Quality assessment and improvement in interventional cardiology: A position statement of the society of cardiovascular angiography and interventions, Part II: Public reporting and risk adjustment

Catheterization and Cardiovascular Interventions

Volumn 78, Issue 4, 2011, Pages 493-502

  Klein, Lloyd W ^a,m   Ho, Kalon K L ^b   Singh, Mandeep ^c   Anderson, H Vernon ^d   Hillegass, William B ^e   Uretsky, Barry F ^f   Chambers, Charles ^g   Rao, Sunil V ^h   Reilly, John ⁱ   Weiner, Bonnie H ^j   Kern, Morton ^k   Bailey, Steven ^l  

^a RUSH MEDICAL COLLEGE   (United States)

^b BETH ISRAEL DEACONESS MEDICAL CENTER   (United States)

^c MAYO CLINIC COLLEGE OF MEDICINE   (United States)

^d UNIVERSITY OF TEXAS   (United States)

^e UNIVERSITY OF ALABAMA AT BIRMINGHAM   (United States)

^f UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES   (United States)

^g PENN STATE MILTON S HERSHEY MEDICAL CENTER   (United States)

^h DUKE UNIVERSITY MEDICAL CENTER   (United States)

ⁱ OCHSNER MEDICAL CENTER   (United States)

^j SAINT VINCENT HOSPITAL   (United States)

^k UNIVERSITY OF CALIFORNIA   (United States)

^l UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO   (United States)

^m Professional Office Building   (United States)

more..

Author keywords

complications adult cath intervention; diagnostic cardiac catheterization; percutaneous coronary intervention

Indexed keywords

ACCURACY; ANGIOGRAPHY; ARTICLE; CARDIOVASCULAR RISK; CLINICAL ASSESSMENT; CLINICAL INDICATOR; CORONARY ARTERY BYPASS GRAFT; HUMAN; INFORMATION DISSEMINATION; INTERNET; MEDICAID; MEDICARE; MORTALITY; OUTCOME ASSESSMENT; PERCUTANEOUS CORONARY INTERVENTION; PRACTICE GUIDELINE; PUBLIC HEALTH SERVICE; QUALITY CONTROL; RISK ASSESSMENT; ST SEGMENT ELEVATION MYOCARDIAL INFARCTION;

ANGIOPLASTY, BALLOON, CORONARY; BENCHMARKING; CARDIOLOGY; CORONARY ANGIOGRAPHY; DATA COLLECTION; HEART CATHETERIZATION; HUMANS; QUALITY ASSURANCE, HEALTH CARE; QUALITY IMPROVEMENT; QUALITY INDICATORS, HEALTH CARE; RISK ASSESSMENT; RISK FACTORS; SOCIETIES, MEDICAL; UNITED STATES;

EID: 80053217316     PISSN: 15221946     EISSN: 1522726X     Source Type: Journal    
DOI: 10.1002/ccd.23153     Document Type: Article

References (77)

1. Klein LW, Uretsky BF, Chambers C, et al. Quality assessment and improvement in interventional cardiology. A position statement of the Society of Cardiovascular Angiography and Interventions. Part I. Standards for quality assessment and improvement in interventional cardiology. Catheter Cardiovasc Interv 2011; DOI 10.1002/ccd.22982.
2. Resnic FS, Welt FGP,. The public health hazards of risk avoidance associated with public reporting of risk-adjusted outcomes in coronary intervention. J Am Coll Cardiol 2009; 53: 825-830.
3. Drozda JP Jr, Hagan EP, Mirro MJ, et al. ACCF 2008 health policy statement on principles for public reporting of physician performance data: A report of the American college of cardiology foundation writing committee to develop principles for public reporting of physician performance data. J Am Coll Cardiol 2008; 51: 1993-2001. (Pubitemid 351636454)
4. Krumholz HM, Keenan PS, Brush JE Jr, et al. Standards for measures used for public reporting of efficiency in health care: A scientific statement from the American heart association interdisciplinary council on quality of care and outcomes research and the American college of cardiology foundation. J Am Coll Cardiol 2008; 52: 1518-1526.
5. Available at:; accessed July 5, 2010.
6. Available at:; accessed July 5, 2010.
7. Available at:; accessed July 5, 2010.
8. Available at:; accessed July 5, 2010.
9. Available at:; accessed July 5, 2010.
10. Available at:; accessed July 5, 2010.
11. Available at:; accessed July 5, 2010.
12. Available at:; accessed July 5, 2010.
13. Available at:; accessed July 5, 2010.
14. Available at:; accessed July 5, 2010.
15. Barringhaus KG, Zelevinsky K, Lovett A, et al. Impact of independent data adjudication on hospital-specific estimates of risk-adjusted mortality following percutaneous coronary interventions in Massachusetts. Circ Cardiovasc Qual Outcomes 2009; 2: e28.
16. Kowalczyk L,. Deaths lead to scrutiny of 2 heart units. Boston Globe, February 9, 2009; Available at:; accessed July 5, 2010.
17. Moscucci M, Eagle KA, Share D, et al. Public reporting and case selection for percutaneous coronary interventions: An analysis from two large multicenter percutaneous coronary intervention databases. J Am Coll Cardiol 2005; 45: 1759-1765. (Pubitemid 40779853)
18. Turi ZG,. The big chill-the deleterious effects of public reporting on access to health care for the sickest patients. J Am Coll Cardiol 2005; 45: 1766-1768. (Pubitemid 40779854)
19. Apolito RA, Greenberg MA, Menegus MA, et al. Impact of the New York state cardiac surgery and percutaneous coronary intervention reporting system on the management of patients with acute myocardial infarction complicated by cardiogenic shock. Am Heart J 2008; 155: 267-273.
20. Werner RM, Asch DA,. The unintended consequences of publicly reporting quality information. JAMA 2005; 293: 1239-1244. (Pubitemid 40327909)
21. Califf RM, Peterson ED,. Public reporting of quality measures. J Am Coll Cardiol 2009; 53: 831-833.
22. Steinberg S,. Premier hospital, high angioplasty death rate. USA Today, February 9, 2009; Available at:; accessed July 5, 2010.
23. Narins CR, Dozier AM, Ling FS, et al. The influence of public reporting of outcome data on medical decision making by physicians. Arch Intern Med 2005; 165: 83-87. (Pubitemid 40096086)
24. McMullan PW, White CJ,. Doing what's right for the resuscitated. Cath Cardiovasc Int 2010; 76: 161-163.
25. Smith SC Jr, Feldman TE, Hirshfeld JW Jr, et al. ACC/AHA/SCAI 2005 guideline update for percutaneous coronary intervention: A report of the American college of cardiology/American heart association task force on practice guidelines (ACC/AHA/SCAI writing committee to update the 2001 guidelines for percutaneous coronary intervention) J Am Coll Cardiol 2006; 47: e1-e121. (Pubitemid 43005195)
26. Malenka DJ, McGrath PD, Wennberg DE, et al. The relationship between operator volume and outcomes after percutaneous coronary interventions in high volume hospitals in 1994-1996. The Northern New England Experience. J Am Coll Cardiol 1999; 34: 1471-1480. (Pubitemid 29528659)
27. McGrath PD, Wennberg DE, Dickens JD Jr, et al. Relation between operator and hospital volume and outcomes following percutaneous coronary interventions in the era of the coronary stent. JAMA 2000; 284: 3139-3144. (Pubitemid 32039076)
28. Harjaj KJ, Berman AD, Grines CL, et al. Impact of interventionalist volume, experience, and board certification on coronary angioplasty outcomes in the era of stenting. Am J Cardiol 2004; 94: 421-426. (Pubitemid 39119989)
29. Hannan EL, Wu C, Walford G, et al. Volume-outcome relationships for percutaneous coronary interventions in the stent era. Circulation 2005; 112: 1171-1179. (Pubitemid 41216124)
30. Moscucci M, Share D, Smith D, et al. Relationship between operator volume and adverse outcome in contemporary percutaneous coronary intervention practice: An analysis of a quality-controlled multicenter percutaneous coronary intervention clinical database. J Am Coll Cardiol 2005; 46: 625-632. (Pubitemid 41132688)
31. Mustafa MU, Cohen M, Zapotulko K, et al. The lack of a simple relation between physician's percutaneous coronary intervention volume and outcomes in the era of coronary stenting: A two-centre experience. Int J Clin Pract 2005; 59: 1401-1407. (Pubitemid 43922626)
32. Cantor WJ, Hall R, Tu JV,. Do operator volumes relate to clinical outcomes after percutaneous coronary intervention in the Canadian health care system? Am Heart J 2006; 151: 902-908.
33. Klein LW, Schaer GL, Calvin JE, et al. Does low individual operator coronary interventional procedural volume correlate with worse institutional procedural outcome? J Am Coll Cardiol 1997; 30: 870-877.
34. Brindis RG, Weintraub WS, Dudley RA,. Volume as a surrogate for percutaneous coronary intervention quality: Is this the right measuring stick? Am Heart J 2003; 146: 932-934. (Pubitemid 37500761)
35. Available at:; accessed July 5, 2010.
36. King SB III, Aversano T, Ballard WL, et al. ACCF/AHA/SCAI 2007 update of the clinical competence statement on cardiac interventional procedures. J Am Coll Cardiol 2007; 50: 82-108. (Pubitemid 46964924)
37. O'Neill WW,. A case against low-volume percutaneous coronary intervention centers. Circulation 2009; 120: 546-548.
38. Epstein AJ, Rathore SS, Volpp KGM, et al. Hospital percutaneous coronary intervention volume and patient mortality, 1998 to 2000: Does the evidence support current procedure volume minimums? J Am Coll Cardiol 2004; 43: 1755-1762. (Pubitemid 38622510)
39. Moscucci M, O'Connor GT, Ellis SG, et al. Validation of risk-adjustment models for in-hospital percutaneous transluminal coronary angioplasty mortality on an independent data set. J Am Coll Cardiol 1999; 34: 692-697. (Pubitemid 29436173)
40. Cutlip DE, Ho KKL, Kuntz RE, et al. Risk assessment for percutaneous coronary intervention: Our version of the weather report? J Am Coll Cardiol 2003; 42: 1896-1899. (Pubitemid 37485561)
41. Kunadian B, Dunning J, Das R, et al. External validation of established risk-adjustment models for procedural complications after percutaneous coronary intervention on an independent data set in a UK population setting. Heart 2008; 94: 1012-1018. (Pubitemid 352039883)
42. Brener SJ, Colombo KD, Haq SA, et al. Precision and accuracy of risk scores for in-hospital death after percutaneous coronary intervention in the current era. Cath Cardiovasc Int 2010; 75: 153-157.
43. Peterson ED, Dai D, DeLong ER, et al. Contemporary mortality risk prediction for percutaneous coronary intervention: Results from 588,398 procedures in the National cardiovascular data registry. J Am Coll Cardiol 2010; 55: 1923-1932.
44. Wu C, Hannan EL, Walford G, et al. A risk score to predict in-hospital mortality for percutaneous coronary interventions. J Am Coll Cardiol 2006; 47: 654-660. (Pubitemid 43170859)
45. Kuntz RE, Normand SLT,. Measuring percutaneous coronary intervention quality by simple case volume. Circulation 2005; 112: 1088-1091. (Pubitemid 41216113)
46. AHRQ data. Synopsis at:.
47. Srinivas VS, Halpern SM, Koss E, et al. Effect of physician volume on the relationship between hospital volume and mortality during primary angioplasty. J Am Coll Cardiol 2009; 53: 574-579.
48. Vakili BA, Kaplan R, Brown DL,. Volume-outcome relation for physicians and hospitals performing angioplasty for acute myocardial infarction in New York State. Circulation 2001; 104: 2171-2176. (Pubitemid 33043295)
49. Kansagra SM, Curtis LH, Schulman KA,. Regionalization of percutaneous transluminal coronary angioplasty and implications for patient travel distance. JAMA 2004; 292: 1717-1723. (Pubitemid 39346674)
50. Klein LW,. How appropriate for assessing quality are the 2009 appropriateness criteria for coronary revascularization? J Invasive Cardiol 2009; 21: 558-562.
51. Weintraub WS, Boden WE, Zhang Z, et al. Cost-effectiveness of percutaneous coronary intervention in optimally treated stable coronary patients. Circ Cardiovasc Qual Outcomes 2008; 1: 12-20.
52. Shaw RE, Anderson HV, Brindis RG, et al. Development of a risk-adjustment mortality model using the American college of cardiology national cardiovascular data registry experience: 1998-2000. J Am Coll Cardiol 2002; 39: 1104-1112. (Pubitemid 34267411)
53. Weintraub WS,. Evaluating the risk of coronary surgery and percutaneous coronary intervention. J Am Coll Cardiol 2006; 47: 669-671. (Pubitemid 43170861)
54. Klein LW,. Percutaneous coronary intervention in the elderly. J Invasive Cardiol 2006; 18: 286-295.
55. Singh M, Rihal CS, Lennon RJ, et al. Comparison of Mayo Clinic risk score and American college of cardiology/American heart association lesion classification in the prediction of adverse cardiovascular outcome following percutaneous coronary interventions. J Am Coll Cardiol 2004; 44: 357-361. (Pubitemid 38950595)
56. Singh M, Peterson ED, Milford-Beland S, et al. Validation of the Mayo Clinic risk score for in-hospital mortality after percutaneous coronary interventions using the National cardiovascular data registry. Circ Cardiovasc Interv 2008; 1: 36-44.
57. Madan P, Elayda MA, Lee VV, et al. Predicting major adverse cardiac events after percutaneous coronary intervention: The Texas Heart Institute risk score. Am Heart J 2008; 155: 1068-1074.
58. Hannan EL, Racz M, Ryan TJ, et al. Coronary angioplasty volume outcome relationships for hospitals and cardiologists. JAMA 1997; 277: 892-898. (Pubitemid 27123949)
59. Holmes DR Jr, Berger PB, Garratt KN, et al. Application of the New York State PTCA mortality model in patients undergoing stent implantation. Circulation 2000; 102: 517-522. (Pubitemid 30639969)
60. O'Connor GT, Malenka DJ, Quinton H, et al. Multivariate prediction of in-hospital mortality after percutaneous coronary interventions in 1994-1996. Northern New England cardiovascular disease study group. J Am Coll Cardiol 1999; 34: 681-691. (Pubitemid 29436172)
61. Moscucci M, Kline-Rogers E, Share D, et al. Simple bedside additive tool for prediction of in-hospital mortality after percutaneous coronary interventions. Circulation 2001; 104: 263-268. (Pubitemid 32666945)
62. Qureshi MA, Safian RD, Grines CL, et al. Simplified scoring system for predicting mortality after percutaneous coronary intervention. J Am Coll Cardiol 2003; 42: 1890-1895. (Pubitemid 37485560)
63. Ellis SG, Weintraub W, Holmes D, et al. Relation of operator volume and experience to procedural outcome of percutaneous coronary revascularization at hospitals with high interventional volumes. Circulation 1997; 95: 2479-2484. (Pubitemid 27233112)
64. Singh M, Lennon RJ, Holmes DR Jr, et al. Correlates of procedural complications and a simple integer risk score for percutaneous coronary intervention. J Am Coll Cardiol 2002; 40: 387-393. (Pubitemid 34833150)
65. Resnic FS, Ohno-Machado L, Selwyn A, et al. Simplified risk score models accurately predict the risk of major in-hospital complications following percutaneous coronary intervention. Am J Cardiol 2001; 88: 5-9. (Pubitemid 32553884)
66. Holmes DR, Selzer F, Johnston JM, et al. Modeling and risk prediction in the current era of interventional cardiology: A report from the national heart, lung, and blood institute dynamic registry. Circulation 2003; 107: 1871-1876. (Pubitemid 36444127)
67. Singh M, Rihal CS, Selzer F, et al. Validation of Mayo Clinic risk-adjustment model for in-hospital complications after percutaneous coronary interventions, using the national heart, lung, and blood institute dynamic registry. J Am Coll Cardiol 2003; 42: 1722-1728. (Pubitemid 37433648)
68. Singh M, Rihal CS, Lennon RJ, Garratt KN, Holmes DR Jr,. A critical appraisal of current risk models of risk stratification for percutaneous coronary interventions. Am Heart J 2005; 149: 753-760. (Pubitemid 40718867)
69. Klein LW, Block P, Brindis RG, et al. Percutaneous coronary interventions in octogenarians in the American college of cardiology-national cardiovascular data registry: Development of a nomogram predictive of in-hospital mortality. Increased risk associated with acute myocardial infarction. J Am Coll Cardiol 2002; 40: 394-402. (Pubitemid 34833151)
70. Singh M, Mathew V, Garratt KN, et al. Effect of age on the outcome of angioplasty for acute myocardial infarction among patients treated at the Mayo Clinic. Am J Med 2000; 108: 187-192. (Pubitemid 30100609)
71. Singh M, Peterson ED, Roe MT, et al. Trends in the association between age and in-hospital mortality after percutaneous coronary intervention: National cardiovascular data registry experience. Circ Cardiovasc Interv 2009; 2: 20-26.
72. Available at:; accessed September 12, 2010.
73. Available at:; accessed July 5, 2010.
74. Klein LW, Kolm P, Dey SK, et al. Assessing coronary interventional program quality. The CathPCI Registry mortality ratio: A preliminary report from the American college of cardiology-national cardiovascular data registry. J Am Coll Cardiol Interv 2009; 2: 136-143.
75. Klein LW, Kolm P, Weintraub WS,. A new score assessing programmatic PCI case risk: The ACC-NCDR complexity score. J Am Coll Cardiol 2006; 47 (Suppl B): 25B.
76. Kunadian B, Dunning J, Roberts AP, et al. Cumulative funnel plots for the early detection of interoperator variation: Retrospective database analysis of observed versus predicted results of percutaneous coronary intervention. Br Med J 2008; 336: 931-934. (Pubitemid 351632019)
77. Kunadian B, Dunning J, Roberts AP, et al. Funnel plots for comparing performance of PCI performing hospitals and cardiologists: Demonstration of utility using the New York hospital mortality data. Cath Cardiovasc Interv 2009; 73: 589-594.