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Peer-reviewedCC BY-NC-ND 4.0JACC Case Reports

Advanced Practice Provider–Led Cardioversion Program

  1. 1Heart and Vascular Institute, University of Virginia Medical Center, Charlottesville, Virginia, USA

Abstract

Background: At the University of Virginia, electrical cardioversions were traditionally performed by cardiologists and electrophysiologists, limiting timely access due to competing clinical responsibilities. To improve access and scheduling efficiency, University of Virginia Health implemented an Advanced Practice Provider (APP)-led cardioversion program.

Project Rationale: The objective of this initiative was to develop and implement an APP-led cardioversion (CV) model that improves patient access to CV procedures, enhances electrophysiology lab efficiency and throughput, and expands APP procedural competency while maintaining patient safety and satisfaction.

Project Summary: A multidisciplinary team developed a structured training and competency pathway that enabled APPs to safely perform electrical CVs independently following physician-supervised training and credentialing.

Take-Home Message: Innovative care delivery models that leverage APPs at the top of their scope of practice promote interdisciplinary collaboration, improve patient access and satisfaction, enhance operational efficiency, and support professional growth among APPs.

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BibTeX
@article{murugesan2026advanced,
  title = {{Advanced Practice Provider–Led Cardioversion Program}},
  author = {Maheswari Murugesan and Pamela Mason},
  journal = {JACC Case Reports},
  year = {2026},
  month = sep,
  doi = {10.1016/j.jaccas.2026.109872},
  url = {https://doi.org/10.1016/j.jaccas.2026.109872},
  note = {CC BY-NC-ND 4.0},
}
RIS
TY  - JOUR
TI  - Advanced Practice Provider–Led Cardioversion Program
AU  - Maheswari Murugesan
AU  - Pamela Mason
PY  - 2026
DA  - 2026/09/16
JO  - JACC Case Reports
DO  - 10.1016/j.jaccas.2026.109872
UR  - https://doi.org/10.1016/j.jaccas.2026.109872
AB  - Background: At the University of Virginia, electrical cardioversions were traditionally performed by cardiologists and electrophysiologists, limiting timely access due to competing clinical responsibilities. To improve access and scheduling efficiency, University of Virginia Health implemented an Advanced Practice Provider (APP)-led cardioversion program.  Project Rationale: The objective of this initiative was to develop and implement an APP-led cardioversion (CV) model that improves patient access to CV procedures, enhances electrophysiology lab efficiency and throughput, and expands APP procedural competency while maintaining patient safety and satisfaction.  Project Summary: A multidisciplinary team developed a structured training and competency pathway that enabled APPs to safely perform electrical CVs independently following physician-supervised training and credentialing.  Take-Home Message: Innovative care delivery models that leverage APPs at the top of their scope of practice promote interdisciplinary collaboration, improve patient access and satisfaction, enhance operational efficiency, and support professional growth among APPs.
SN  - 2666-0849
ER  -