Assessing the Impact of Cardiac CT as first line investigation for CAD in Europe

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Our Client: A global medical technologies manufacturer dealing with Computed Tomography (CT)

Challenge Statement: Our client wanted to substantiate the use of cardiac CT as the first-line investigation for all patients presenting with chest pain due to suspected coronary artery disease. Thus, the main objective was to  evaluate the clinical and operational impact of providing direct access to cardiac CT instead of traditional investigational routes.

EMeRG Approach: 

  • Key hospitals with high volume of referral for chest pain patients were identified
  • Two patient cohorts were demarcated to make the research stastically and clinically relevant
  • The traditional clinical pathway for evaluating chest pain was observed on a randomized cohort followed by new pathway where cardiac CT was made accessible as first line of investigation
  • Site visits were scheduled to implement in-depth clinical immersions and ethnographic studies
  • Several in-depth clinical and quantifiable evidences were generated including  average time taken to arrive at definitive diagnosis, waiting time for every investigation, number of investigations undertaken to arrive at diagnosis, in-patient admission, etc.
  • De-identified Cardiac CT images to correlate image quality with various measurable parameters leading to improved clinical outcomes for patients
  • Evidences around improvement in workflow for the various stakeholders involved within the hospitals were generated
  • In-depth interviews were conducted with cardiologist, nurses and interventional cardiologist to understand the challenges of traditional clinical workflow versus the proposed pathway of chest pain assessment
  • Discussion with the technicians to understand the user-friendliness and usability of CT scanner for cardiac applications
  • Discussions with hospital management to understand the impact on waiting lines, cost per patient, re-admissions, early identification of symptoms and pivoting to preventive medications, etc.

Research Outcome: A detailed white paper for each of the hospital sites was generated highlighting measurable evidences around the cardiac CT scanner as first line of investigation for assessing coronary artery disease. Quantifiable outcomes such as % reduction in patient waiting times as well as reduced number of days and exams towards definitive diagnosis were published. The outcomes research study helped the positioning of cardiac CT as a practical approach while assessing/ruling out CAD. Furthermore, the study established our clients and the hospitals as the pioneers in driving sea change in the healthcare ecosystem and facilitating a preventive pathway rather than focussing on treetment

EMeRG Value Add: 

Technical Knowledge:

  • Detailed understanding of the physics, electronics and instrumentation of computed tomography and its applications in assessing coronary artery disease
  • Clinical understanding of pathways and guidelines by various healthcare groups towards assessing coronary artery disease
  • Understanding of reimbursement patterns for various procedures by bodies such as DRG, NHS, etc.

Clinical Expertise: Trained medical professionals and analysts deployed to conduct ethnographic research, understand the finer challenges faced in traditional  pathway and assessing the multi-fold impact by substantiating with measurable outcomes.

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Reach out to our med-tech experts at letsspeak@emerg-inc.com

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