SCAI Releases Position Statement on Public Reporting and Risk Adjustment In Cardiovascular Quality Improvement Programs
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