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

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.  
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    SOURCE Society for Cardiovascular Angiography and Interventions (SCAI)
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