Key result
Participation in nationwide data registries should be a mandatory requirement in credentialing decisions for all carotid artery stenting procedures to fulfill CMS quality monitoring requirements.
Mandatory participation in national registries is recommended for credentialing physicians to perform carotid artery stenting following expanded CMS coverage.
This article focuses on the provision of clinical privileges to physicians in the wake of the Centers for Medicare and Medicaid Services (CMS) updating their National Coverage Decision (NCD) to cover all carotid stenting procedures. This article emphasizes that participation in nationwide data registries fulfills quality monitoring and improvement requirements under the CMS NCD and, therefore, should be a mandatory requirement in credentialing decisions for all carotid artery stenting procedures at an institutional level. Data from registries such as the Vascular Quality Initiative (VQI) or National Surgery Quality Improvement Program (NSQIP) have been instrumental in comparisons of outcomes and learning curves between carotid procedures. Credentialing guidelines, as outlined by medical societies, already reflect crucial evidence-based differences in learning curves and in volume-outcomes relationships which have critical relevance to the quality of care for patients undergoing carotid stenting procedures.
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Rust et al. (2024) conducted an editorial in Carotid artery stenting. Participation in nationwide data registries was evaluated. Participation in nationwide data registries should be a mandatory requirement in credentialing decisions for all carotid artery stenting procedures to fulfill CMS quality monitoring requirements.
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