{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T03:42:13Z","timestamp":1761709333924,"version":"build-2065373602"},"reference-count":33,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2017,5]]},"abstract":"\n Background<\/jats:title>\n \n The Physician Consortium for Performance Improvement recently proposed percutaneous coronary intervention (\n PCI<\/jats:styled-content>\n )\u2010specific process measures. However, information about hospital performance on these measures and the association of\n PCI<\/jats:styled-content>\n process and outcomes measures are not available.\n <\/jats:p>\n <\/jats:sec>\n \n Methods and Results<\/jats:title>\n \n We linked the National Cardiovascular Data Registry (NCDR) Cath\n PCI<\/jats:styled-content>\n Registry with Medicare claims data to assess hospital performance on established\n PCI<\/jats:styled-content>\n process measures (aspirin, thienopyridines, and statins on discharge; door\u2010to\u2010balloon time; and referral to cardiac rehabilitation), newly proposed\n PCI<\/jats:styled-content>\n process measures (documentation of contrast dose, glomerular filtration rate, and\n PCI<\/jats:styled-content>\n indication; appropriate indication for elective\n PCI<\/jats:styled-content>\n ; and use of embolic protection device), and a composite of all process measures. We calculated weighted pair\u2010wise correlations between each set of process metrics and performed weighted correlation analyses to assess the association between composite measure performance with corresponding 30\u2010day risk\u2010standardized mortality and readmission rates. We reported the variance in risk\u2010standardized 30\u2010day outcome rates explained by process measures. We analyzed 1\u00a0268\u00a0860\n PCI<\/jats:styled-content>\n s from 1331 hospitals. For many process measures, median hospital performance exceeded 90%. We found strong correlations between medication\u2010specific process measures (\n P<\/jats:italic>\n <0.01) and weak correlations between hospital performance on the newly proposed and established process measures. The composite process measure explained only 1.3% and 2.0% of the observed variation in mortality and readmission rates, respectively.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n Hospital performance on many\n PCI<\/jats:styled-content>\n \u2010specific process measures demonstrated little opportunity for improvement and explained only a small percentage of hospital variation in 30\u2010day outcomes. Efforts to measure and improve hospital quality for\n PCI<\/jats:styled-content>\n patients should focus on both process and outcome measures.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1161\/jaha.116.004276","type":"journal-article","created":{"date-parts":[[2017,4,26]],"date-time":"2017-04-26T20:40:29Z","timestamp":1493239229000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":16,"title":["Hospital Performance on Percutaneous Coronary Intervention Process and Outcomes Measures"],"prefix":"10.1161","volume":"6","author":[{"given":"Philip W.","family":"Chui","sequence":"first","affiliation":[{"name":"University of California Irvine School of Medicine","place":["Orange"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig S.","family":"Parzynski","sequence":"additional","affiliation":[{"name":"Yale\u2010New Haven Hospital","place":["New Haven"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brahmajee K.","family":"Nallamothu","sequence":"additional","affiliation":[{"name":"University of Michigan Medical School","place":["Ann Arbor"]},{"name":"University of Michigan Medical School","place":["Ann Arbor"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frederick A.","family":"Masoudi","sequence":"additional","affiliation":[{"name":"University of Colorado Anschutz Medical Campus","place":["Aurora"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harlan M.","family":"Krumholz","sequence":"additional","affiliation":[{"name":"Yale\u2010New Haven Hospital","place":["New Haven"]},{"name":"Yale School of Public Health","place":["New Haven"]},{"name":"Yale University School of Medicine","place":["New Haven"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeptha P.","family":"Curtis","sequence":"additional","affiliation":[{"name":"Yale\u2010New Haven Hospital","place":["New Haven"]},{"name":"Yale University School of Medicine","place":["New Haven"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","first-page":"493","article-title":"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","volume":"78","author":"Klein LW","year":"2011","unstructured":"Klein LW, Ho KKL, Singh M, Anderson HW, Hillegass WB, Uretsky BF, Chambers C, Rao SV, Reilly J, Weiner BH, Kern M, Bailey S. 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ACC\/AHA\/SCAI\/AMA\u2013Convened PCPI\/NCQA 2013 performance measures for adults undergoing percutaneous coronary intervention: a report of the American College of Cardiology\/American Heart Association task force on performance measures, the Society for Cardiovascular Angiography and Interventions, the American Medical Association\u2013Convened Physician Consortium for Performance Improvement, and the National Committee for Quality Assurance. J Am Coll Cardiol. 2014;63:722\u2013745.","journal-title":"J Am Coll Cardiol"},{"key":"e_1_3_1_6_2","unstructured":"American College of Cardiology percutaneous coronary intervention (PCI) readmission measure. Medicare.gov: Hospital compare. Available at: http:\/\/www.medicare.gov\/hospitalcompare\/PCIReadmission.html. Accessed September 14 2014."},{"key":"e_1_3_1_7_2","doi-asserted-by":"crossref","first-page":"1518","DOI":"10.1016\/j.jacc.2008.09.004","article-title":"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","volume":"52","author":"Krumholz HM","year":"2008","unstructured":"Krumholz HM, Keenan PS, Brush JE Jr, Bufalino VJ, Chernew ME, Epstein AJ, Heidenreich PA, Ho V, Masoudi FA, Matchar DB, Normand SL, Rumsfeld JS, Schuur JD, Smith SC Jr, Spertus JA, Walsh MN. 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. 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