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Compare Valanis’s criteria for a good screening program with the eight criteria which the ACC/American Heart Association (AHA) panel proposed for selection of a screening procedure.

Compare Valanis’s criteria for a good screening program with the eight criteria which the ACC/American Heart Association (AHA) panel proposed for selection of a screening procedure.

see the attached file. [http://www.bezern.com/] it is a case study that will be due on friday HCM530 CASE STUDY 5 PLANNING WITH ELECTRON-BEAM COMPUTED TOMOGRAPHY (EBCT) The use of electron-beam computed tomography (EBCT) for screening of asymptomatic high risk cardiac population to assess for developing coronary heart disease is a new low risk alternative to the traditional invasive heart catheterization. [http://www.bezern.com/] The cardiac CT is recommended by the American College of Cardiology (ACC) as a secondary prevention test to screen prior to a myocardial infarction and death. [http://www.bezern.com/] Garcia (2005) cites that 1 in 20 emergency department (ED) patients present with chest pain and 3-5% of heart attacks have been missed by ED physicians. [http://www.bezern.com/] Another 20-40% of patients who have an invasive heart catheterization are negative. [http://www.bezern.com/] He recommends the cardiac CT as a method to solve some of these issues; however, continued validation is needed. [http://www.bezern.com/] The CT is not an answer for all patients, such as the obese, where visualization is difficult, or those with irregular heart rhythms. [http://www.bezern.com/] Hospitals and clinics across the nation are now purchasing the EBCT scanners. [http://www.bezern.com/] This case study will discuss the screening ability and healthcare planning challenges when bringing in new technology to the healthcare market. [http://www.bezern.com/] A recent purchase of an EBCT scanner was installed in a central U. [http://www.bezern.com/]S. [http://www.bezern.com/] clinic which serves a 300-bed tertiary hospital. [http://www.bezern.com/] The hospital and clinic took great care in training all staff in its use and patient preparation methods, including running a pilot on several local volunteers. [http://www.bezern.com/] Three months post pilot there remains limited use of this test. [http://www.bezern.com/] Why? CASE QUESTIONS:Answer the case questions, with research from your book, CDC, NIH and other quality sources to determine answers and solutions. [http://www.bezern.com/] You are to write a 2-3 page paper in APA formatting that addresses the following questions. [http://www.bezern.com/] Note: A minimum of two references should be used, which should include your textbook and the CDC, and others that support your responses in your paper. [http://www.bezern.com/] This is a paper, so your answer should not be numbered, but rather it should use titles and subtitles. [http://www.bezern.com/] 1. [http://www.bezern.com/] What are the sensitivity, specificity, and predictive values of EBCT? 2. [http://www.bezern.com/] Compare Valanis’s criteria for a good screening program with the eight criteria which the ACC/American Heart Association (AHA) panel proposed for selection of a screening procedure. [http://www.bezern.com/] 3. [http://www.bezern.com/] Provide descriptive epidemiology of this IL region to support the need to purchase a cardiac CT scanner. [http://www.bezern.com/] 4. [http://www.bezern.com/] (Health care planning) What should be done at this point to encourage use of this screening/diagnostic test for coronary heart disease?

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