ACC/AHA/SCAI/AMA–Convened PCPI/NCQA 2013 Performance Measures for Adults Undergoing Percutaneous Coronary Intervention

Abstract

. Expert peer review of AHA Scientific Statements is conducted by the AHA Office of Science Operations. For more on AHA statements and guidelines development, visit http://my.americanheart.org/statements and select the "Policies and Development" link.Permissions: Multiple copies, modification, alteration, enhancement, and/or distribution of this document are not permitted without the express permission of the American Heart Association. Instructions for obtaining permission are located at http://www.heart.org/HEARTORG/General/Copyright-PermissionGuidelines_UCM_300404_Article.jsp. A link to the "Copyright Permissions Request Form" appears on the right side of the page.This Physician Performance Measurement Set (PPMS) and related data specifications were developed by the Physician Consortium for Performance Improvement (the Consortium), including the American College of Cardiology (ACC), the American Heart Association (AHA), and the American Medical Association (AMA), to facilitate quality-improvement activities by physicians. The performance measures contained in this PPMS are not clinical guidelines, do not establish a standard of medical care, and have not been tested for all potential applications. Although copyrighted, they can be reproduced and distributed, without modification, for noncommercial purposes-for example, use by health care providers in connection with their practices. Commercial use is defined as the sale, license, or distribution of the performance measures for commercial gain, or incorporation of the performance measures into a product or service that is sold, licensed, or distributed for commercial gain. Commercial uses of the PPMS require a license agreement between the user and the AMA (on behalf of the Consortium) or the ACC or the AHA. Neither the AMA, ACC, AHA, the Consortium, nor its members shall be responsible for any use of this PPMS. THE MEASURES AND SPECIFICATIONS ARE PROVIDED "AS IS" WITHOUT WARRANTY OF ANY KIND.Limited proprietary coding is contained in the measures specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of the code sets. The AMA, the ACC, the AHA, the NCQA, and the PCPI and its members disclaim all liability for use or accuracy of any Current Procedural Terminology (CPT®) or other coding contained in the specifications.CPT® PreambleAmerican College of Cardiology (ACC)/American Heart Association (AHA) performance measure sets can serve as vehicles to accelerate appropriate translation of scientific evidence into clinical practice. These documents are intended to provide practitioners and institutions that deliver cardiovascular services with tools to measure the quality of their care and identify opportunities for improvement. The present set of measures breaks important ground for performance measurement. Here, the writing committee was charged with developing measures to benchmark and improve the quality of one of cardiology's most common and important procedures: percutaneous coronary intervent...

Referral to Cardiac Rehabilitation After Percutaneous Coronary Intervention, Coronary Artery Bypass Surgery, and Valve Surgery

“…[5][6][7][8][9][10] Referral of eligible patients to cardiac rehabilitation at hospital discharge is included in performance measures. [11][12][13][14] However, referral to and participation in cardiac rehabilitation have historically been poor. 3,[15][16][17][18][19][20][21][22] Previous analyses of acute myocardial infarction and PCI patients have identified both patient and hospital characteristics as predictors of referral to cardiac rehabilitation.…”

Effectiveness of regionalized systems for stroke and myocardial infarction

“…Center volume has been described as a better proxy for competence than operator volume (Nallamothu et al. 2014). Low operator volume has been associated with higher rates of major adverse cardiac events but not increased mortality (Strom et al.…”

Future of the PCI Readmission Metric

“…In 2014, the Physician Consortium for Quality Improvement and National Committee for Quality Assurance recognized the importance of 30-day death and readmission measures after PCI, but did not explicitly include either in their list of PCI performance measures. 5 In New York state, the Department of Public Health collects data on PCI readmission, 6 although the American College of Cardiology has not yet stated whether PCI readmission will be reestablished nationally as a publically reported measure.…”