Key result
APP-led cardioversion programs enable safe independent procedures, improving access and EP lab efficiency.
Why the study?
Electrical cardioversions were traditionally performed by cardiologists and electrophysiologists, limiting timely access due to competing clinical responsibilities.
Does an APP-led cardioversion program improve access and operational efficiency compared to a physician-led model?
Does an APP-led cardioversion program improve access and operational efficiency compared to a physician-led model?
An APP-led electrical cardioversion program can be safely implemented to improve patient access, operational efficiency, and interdisciplinary collaboration.
Answers are grounded in this paper and cite their sources.
May improve access to cardioversion in select centers; leaves open safety equivalence and broader adoption.
BACKGROUND: At the University of Virginia, electrical cardioversions were traditionally performed by cardiologists and electrophysiologists, limiting timely access due to competing clinical responsibilities. To improve access and scheduling efficiency, University of Virginia Health implemented an Advanced Practice Provider (APP)-led cardioversion program. PROJECT RATIONALE: The objective of this initiative was to develop and implement an APP-led cardioversion (CV) model that improves patient access to CV procedures, enhances electrophysiology lab efficiency and throughput, and expands APP procedural competency while maintaining patient safety and satisfaction. PROJECT SUMMARY: A multidisciplinary team developed a structured training and competency pathway that enabled APPs to safely perform electrical CVs independently following physician-supervised training and credentialing. TAKE-HOME MESSAGE: Innovative care delivery models that leverage APPs at the top of their scope of practice promote interdisciplinary collaboration, improve patient access and satisfaction, enhance operational efficiency, and support professional growth among APPs.
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Murugesan et al. (2026) studied this question. Advanced Practice Provider (APP)-led cardioversion program vs. Cardiologist- and electrophysiologist-performed cardioversions was evaluated. An Advanced Practice Provider-led cardioversion program enabled APPs to safely perform electrical cardioversions independently, improving patient access and lab efficiency.
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