The Center for Medicare and Medicaid Innovation announced that they awarded the SMARTCare initiative a $15.8 million grant. The model – which addresses the issue of overuse of stents and other cardiac interventions when medical management is a viable alternative - will be tested at five sites in Wisconsin and five sites in Florida. NBCH member coalitions in Florida and Wisconsin – Florida Health Care Coalition (Orlando, FL), Business Health Care Group (Milwaukee, WI), and The Alliance (Madison, WI) – were actively engaged in providing input on the design of the program as well as helping to think through market rewards that can support adoption and spread of SMARTCare. 
The SMARTCare project in concert with cardiologists from Wisconsin and Florida will utilize the robust tools and registries of the American College of Cardiology to provide clinical decision support, shared decision-making, patient engagement and provider feedback tools to improve care for patients with stable ischemic heart disease. Specifically, SMARTCare will reduce complications, reduce the number of procedures not meeting current appropriate use criteria, reduce the cardiology resources used that do not add value, achieve high levels of patient engagement, improve quality of life and increase the number of patients who achieve risk-reduction goals. The project will accomplish these changes by improving decision making in three key areas: 
  1. A reduction of imaging procedures not meeting appropriate use criteria.
  2. A reduction in the percentage of percutaneous coronary interventions not meeting appropriate use criteria, while achieving high levels of patient engagement and lower rates of complications.
  3. An increase in the percentage of stable ischemic heart disease patients with optimal risk factor modification.

Updated 5/18/2017