MDACC logo


Fall 2019

Hello Colleagues!
I hope everyone had a wonderful summer and is ready for a fabulous academic year. As we get back to reality, here are some exciting things that have been happening as a result of the Advocacy, the ACC, and the PAC (Political Action Committee) while we all were relaxing at the beach.
  • New legislation was proposed in July 2019 to expand access to Cardiovascular Rehabilitation services. As a result of joint efforts with the ACC, the American Heart Association, and others, a bill was introduced in Congress by Representatives John Lewis and Adrian Smith. This legislation expands the previous legislation Improving Access to Cardiac and Pulmonary Rehabilitation Act of 2018 which enabled advanced practice providers to supervise cardiac rehabilitation services under Medicare beginning in 2024. The expanded legislation, Increasing Access to Quality Cardiac Rehabilitation Care Act of 2019  will allow NP’s and PA’s to order and refer for these services and moves up the start date for direct supervision of cardiac rehabilitation beginning in 2019 (five years earlier than the current law). Under the current Federal law, only physicians are authorized to certify the need for or order cardiac or pulmonary rehabilitation of Medicare patients. Qualified Advanced Practice Practitioners are often authorized to perform such service under state law, but not federal law. Expanding access directly benefits patients as research has shown, patients who take part in cardiac and pulmonary rehabilitation services are at lower risk of both heart disease-related mortality and readmissions following cardiac events.
  • The RCIS (Registered Cardiovascular Invasive Specialist) legislation will soon come to fruition. As you know this law will allow certified registered cath lab technicians to work in Maryland cath labs under the supervision of the cardiologist. Our MDACC governor, Joe Marine, and one of our CVTeam members, Amy Dukovic, along with others are actively working on perfecting the language of state law due to be enacted next month.
Call for CVTeam Case Competition at Mid-Atlantic Capital Cardiology Symposium:
As part of the 2019 MACCS Meeting at Heart House, the MDACC/VCACC are excited to hold a case competition exclusively for CVTeam members.
Do you have a tough or quirky case that would be fascinating to share with your colleagues? You will walk through the clinically pertinent events of your case, present treatment options and then reveal the results at MACCS as one of the CME/CNE sessions. The on-line submission site is open now. You will briefly outline the case online and if chosen to present, create a PowerPoint presentation for 5-6 minutes. The top three presenters will win Visa Gift cards. Plan to come to MACCS on Sunday, November 24th also for day of education, networking and learning.
You can also join us Saturday, November 23rd for CVTeam Networking event at the Fairmount Hotel Lobby/Lounge, Washington, DC.
Become a member! Benefit from late breaking clinical ACC updates networking events, conference discounts and much more.
As the College holds true to their commitment to increasing diversity and inclusion for members, October is discount month for PA’s and Pharmacists. Join in the month of October and get a 25% new member discount with a code ACC will provide within the next few weeks.
Also you can join the ACC during an event and receive an event discount.
Upcoming Events:
MDACC CVT Team Networking Event October 10, 2019, 6-8 pm at the Hotel Indigo, 24 West Franklin Street in Historic Mount Vernon, Baltimore. Join us for hors d’oeuvres, drinks, and networking. Please bring a colleague/friend.
ACC Legislative Conference November 3-5, 2019: Consider joining us on Capitol Hill where we meet with legislators and advocate for our patients and the profession. Advocacy is powerful with the help of colleagues and the PAC. Having CVTeam members at the table is important. Legislators want to hear what we think. It truly is an amazing experience.
MACCS – Mid-Atlantic Capital Cardiology Symposium November 24, 2019 at the beautiful Heart House, Washington, DC
ACC.20 Scientific Sessions Chicago, March 28-30, 2020
Join the Hub
Jae Patton, CRNP and John Lindsley, PharmD are our CVT Team HUB influencers
*Apologies to Brandon Custer, PA-C, one of our newest AACC member, for name spelling error in the last newsletter. Also, congrats to Brandon who is now the EP PA lead for his team at Johns Hopkins. 

Angela Street, CRNP, MSN
MDACC CVTeam LiaisonThere are plenty of opportunities for CV Team members to be involved in chapter activities. CV Team members are welcome to all events and are encouraged to volunteer (email ( to get involved).

The chapter leadership is dedicated to bringing CV Team member benefits and participation at the chapter level. If you are a CV Team member and have ideas on programs that would benefit the CV Team in the state of Maryland, please contact Jennifer Ray Beckman, Executive Director ( or Angela Street, CRNP, MSN, CV Team Liaison


Angela Street, CRNP, MSN - State Liaison 

Rama Anthony, ACNP - Baltimore 

Amy Dukovic, CRNP - Southern Maryland 

Angela Greenfield - RN representative 
Arif Khazi, MD, CCRP 
John Lindsley - PharmD 
Henry Wynn - PA representative 

We are in search of a Regional Representative for Western Maryland (including Columbia). Please contact me if you'd like more information. 

CVTeam Competency Consensus Statement

Click here to read the statement. 


Membership goal: Increase Maryland ACC Cardiovascular Team Membership by 25% in 2020. Increase professional diversity in our membership.
Strategies/ Initiatives:
  • Utilize national ACC promotions to target different professional categories.
  • Leadership council to target/recruit from their own institutions and professional circles
  • Assess feedback on membership value by profession via membership surveys
Engagement goal: Create multiple and diverse opportunities for the MDACC CVT to get involved
Strategies/ Initiatives:
  • Hold two networking events in 2020 
  • Hold one educational event in 2020
  • Recruit the following representatives for our Leadership Council: Western Maryland, RCIS, RN, NP 
  • Market other opportunities for engagement in the ACC such as the Scientific Sessions, Capital MACCS, and Legislative Conference.
Impact goal: Grow our legislative engagement and presence on behalf of our membership and our patients.
  • At the state level, support the creation of legislation protecting the scope of practice of our RCIS members.
  • At the state level, support legislation to improve cardiac arrest survival by ensuring access to AEDs in restaurants
  • At the federal level, support patient access to Cardiac Rehabilitation through the creation of legislation allowing PAs and NPs to order Cardiac Rehabilitation without a physician co-signature
  • At the federal level, support patient access to Cardiac Rehab through legislation to allow PAs, NPs and CNSs to supervise cardiac rehab programs 
Angela Street, CRNP, MSN
Cardiovascular Team Liaison
Maryland Chapter
American College of Cardiology

ACC logo

Maryland Chapter, American College of Cardiology

1783 Forest Drive, Suite 238
Annapolis, MD 21401

Phone: 877-793-8171

Contact Us

Powered by Wild Apricot Membership Software