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The Pulse of Accomplishment The Heart Rhythm Society is the international leader in science, education and advocacy for cardiac arrhythmia professionals and patients, and the primary resource for heart rhythm disorders. Society members include more than 5,100 healthcare professionals from 72 countries. Physicians 3,386 OUR MISSION To improve the care of patients by promoting research, education and optimal health care policies and standards. Allied Professionals 1,256 Scientists 218 Emeritus 286 MEMBERSHIP MEMBERSHIP GROWTH • Nearly 900 new and reinstated members joined in the past year • Membership increased 5 percent between 2008 and 2009 • 50 percent of members have joined in the last five years Membership Health Policy Education Heart Rhythm 2009 Heart Rhythm Society Board Heart Rhythm Foundation International Board of Heart Rhythm Examiners Inifnity Circle Engaging New Professionals in the EP Community Affiliate membership, supported by a generous educational grant from the Medtronic Corporation, allows the Society to offer complimentary membership to all physicians and scientists who are enrolled in electrophysiology or cardiology fellowship training programs. In 2008, the Society served more than 300 affiliate members and provided extended services to enhance their training experiences. In the first three quarters of 2009, the program gained 170 members. New Fellows Inducted The designation of Fellow of the Heart Rhythm Society (FHRS) is the highest and most distinguished level of membership that can be attained in the Society. This professional distinction and honor is reserved for those persons who have demonstrated an extensive commitment to cardiac electrophysiology, pacing and the Society’s mission. The Society inducted 51 new Fellows at Heart Rhythm 2009, bringing the total number of Fellows to 305. Member Spotlight This year, the Society introduced the Member Spotlight, which provides a glimpse into the experiences of our members by profiling their careers and accomplishments. In addition to sharing their experiences, those profiled also share how they have benefited from Society membership. H EAR T R HYT HM S OCI E T Y — PULSE OF ACCOMPLISHMENT 2008 - 2009 Society Launches New Career Center The Heart Rhythm Society’s Career Center offers career development resources for cardiac arrhythmia professionals, including the latest job and fellowship opportunities. Positions are cross-listed in the national Healthcare Career Network, a group of more than 60 top healthcare associations and professional organizations, including more than 20 that are focused on cardiovascular issues. Additional sections include: • Career & Practice Management • Job Seeker Resources • Research Funding • Professional Opportunities 2 of 11 HEALTH POLICY • Congressional Resolution recognizes October as Sudden Cardiac Arrest Awareness Month • Eight new clinical documents developed • ICD Registry Version 2.0 to launch in 2010 Membership Health Policy Education Heart Rhythm 2009 Heart Rhythm Society Board Heart Rhythm Foundation International Board of Heart Rhythm Examiners Inifnity Circle Major Changes in Coding and Reimbursement The Society continues to work closely with the Centers for Medicare and Medicaid Services (CMS) to ensure patient access to critical heart rhythm procedures as well as adequate reimbursement for those services. Recently, the Society: • Convinced CMS to retroactively reverse National Correct Coding Initiative (NCCI) edits implemented on January 1, 2009 that prohibited billing the professional component of a 90-day remote monitoring period for a pacemaker or implantable cardioverter defibrillator (ICD) service (93294 and 93295) with the technical component of the service (93296). • Convinced CMS to withdraw proposed edits to bundle ablation procedures (93650-93652) with EP services for recording pacing and evaluation (93600-93623). • Met with CMS officials to discuss concerns with the practice expenses data detailed in the 2010 Medicare Physician Fee Schedule Proposed Rule. • Met with CMS officials to discuss revision of the National Coverage Determination for Cardiac Pacemaker Evaluation Services. • Developed a guidance document listing the conditions that warrant inpatient admission for ICD and cardiac resynchronization therapy with defibrillator (CRT-D) implantation to assist the members with preparation for a Recovery Audit Contractor (RAC) program audit. The Society also met with CMS officials to present our guidance document and ask that RAC reviewers consider those criteria when auditing ICD and CRT-D implantation procedures. • Convinced a joint workgroup of the American Medical Association CPT® Editorial Panel and the RVS H EAR T R HYT HM S OCI E T Y — PULSE OF ACCOMPLISHMENT 2008 - 2009 Update Committee (RUC) that bundling comprehensive electrophysiologic evaluation (93620) and the code for left atrial pacing and recording (+93621) into a single service was not necessary as there is no duplication in work values. • Created a new coding structure for device monitoring services, which includes 20 new implantable device codes and three new wearable device codes. Quality Improvement and Outcomes One of the Society’s top priorities in its new strategic plan (effective October 2009) is preparing the field of electrophysiology for the shift toward an outcome-based payment system. In order to move toward this goal: • The Society partnered with other organizations in organizing a meeting titled Safety Evaluation of Continued 3 of 11 HEALTH POLICY Continued Membership Health Policy Education Heart Rhythm 2009 Heart Rhythm Society Board Heart Rhythm Foundation International Board of Heart Rhythm Examiners Inifnity Circle Atrial Fibrillation Ablation Using a Collaborative-Stakeholder Critical Path Registry Model, where more than 100 atrial fibrillation (AF) experts representing the federal government, professional societies, academics and industry participated. This meeting was the first step toward the creation of an AF Ablation Registry. • The Society participated in the development of quality measures related to heart rhythm disorders such as the ICD complication and heart failure measures. • The ICD Longitudinal Study launched in the early fall of 2009. This observational cohort study will examine the appropriateness, effectiveness and safety of ICD therapy in approximately 3,500 patients who have received an ICD for the primary prevention of sudden cardiac death. For the first time, longitudinal outcomes among this patient population will be followed and assessed. • The Society became a member of the National Quality Forum (NQF). NQF is recognized as the primary entity for validating performance measures. Legislative Activities • Throughout the health care reform debate in Congress, the Society continues to advocate on behalf of its members to protect patient access to heart rhythm specialists and to ensure high quality care. • The Society led the effort to get Congress to designate the month of October as National Sudden Cardiac Arrest Awareness Month on an annual basis. • The Society advocated for inclusion of language urging National Heart, Lung and Blood Institute (NHLBI) to allocate more funding toward heart rhythm disorders research in the report that accompanied the 2010 Labor, Health & Education Appropriations legislation. Eight New Clinical Documents Developed/Endorsed by the Society in 2008 and 2009 • EHRA/HRS Expert Consensus on Catheter Ablation of Ventricular Arrhythmias (May 2009) • Recommendations from the Heart Rhythm Society Task Force on Lead Performance Policies and Guidelines (May 2009) • Expert Consensus Statement on Lead Extraction in Patients with Cardiovascular Implantable Electronic Devices (May 2009) • Occupational Health Hazards in the Interventional Laboratory: Time for a H EAR T R HYT HM S OCI E T Y — PULSE OF ACCOMPLISHMENT 2008 - 2009 Safer Environment (February 2009) • Heart Rhythm Society Policy Statement Update: Recommendations on the Role of Industry Employed Allied Professionals (October 2008) • ACC/AHA/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities (May 2008) • Heart Rhythm Society/Pediatric and Congenital Electrophysiology Society Clinical Competency Statement: Training pathways for implantation of cardioverter-defibrillators and cardiac resynchronization therapy devices in pediatric and congenital heart patients (May 2008) • HRS/EHRA Expert Consensus on the Monitoring of Cardiovascular Implantable Electronic Devices: Description of Techniques, Indications, Personnel, Frequency and Ethical Considerations (May 2008) 4 of 11 EDUCATION • More than 1,150 Reality EP webcast participants • New resources added to AF and SCA 360° Resource Centers • New Allied Professional Regional Programs launched in 2008 Membership Health Policy Education Heart Rhythm 2009 Heart Rhythm Society Board Heart Rhythm Foundation International Board of Heart Rhythm Examiners Inifnity Circle New Education Initiatives and Programs In its continuing effort to enhance the ability of heart rhythm specialists worldwide to provide excellent patient care throughout their careers, the Society is using innovative teaching methods and advanced technologies to provide superior year-round education. In addition, the Society’s Co-Sponsored and Endorsed Education Program collaborated with more than 40 national and international programs. Live Courses/Programs Through a generous grant from Boston Scientific, 70 scholarships were provided to Clinical Cardiac Electrophysiology (CCEP) fellows-intraining to attend the 2008 Board Review Course in Chicago, IL. All recipients had to complete their training program in 2007 or 2008 and register for the ABIM Boards in 2008. In 2009, the number of scholarships increased to 100. AP Regional Programs In 2008, the Society launched the first in a series of one-day regional programs aimed at bringing together allied professionals from various regions of the United States to discuss current practices and trends within the heart rhythm community. Programs were held in 2008 and 2009 in New Haven, CT; Scottsdale, AZ; Washington, DC; Des Moines, IA and Portland, OR. Additional programs are planned for 2010. leading EP medical professionals. So far, the Society has completed four programs with more than 1,150 domestic and international viewers. New programs for this series are planned for 2010 and archived programs can be viewed online at www.HRSonline.org. Continued Distance Education The Society continued to offer valuable distance education programs through the Reality EP program. This series of free live webcasts features state-of-the-art procedures in CCEP with commentary by the world’s H EAR T R HYT HM S OCI E T Y — PULSE OF ACCOMPLISHMENT 2008 - 2009 5 of 11 EDUCATION Continued Membership Health Policy Education Heart Rhythm 2009 Heart Rhythm Society Board Heart Rhythm Foundation Society Contributes Editorial Content and Information to Cardiosource The American College of Cardiology Foundation (ACCF) and the Heart Rhythm Society have collaborated to offer unparalleled access to the Arrhythmias and Atrial Fibrillation Clinical Collections of Cardiosource, the ACC’s online portal for cardiovascular news, information and education at www.cardiosource.com. The Society contributes to ACCF’s editorial content and information posted in the Cardiosource Arrhythmias and AF Clinical Collections. Society volunteer Kenneth Ellenbogen, MD, FHRS, serves as the guest editor for both Clinical Collections. Society Launches New AF 360° and SCA 360° Resource Centers The Heart Rhythm Society’s 360° disease state initiatives represent an unparalleled commitment to achieving its mission by engaging healthcare professionals, payers, government agencies and patient advocates. The AF 360° and SCA 360° Resource Centers provide cardiology and EP professionals with the tools to enhance their clinical knowledge of heart rhythm disorders and to manage CME and CE activities online. Sections include: • Learning Center • Health Policy • News & Events • Patient Resources International Board of Heart Rhythm Examiners Inifnity Circle H EAR T R HYT HM S OCI E T Y — PULSE OF ACCOMPLISHMENT 2008 - 2009 6 of 11 HEART RHYTHM 2009 Membership Health Policy Education Heart Rhythm 2009 Heart Rhythm Society Board Heart Rhythm Foundation International Board of Heart Rhythm Examiners Inifnity Circle • Poster Town, developed to highlight the latest scientific advancements • Leading scientist J. Craig Venter, Ph.D. delivers keynote address Heart Rhythm 2009 in Boston, MA brought together leading experts from around the globe to collaborate and share today’s scientific innovations to meet tomorrow’s challenges. The Society was honored to have pioneering and thought-provoking scientific researcher J. Craig Venter, Ph.D., one of the leading scientists of the 21st century, kick off this year’s Opening Plenary Session. In addition to more than 200 educational sessions, a number of new programs and events were added in 2009, including: an updated poster presentation area (Poster Town), a new debate format (Ideas on Trial), Fellows Boot Camp Program, two Allied Professionals Forums and a Basic Science Forum (presented in partnership with the Cardiac Electrophysiology Society). The popular AF Summit, featuring a jointly-sponsored session with the American Association of Thoracic Surgeons, also returned in 2009. Heart Rhythm 2010 will be held May 12-15 in Denver, CO. Attendee Profile WORK ENVIRONMENT OCCUPATION 50% Hospital or Academic Institution 24% Private Practice 14% Industry 5% Multi-Discipline 7% Other 69% Physician 23% Allied Health Professional 8% Scientist H EAR T R HYT HM S OCI E T Y — PULSE OF ACCOMPLISHMENT 2008 - 2009 70 percent of Heart Rhythm attendees are domestic and 30 percent are international 7 of 11 HEART RHYTHM SOCIETY BOARD Membership Health Policy Education Heart Rhythm 2009 Heart Rhythm Society Board Heart Rhythm Foundation International Board of Heart Rhythm Examiners Inifnity Circle BOARD APPROVES NEW STRATEGIC PLAN The Heart Rhythm Society’s new Strategic Plan went into effect on October 1, 2009. The plan was approved by the Board of Trustees in January and encompasses a three to five year planning horizon. It includes a core ideology with a focus on five goal areas. Big Audacious Goal: End Death and Suffering due to Heart Rhythm Disorders • Education—The Society’s educational opportunities targeting healthcare professionals will improve the health of patients with or at risk of heart rhythm disorders • Patients and Caregivers—The Society is the recognized leading source of information for patients and their caregivers for heart rhythm disorders • Health Policy—The Society will ensure patient access to high quality heart rhythm care and advocate for a productive and sustainable work environment for heart rhythm professionals • Research—The Society will be the preeminent organization for promoting research to end death and suffering from heart rhythm disorders • Fiscal Management—The Society will maintain a fiscally responsible model that advances its strategic plan 2009-2010 OFFICERS Richard L. Page, MD, FHRS President Bruce D. Lindsay, MD, FHRS, CCDS 2nd Past President Douglas L. Packer, MD, FHRS President-Elect John D. Day, MD, FHRS Bruce L. Wilkoff, MD, FHRS, CCDS 1st Vice-President Anne M. Gillis, MD, FHRS 2nd Vice-President Hugh Calkins, MD, FHRS, CCDS Secretary TRUSTEES Aileen M. Ferrick, ACNP, FHRS Richard I. Fogel, MD, FHRS, CCDS Richard A. Friedman, MD, MBA, FHRS, CCDS Leonard I. Ganz, MD, FHRS John P. DiMarco, MD, Ph.D., FHRS Treasurer Michael R. Gold, MD, Ph.D., FHRS N.A. Mark Estes III, MD, FHRS, CCDS Immediate Past-President George J. Klein, MD H EAR T R HYT HM S OCI E T Y — PULSE OF ACCOMPLISHMENT 2008 - 2009 David S. Rosenbaum, MD, FHRS Cynthia M. Tracy, MD David J. Wilber, MD, FHRS, CCDS 8 of 11 HEART RHYTHM FOUNDATION HEART RHYTHM FOUNDATION • The Furman Fund awards two scholarships • Rhythms in Time exhibit receives $25,000 grant Membership Health Policy Education Heart Rhythm 2009 Heart Rhythm Society Board Heart Rhythm Foundation International Board of Heart Rhythm Examiners Inifnity Circle The Heart Rhythm Foundation enhances the prevention and treatment of cardiac rhythm disorders by supporting the research, education and advocacy efforts of the Heart Rhythm Society with the goal of promoting a culture of giving in service to this mission. Furman Fund Travel Scholarships Established The Furman Fund was established to honor the memory and continue the vision of Seymour Furman, MD, FHRS (1931-2006), a founding member and past president of the Heart Rhythm Society (NASPE), founder and past president of IBHRE (NASPExAM) and founder and chair of the Oral History Committee. His professional life embodied the mission of the Society and Foundation to improve the care of patients by promoting research, education and optimal health care policies and standards. Furman’s professional life was one of intense curiosity, continuous learning and bold innovation. In 2009, The Furman Fund established traveling scholarships that allowed two third-year residents and cardiology fellows interested in pursuing electrophysiology research, either in academic or private practice, to attend the Annual Scientific Sessions. Fifth Annual Skate-a-Thon HeartSkate benefits the Foundation • Volunteers Eric Prystowsky, MD, FHRS and Douglas Zipes, MD, FHRS increase pledge commitments to support Society endowments • The Heart Rhythm Foundation acquires Dr. Furman’s extensive device and pacemaker collection In addition to The Furman Fund, the Foundation also continues to find other ways to raise funds and promote awareness on behalf of the Society, including: • Hubbard Broadcasting Foundation recognizes the Foundation’s Rhythms in Time Exhibit with a $25,000 grant • High school donates $1,000: H EAR T R HYT HM S OCI E T Y — PULSE OF ACCOMPLISHMENT 2008 - 2009 9 of 11 INTERNATIONAL BOARD OF HEART RHYTHM EXAMINERS IBHRE CONTINUES INTERNATIONAL GROWTH • Forged relationships to develop new exams in Europe and Asia • Japanese-language exam administered to more than 600 allied professionals • Announced new recertification policy Membership Health Policy Education Heart Rhythm 2009 Heart Rhythm Society Board Heart Rhythm Foundation International Board of Heart Rhythm Examiners Inifnity Circle The International Board of Heart Rhythm Examiners (IBHRE) continues to expand its exam offerings to international candidates worldwide. This year marked the second year that IBHRE certification exams were administered through computerbased testing, in order to accommodate a greater number of certification candidates. In a cooperative effort to develop customized examinations to suit the needs of international healthcare systems, IBHRE forged relationships with the Italian Society of Pacing and Arrythmology (AIAC) and the Chinese Society for Pacing and Electrophysiology (CSPE). The second offering of the Japaneselanguage exam was administered to 619 allied professionals in Japan yielding a 57.69 percent pass rate. In addition, IBHRE: • Created a new marketing brochure to further promote the IBHRE Certification Program and encourage physicians and allied professionals to take the exam • Submitted an official application to the American National Standards Institute (ANSI) to obtain accreditation under ISO Standard 17024 for Personnel Certification Programs • Implemented a new Recertification Policy to encourage continued competency and professional development maintenance • Formed a new group of EP Test Writing Committee members to begin work on the creation of an international EP exam for physicians H EAR T R HYT HM S OCI E T Y — PULSE OF ACCOMPLISHMENT 2008 - 2009 • Continued to see an increase in the use and visibility of the new CCDS and CEPS designations for further promotion of the IBHRE brand and certification program • Began work to launch the sale of branded attire bearing the IBHRE certification logos 10 of 11 INFINITY CIRCLE INFINITY CIRCLE SUPPORTERS MAKE PROGRAMS POSSIBLE The Heart Rhythm Society’s Infinity Circle program recognizes our ongoing supporters’ significant contributions and the importance of their role in furthering the mission of the Society and the cardiac arrhythmia profession. Membership Health Policy Education Heart Rhythm 2009 Heart Rhythm Society Board Heart Rhythm Foundation International Board of Heart Rhythm Examiners Inifnity Circle Infinity Circle members help fund a wide range of Heart Rhythm Society initiatives and programs, which lead to increased diagnosis, treatment and the overall improvement of care for patients with heart rhythm disorders. Visit the Society website at www. HRSonline.org to view the current Infinity Circle members. Thanks to the generous support of the Infinity Circle members, the following programs were possible: • 29th Annual Scientific Sessions • Board Review Course • Advanced Ablation Course • Ablation Roundtable Pilot • Allied Professional Regional Programs • Research Fellowships • Affiliate Membership Program • AF 360° Disease State Initiative and Online Resource Center • AF Summit Update at Heart Rhythm 2008 • Catheter and Surgical Ablation Pocket Guide • CHADS2 Risk Assessment Pocket Guide • On-demand Case Studies • Virtual Hands-On Presentations • Practical Rate and Rhythm Management Pocket Guide • SCA 360° Disease State Initiative and Online Resource Center • SCA 360° Patient Toolkit and Professional Resources • Sudden Cardiac Arrest Coalition • National SCA Awareness Month Congressional Resolution • VT/VF Summit at Heart Rhythm 2008 • Reality EP Webcast Series • Women’s Leadership Initiative H EAR T R HYT HM S OCI E T Y — PULSE OF ACCOMPLISHMENT 2008 - 2009 “For three decades, the Heart Rhythm Society has been dedicated to advancing the field of electrophysiology and improving the care of patients with heart rhythm disorders. Our passion drives our efforts to promote research, education and optimal healthcare policies and standards. Leaders in industry share this passion and strive to further those same goals. For their tremendous efforts, and their generous support of our work, we are infinitely grateful.” –James H. Youngblood, CEO Heart Rhythm Society 11 of 11