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Appropriateness of ICD Use Challenged by Registry Study February 16, 2011

Posted by MSKremers MD,FHRS in EP Physicians, Health Policy.
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A recent article based on data from the NCDR® ICD Registry™  found that more than 20% of implantable cardiac defibrillators (ICDs) are seemingly implanted outside guideline indications. These findings varied widely among institutions from a low of 5% of implants to more than 50%. These data raise potentially troubling questions about ICD utilization, and while there is no doubt some misuse of ICDs, a careful analysis of the conclusions is warranted. (more…)

Accuracy and Integrity of ICD Registry Data December 29, 2010

Posted by MSKremers MD,FHRS in Health Policy.
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Hospital participation in the NCDR® ICD Registry™  is mandatory for payment when Medicare patients receive primary prevention implants. Version 2 of the ICD Registry includes 298 demographic, clinical and device data elements and as such, is a rich source of information about this patient population. Quality metrics derived from the data have been submitted for endorsement to the National Quality Forum(more…)

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