“Don’t be afraid to take a big step if one is indicated. You can’t cross a chasm in two small jumps.” — David Lloyd George

Fifteen years ago the Institute of Medicine marked a shift in policy by releasing a series of publications that recommended a fundamental redesign of the American health care system capitalizing on advances in technology and evidence-based medicine to close gaps in quality. Cardiovascular medicine has been at the forefront of the quality charge with its clinical practice guidelines, appropriate use criteria, performance measures, meaningful use, quality initiatives and registries, to name a few. Cardiology has shown great strides in closing the quality gap, yet opportunities for improvement remain.

This issue of the CardioSurve Newsletter focuses on how some of those changes – electronic health record (EHR) utilization, ICD-10 implementation, Accountable Care Organization (ACO) activity and the emerging cardio-oncology subspecialty are impacting cardiovascular medicine in our efforts to cross the quality chasm.