Will the ACC be exclusively licensing its content to a single vendor?
  Will the ACC be exclusively licensing its content to a single vendor?
No, the ACC will offer licensing terms to any CDS vendor agreeing to meet the standardized terms of the ACC’s AUC licensing agreement.  ACC currently has licensing agreements with Medicalis, National Decision Support Corporation, Altarum and HealthFortis.  Several additional licensing agreements are in negotiations.
  How do I become a vendor?
  How do I become a vendor?
All vendors must sign a Licensing Vendor Agreement. Click here to download. For more information about becoming a vender, email FOCUS@acc.org.
  What is the status of the partnership between ACC and Medicalis?
  What is the status of the partnership between ACC and Medicalis?
The ACC has partnered with Medicalis since 2011 to deliver an alternative to prior authorization for health plans through the FOCUS co-marketed health plan product.  The College intends to continue to offer this health plan product with Medicalis while working with CDS Licensees to make ACC AUC content directly available to health care providers through their various technology platforms.
  Will cardiac imaging appropriate use be determined by ACRSelect or other criteria?
  Will cardiac imaging appropriate use be determined by ACRSelect or other criteria?
CMS will determine the content sets eligible for use to meet the mandate.  The ACC expects to submit an application to be a qualified AUC content vendor to ensure our members are judged using ACC’s widely accepted AUC.
  Will ACC lose control of the AUC if it licenses the content to several CDS vendors?
  Will ACC lose control of the AUC if it licenses the content to several CDS vendors?
No, the intent is to maintain standards for implementation across all CDS Licensees while allowing the market to innovate in how the content is integrated and delivered to end users.
  Who will own the data collected by the CDS vendors who have licensed the ACC AUC content?
  Who will own the data collected by the CDS vendors who have licensed the ACC AUC content?
The ACC intends to expand its FOCUS tool for hospitals and practices to allow data reporting and benchmarking from CDS vendors.  Data submission to ACC will be standardized with CDS vendors but it will be the responsibility of hospitals and practices to join and submit data to FOCUS.
  Will there be a separate cost for submitting to FOCUS in addition to the content license fees paid to CDS vendors?
  Will there be a separate cost for submitting to FOCUS in addition to the content license fees paid to CDS vendors?
The ACC intends to use the content licensing fees paid by CDS vendors to support FOCUS at this time and does not intend to require additional payment beyond the content licensing fee.
  How will the free CDS tool requirement be fulfilled by ACC?
  How will the free CDS tool requirement be fulfilled by ACC?
The ACC intends to work with CDS vendors to ensure its content is available in the free CDS tool once CMS determines the mechanism for this tool.
  How will this impact clinical workflow for ordering tests? How long will this take?
  How will this impact clinical workflow for ordering tests? How long will this take?
CDS is designed to match your clinical rationale and documentation for ordering.  It generally requires standardizing what you already have provided for billing documentation.  The total interaction is designed to be between 30 and 90 seconds.  Practices and hospitals will likely chose between implementing this documentation at the time of order by the provider or at the time of scheduling the test with back office staff.
  How will this function operationally for billing?
  How will this function operationally for billing?
The documentation for Medicare billing is still to be determined, although the legislation requires that the CDS vendor, AUC score, clinical indication, procedure and decision support number all be communicated as a part of the required documentation along with provider NPI numbers.  The goal is for CDS vendors to work with CMS to facilitate this documentation process, including verifying CDS was used prior to scheduling a patient for a test.
  How can a practice start preparing for the CDS mandate?
  How can a practice start preparing for the CDS mandate?
The ACC offers several tools for practices to start benchmarking AUC adherence for cardiac imaging.  FOCUS currently offers three options for AUC algorithm access for non-commercial practice improvement purposes. 

  1. FOCUS Lab Accreditation Module:  Chart review performance improvement module
  2. FOCUS Decision Support Software for Hospitals: Subscription based through CDS vendors
  3. FOCUS iPad Decision Support Tool:  Free, algorithm based case review form
We are awaiting regulations from CMS to determine which AUC and CDS mechanisms will be approved for the program. In the meantime, we encourage practices to start reviewing these resources to determine whether the FOCUS tools or another mechanism will be best suited for use of ACC’s AUC as part of your delivery of care.