Intersocietal accreditation commission accreditation status of outpatient cerebrovascular testing facilities among medicare beneficiaries

Scott C. Brown, Kefeng Wang, Chuanhui Dong, Mary Beth Farrell, Gary V. Heller, Heather L. Gornik, Marge Hutchisson, Laurence Needleman, James F. Benenati, Michael R. Jaff, George H. Meier, Susana Perese, Phillip Bendick, Naomi M. Hamburg, Joann M. Lohr, Lucy La Perna, Steven A. Leers, Michael P. Lilly, Charles Tegeler, Sandra L. Katanick & 3 others Andrei Alexandrov, Adnan H. Siddiqui, Tatjana Rundek

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objectives-Accreditation of cerebrovascular ultrasound laboratories by the Intersocietal Accreditation Commission (IAC) and equivalent organizations is supported by the Joint Commission certification of stroke centers. Limited information exists on the accreditation status and geographic distribution of cerebrovascular testing facilities in the United States. Our study objectives were to identify the proportion of IAC-accredited outpatient cerebrovascular testing facilities used by Medicare beneficiaries, describe their geographic distribution, and identify variations in cerebrovascular testing procedure types and volumes by accreditation status. Methods-As part of the VALUE (Vascular Accreditation, Location, and Utilization Evaluation) Study, we examined the proportion of IAC-accredited facilities that conducted cerebrovascular testing in a 5% Centers for Medicare and Medicaid Services random Outpatient Limited Data Set in 2011 and investigated their geographic distribution using geocoding. Results-Among 7327 outpatient facilities billing Medicare for cerebrovascular testing, only 22% (1640) were IAC accredited. The proportion of IAC-accredited cerebrovascular testing facilities varied by region (χ2[3] = 177.1; P< .0001), with 29%, 15%, 13%, and 10% located in the Northeast, South, Midwest, and West, respectively. However, of the total number of cerebrovascular outpatient procedures conducted in 2011 (38,555), 40% (15,410) were conducted in IAC-accredited facilities. Most cerebrovascular testing procedures were carotid duplex, with 40% of them conducted in IAC-accredited facilities. Conclusions-The proportion of facilities conducting outpatient cerebrovascular testing accredited by the IAC is low and varies by region. The growing number of certified stroke centers should be accompanied by more accredited outpatient vascular testing facilities, which could potentially improve the quality of stroke care.

Original languageEnglish (US)
Pages (from-to)1957-1965
Number of pages9
JournalJournal of Ultrasound in Medicine
Volume35
Issue number9
DOIs
StatePublished - Sep 1 2016

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Accreditation
Medicare
Outpatients
Stroke
Blood Vessels
Geographic Mapping
Centers for Medicare and Medicaid Services (U.S.)
Quality of Health Care
Certification
Joints
Organizations

All Science Journal Classification (ASJC) codes

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging

Cite this

Intersocietal accreditation commission accreditation status of outpatient cerebrovascular testing facilities among medicare beneficiaries. / Brown, Scott C.; Wang, Kefeng; Dong, Chuanhui; Farrell, Mary Beth; Heller, Gary V.; Gornik, Heather L.; Hutchisson, Marge; Needleman, Laurence; Benenati, James F.; Jaff, Michael R.; Meier, George H.; Perese, Susana; Bendick, Phillip; Hamburg, Naomi M.; Lohr, Joann M.; La Perna, Lucy; Leers, Steven A.; Lilly, Michael P.; Tegeler, Charles; Katanick, Sandra L.; Alexandrov, Andrei; Siddiqui, Adnan H.; Rundek, Tatjana.

In: Journal of Ultrasound in Medicine, Vol. 35, No. 9, 01.09.2016, p. 1957-1965.

Research output: Contribution to journalArticle

Brown, SC, Wang, K, Dong, C, Farrell, MB, Heller, GV, Gornik, HL, Hutchisson, M, Needleman, L, Benenati, JF, Jaff, MR, Meier, GH, Perese, S, Bendick, P, Hamburg, NM, Lohr, JM, La Perna, L, Leers, SA, Lilly, MP, Tegeler, C, Katanick, SL, Alexandrov, A, Siddiqui, AH & Rundek, T 2016, 'Intersocietal accreditation commission accreditation status of outpatient cerebrovascular testing facilities among medicare beneficiaries', Journal of Ultrasound in Medicine, vol. 35, no. 9, pp. 1957-1965. https://doi.org/10.7863/ultra.15.08021
Brown, Scott C. ; Wang, Kefeng ; Dong, Chuanhui ; Farrell, Mary Beth ; Heller, Gary V. ; Gornik, Heather L. ; Hutchisson, Marge ; Needleman, Laurence ; Benenati, James F. ; Jaff, Michael R. ; Meier, George H. ; Perese, Susana ; Bendick, Phillip ; Hamburg, Naomi M. ; Lohr, Joann M. ; La Perna, Lucy ; Leers, Steven A. ; Lilly, Michael P. ; Tegeler, Charles ; Katanick, Sandra L. ; Alexandrov, Andrei ; Siddiqui, Adnan H. ; Rundek, Tatjana. / Intersocietal accreditation commission accreditation status of outpatient cerebrovascular testing facilities among medicare beneficiaries. In: Journal of Ultrasound in Medicine. 2016 ; Vol. 35, No. 9. pp. 1957-1965.
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abstract = "Objectives-Accreditation of cerebrovascular ultrasound laboratories by the Intersocietal Accreditation Commission (IAC) and equivalent organizations is supported by the Joint Commission certification of stroke centers. Limited information exists on the accreditation status and geographic distribution of cerebrovascular testing facilities in the United States. Our study objectives were to identify the proportion of IAC-accredited outpatient cerebrovascular testing facilities used by Medicare beneficiaries, describe their geographic distribution, and identify variations in cerebrovascular testing procedure types and volumes by accreditation status. Methods-As part of the VALUE (Vascular Accreditation, Location, and Utilization Evaluation) Study, we examined the proportion of IAC-accredited facilities that conducted cerebrovascular testing in a 5{\%} Centers for Medicare and Medicaid Services random Outpatient Limited Data Set in 2011 and investigated their geographic distribution using geocoding. Results-Among 7327 outpatient facilities billing Medicare for cerebrovascular testing, only 22{\%} (1640) were IAC accredited. The proportion of IAC-accredited cerebrovascular testing facilities varied by region (χ2[3] = 177.1; P< .0001), with 29{\%}, 15{\%}, 13{\%}, and 10{\%} located in the Northeast, South, Midwest, and West, respectively. However, of the total number of cerebrovascular outpatient procedures conducted in 2011 (38,555), 40{\%} (15,410) were conducted in IAC-accredited facilities. Most cerebrovascular testing procedures were carotid duplex, with 40{\%} of them conducted in IAC-accredited facilities. Conclusions-The proportion of facilities conducting outpatient cerebrovascular testing accredited by the IAC is low and varies by region. The growing number of certified stroke centers should be accompanied by more accredited outpatient vascular testing facilities, which could potentially improve the quality of stroke care.",
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AU - Brown, Scott C.

AU - Wang, Kefeng

AU - Dong, Chuanhui

AU - Farrell, Mary Beth

AU - Heller, Gary V.

AU - Gornik, Heather L.

AU - Hutchisson, Marge

AU - Needleman, Laurence

AU - Benenati, James F.

AU - Jaff, Michael R.

AU - Meier, George H.

AU - Perese, Susana

AU - Bendick, Phillip

AU - Hamburg, Naomi M.

AU - Lohr, Joann M.

AU - La Perna, Lucy

AU - Leers, Steven A.

AU - Lilly, Michael P.

AU - Tegeler, Charles

AU - Katanick, Sandra L.

AU - Alexandrov, Andrei

AU - Siddiqui, Adnan H.

AU - Rundek, Tatjana

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N2 - Objectives-Accreditation of cerebrovascular ultrasound laboratories by the Intersocietal Accreditation Commission (IAC) and equivalent organizations is supported by the Joint Commission certification of stroke centers. Limited information exists on the accreditation status and geographic distribution of cerebrovascular testing facilities in the United States. Our study objectives were to identify the proportion of IAC-accredited outpatient cerebrovascular testing facilities used by Medicare beneficiaries, describe their geographic distribution, and identify variations in cerebrovascular testing procedure types and volumes by accreditation status. Methods-As part of the VALUE (Vascular Accreditation, Location, and Utilization Evaluation) Study, we examined the proportion of IAC-accredited facilities that conducted cerebrovascular testing in a 5% Centers for Medicare and Medicaid Services random Outpatient Limited Data Set in 2011 and investigated their geographic distribution using geocoding. Results-Among 7327 outpatient facilities billing Medicare for cerebrovascular testing, only 22% (1640) were IAC accredited. The proportion of IAC-accredited cerebrovascular testing facilities varied by region (χ2[3] = 177.1; P< .0001), with 29%, 15%, 13%, and 10% located in the Northeast, South, Midwest, and West, respectively. However, of the total number of cerebrovascular outpatient procedures conducted in 2011 (38,555), 40% (15,410) were conducted in IAC-accredited facilities. Most cerebrovascular testing procedures were carotid duplex, with 40% of them conducted in IAC-accredited facilities. Conclusions-The proportion of facilities conducting outpatient cerebrovascular testing accredited by the IAC is low and varies by region. The growing number of certified stroke centers should be accompanied by more accredited outpatient vascular testing facilities, which could potentially improve the quality of stroke care.

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