Accreditation status and geographic location of outpatient vascular testing facilities among Medicare beneficiaries: The VALUE (Vascular Accreditation, Location & Utilization Evaluation) Study

Tatjana Rundek, Scott C. Brown, Kefeng Wang, Chuanhui Dong, Mary Beth Farrell, Gary V. Heller, Heather L. Gornik, Marge Hutchisson, Laurence Needleman, James F. Benenati, Michael R. Jaff, George H. Meier, Susana Perese, Phillip Bendick, Naomi M. Hamburg, Joann M. Lohr, Lucy Laperna, Steven A. Leers, Michael P. Lilly, Charles TegelerAndrei V. Alexandrov, Sandra L. Katanick

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Objective: There is limited information on the accreditation status and geographic distribution of vascular testing facilities in the US. The Centers for Medicare & Medicaid Services (CMS) provide reimbursement to facilities regardless of accreditation status. The aims were to: (1) identify the proportion of Intersocietal Accreditation Commission (IAC) accredited vascular testing facilities in a 5% random national sample of Medicare beneficiaries receiving outpatient vascular testing services; (2) describe the geographic distribution of these facilities.

Methods: The VALUE (Vascular Accreditation, Location & Utilization Evaluation) Study examines the proportion of IAC accredited facilities providing vascular testing procedures nationally, and the geographic distribution and utilization of these facilities. The data set containing all facilities that billed Medicare for outpatient vascular testing services in 2011 (5% CMS Outpatient Limited Data Set (LDS) file) was examined, and locations of outpatient vascular testing facilities were obtained from the 2011 CMS/Medicare Provider of Services (POS) file.

Results: Of 13,462 total vascular testing facilities billing Medicare for vascular testing procedures in a 5% random Outpatient LDS for the US in 2011, 13% (n=1730) of facilities were IAC accredited. The percentage of IAC accredited vascular testing facilities in the LDS file varied significantly by US region, P<0.0001: 26%, 12%, 11%, and 7% for the Northeast, South, Midwest, and Western regions, respectively.

Conclusions: Findings suggest that the proportion of outpatient vascular testing facilities that are IAC accredited is low and varies by region. Increasing the number of accredited vascular testing facilities to improve test quality is a hypothesis that should be tested in future research.

Original languageEnglish (US)
Pages (from-to)376-384
Number of pages9
JournalVascular Medicine (United Kingdom)
Volume19
Issue number5
DOIs
StatePublished - Oct 11 2014

Keywords

  • Geographic disparities
  • Intersocietal Accreditation Commission (IAC)
  • Location & Utilization Evaluation (VALUE) Study
  • Medicare beneficiaries
  • Vascular Accreditation
  • Vascular laboratory testing accreditation
  • Vascular testing

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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