Business model

In-Office Cardiac CT and FFR CT Scanning Offer a New Business Model

Evans Pappas, MD, chair of the cardiology department, and Sujith Kalathiveetil, MD, FACC, director of cardiac imaging at Duly Health and Care in suburban Chicago, explain the shift to office-based cardiac CT assessments and the role of the FFR-CT .

Duly recently opened a new Cardiac Assessment Center in suburban Lisle, Illinois to provide an outpatient office setting for checking patients. However, this goes beyond standard health checkups to include labs, ECG, stress echo, and advanced cardiac computed tomography (CT) performed in the office. All patients who are scanned and who have at least 30% blockage in a coronary artery are also evaluated with fractional flow reserve CT (FFR-CT). This offers physiological information and serves as a noninvasive version of diagnostic angiography to assess the severity of flow limitation by a blocked coronary artery. This can help determine if patients should be treated with medication or revascularized.

The business model is designed to offer referring physicians in the Duly Health System an alternative to sending patients to hospitals for comprehensive assessments. Cardiac CT and FFR CT were included as first-line tests in the 2021 chest pain assessment guidelines.