JACC Leadership Page: The NCDR ICD Registry- A Foundation for Quality Improvement

In a recent Leadership Page published in the Journal of the American College of Cardiology (JACC), Frederick M. Masoudi, MD, MSPH, FACC and William J. Oetgen, MD, MBA, FACC, discuss the ACC’s NCDR ICD Registry, which has become the standard for understanding patient selection, care, and outcomes in patients receiving ICD therapy. This year, the Centers for Medicare & Medicaid Services (CMS) ordered a review of the National Coverage Decision (NCD) for ICDs, including a review of the coverage with evidence decision mandate (CED), which requires patients receiving ICDs for primary prevention in the Medicare population to be enrolled in either an approved clinical trial or in a national registry. According to Masoudi and Oetgen, the registry mandate has supported better patient care and science to advance our understanding of the role of ICDs in patients at risk for sudden cardiac death. “In the re-evaluation of the registry mandate in the CED, these benefits must be considered. Given that the indications for ICD therapy will change with this update, patients, physicians, and policy-makers will need valid contemporary data to ensure the optimal use of these devices and to achieve better outcomes,” they write. Read more.