among VA @CartProgram pts. Room for improvement in physiology-guided revasc. William Fearon StephenWaldoMD onlinejacc.org/content/75/4/4…

Congratulations to @SeaDenCOIN investigator StephenWaldoMD and colleagues on JAHA paper evaluating arterial closure devices (ACD) in the national VA system! ACDs have increased in prevalence by an avg of 1.6%/yr since 2006, and may reduce bleeding.

ICYMI: “The continued divergence over time also suggests potential deficiencies in the coordination of postprocedural care and possible differences in the medical management of coronary artery disease” StephenWaldoMD Veterans Health American College of Cardiology healio.com/news/cardiac-v…

Trends in cardiovascular procedural volumes in the setting of COVID‐19: Insights from the VA clinical assessment, reporting, and tracking program onlinelibrary.wiley.com/doi/full/10.10… Follow @CCIJournal, facebook.com/CCIJournal Official Journal of SCAI

@CartProgram #ACCCVFed

Thread/ Major mortality benefits seen for performance of PCI Veterans Affairs over non-VA hospitals. StephenWaldoMD also shows that any potential confounder as explanation for findings would have to be huge, and thus unlikely. Why is the VA doing better?

It's great to have some data to back up my impression of VA cath lab quality. This adds to several studies showing VA cardiology outcomes are as good or better than the non-VA alternatives.

The complexity of patients undergoing PCI at sites w/o surgical backup is increasing, but their outcomes are staying similar to those of cases done at centers that also offer cardiac surgery tctmd.com/news/patient-c… StephenWaldoMD

VA Cardiac Cath Labs experienced major changes due to #COVID19 response. Staff reported stressors AND a sense of purpose. Read more in Journal of Cardiovascular Nursing journals.lww.com/jcnjournal/Abs… @CartProgram VA HSR @SeaDenCOIN #visualabstract

The new ACC/AHA/SCAI Revascularization Guidelines recommend shared decision making in #PCI. Do you use risk models in preparation for high-risk PCI? @jakeadoll StephenWaldoMD @CartProgram Circulation ACC Advocacy JACC Journals SCAI #AHAJournals #ACCFIT ow.ly/2HHo50Hbkfq