Navigation Links
SCAI Releases Position Statement on Public Reporting and Risk Adjustment In Cardiovascular Quality Improvement Programs
Date:5/5/2011

BALTIMORE, May 5, 2011 /PRNewswire/ -- A new position statement released today by the Society for Cardiovascular Angiography and Interventions (SCAI) calls for changes in the way quality of percutaneous coronary intervention (PCI, also known as angioplasty) care is measured and publically reported. The position statement, released during the SCAI 2011 Scientific Sessions and published online in Catheterization and Cardiovascular Interventions (CCI), reviews current standards for public reporting, risk adjustment and the role of volume as an indicator for quality of care.

Increasingly, policymakers and regulators are evaluating publically reported quality health care measures in an effort to curb costs and help improve patient care.  However, many of today's standards are inadequate for judging the true quality of care delivered in a hospital or by an individual physician. For public reporting to facilitate quality improvement that yields better patient outcomes, clinical data must be accurately and consistently collected and outcomes must be risk-adjusted to account for the health of the patient.

"The interventional cardiology community supports the idea that improved patient outcomes is the primary goal in transforming health care, because it will improve our patients' health and reduce medical costs," said Lloyd W. Klein, M.D., FSCAI, professor of Medicine at Rush Medical College and lead author of the statement. "But to do so, we need to ensure we are collecting and sharing the best possible information. That means quality measures that are risk-adjusted and based on clinical data from the patient's medical chart."

The statement recommends quality measures based on:

  • Validated risk-adjustment models for mortality and major complications
  • 30-day mortality, to follow patients after they leave the hospital
  • Clinical data taken from patients' medical charts, not claims information intended for billing purposes currently used by many quality programs
  • Data collected in a nationally or regionally benchmarked database

In addition, the statement calls for a means of assessing clinical appropriateness of PCI procedures.  Based on the recommendations outlined in this position statement, SCAI is advocating for:

  • A mechanism for accurately defining and measuring 30-day mortality outcomes post PCI procedure, using a risk-adjusted model that considers all major complications directly associated with PCI, not just all-cause mortality – a metric that does not always correlate to a patient's PCI procedure and therefore is not always an accurate measure of outcomes.
  • A means to benchmark programmatic results against national standards, as reported in to databases such as the NCDR CathPCI Registry, to identify best practices and standards of care to improve patient outcomes, as well as identify areas in need of correction and refinement and make those adjustments in clinical practice.

"We need to understand the patient's outcome following a procedure, and we also need to understand how sick the patient was prior to the procedure and whether it was appropriate given the patient's condition," said Dr. Klein. "As quality is increasingly reported, we must ensure we do so in a way that is appropriately measuring true outcomes – highlighting where care was effective and also where it was ineffective – and using that information to improve care for all our patients."

The statement is the second of a two-part report developed by SCAI to address quality assessment and improvement in interventional cardiology. It can be accessed at http://onlinelibrary.wiley.com/doi/10.1002/ccd.23153/pdf or www.SCAI.org.  The first statement released in March 2011, addressed core standards and measures of assessing quality of interventional programs.

About SCAI

Headquartered in Washington, D.C., the Society for Cardiovascular Angiography and Interventions is a 4,000-member professional organization representing invasive and interventional cardiologists in approximately 70 nations. SCAI's mission is to promote excellence in invasive and interventional cardiovascular medicine through physician education and representation, and advancement of quality standards to enhance patient care. SCAI's annual meeting has become the leading venue for education, discussion, and debate about the latest developments in this dynamic medical specialty. SCAI's patient and physician education program, Seconds Count, offers comprehensive information about cardiovascular disease. For more information about SCAI and Seconds Count, visit www.scai.org or www.SecondsCount.org.


'/>"/>
SOURCE Society for Cardiovascular Angiography and Interventions (SCAI)
Copyright©2010 PR Newswire.
All rights reserved

Related medicine technology :

1. Sarasotas Roskamp Institute Releases Study Defining a Mechanism for Development of Obesity and the Metabolic Syndrome, Forerunners of Type 2 Diabetes
2. CEL-SCI Corporation Releases Letter to Shareholders
3. AcroMetrix Releases New OptiQuant(R) HIV-1 Quantification Panel
4. Cardinal Health Releases New Tool to Combat MRSA Infections in Hospitals
5. Immunosyn Corporation Releases SF-1019 Study Results
6. TCS Healthcare Technologies Releases Three New Clinical Care Programs Within ACUITY
7. Immunosyn Releases Wound Healing Photographs From the First Phase Proof of Concept Trial in Europe for Treatment of Diabetic Ulcers With Biopharmeceutical SF-1019
8. QRxPharma Releases Successful Phase 3 Study Results for Dual Opioid Pain Therapy
9. CenterWatch Releases State of the Clinical Trials Industry 2008 - A Key Industry Resource for Market Research and Competitive Intelligence
10. QRxPharma Releases Additional Phase 3 Data for Q8003IR Dual Opioid Pain Therapy
11. Genaera Releases Phase 1 Data and New Preclinical Data on the CNS Function of Trodusquemine (MSI-1436) at CBI Obesity Summit
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/24/2016)... , June 24, 2016 ... appointment of Dr. Edward Futcher to ... Director, effective June 23, 2016.Dr. Futcher was also ... and Governance Committees.  As a non-executive member of ... expertise and strategic counsel to VolitionRx in connection ...
(Date:6/23/2016)... June 23, 2016 Research and ... Excipients Market by Type (Organic Chemical (Sugar, Petrochemical, Glycerin), ... Topical, Coating, Parenteral) - Global Forecast to 2021" ... The global pharmaceutical excipients market is projected ... CAGR of 6.1% in the forecast period 2016 to ...
(Date:6/23/2016)... 23, 2016 Research and Markets has ... 52" report to their offering. ... creates a favourable commercial environment for MedImmune to enter. The ... that will serve to drive considerable growth for effective anti-influenza ... to cap sales considerably, but development is still in its ...
Breaking Medicine Technology:
(Date:6/27/2016)... ... June 27, 2016 , ... "FCPX editors can now reveal their media with ... X," said Christina Austin - CEO of Pixel Film Studios. , ProSlice Color ... users can now reveal the media of their split screens with growing colorful ...
(Date:6/27/2016)... ... June 27, 2016 , ... ... patient payment industry today announced its strategic partnership with Connance, a healthcare ... , The two companies’ proven, proprietary technology combine to provide health systems, ...
(Date:6/27/2016)... Park, KS (PRWEB) , ... June 27, 2016 , ... ... in retailers of Eyeglasses . , Millions of individuals in the United States ... eyeglasses have become a way to both correct vision and make a fashion statement. ...
(Date:6/26/2016)... Battle Creek, Michigan (PRWEB) , ... June 26, 2016 , ... ... abuse, joined as sponsor of the 2016 Cereal Festival and World’s Longest Breakfast Table ... held in honor of the city’s history as home to some of the world’s ...
(Date:6/26/2016)... ... ... PawPaws brand pet supplements owned by Whole Health Supply is ... of felines. The formula is all-natural and is made from Chinese herbs that have ... Kidney Support Supplement Soft Chews are Astragalus Root Extract and Rehmannia Root Extract ...
Breaking Medicine News(10 mins):