Hospitals' PCI readmissions rates go public

Rates based on national registry data

Medicare's Hospital Compare website now includes a measure on 30-day readmissions rates for patients who have undergone percutaneous coronary intervention (PCI) that was developed through a partnership with the Yale New Haven Health Services' Center for Outcomes Research and Evaluation.

Physicians perform more than 600,000 PCI procedures in the United States each year—the procedure is intended to open narrowed or blocked arteries—but as many as one in seven PCI patients are readmitted to a hospital within 30 days.

To determine how a hospital compares to other hospitals, Yale researchers use information from the American College of Cardiology's (ACC) National Cardiovascular Data Registry (NCDR) and place hospitals in one of three categories depending on whether they perform better, worse, or the same as the average readmission rate from the NCDR PCI Registry.

Between Jan. 1, 2010, to Nov. 30, 2011, hospitals averaged an 11.9% 30-day readmission rate on PCI patients, according to the registry.

"This measure is extremely valuable for patients in that they are, for the first time, getting easy access to information on how their local hospital is performing in terms of readmissions after these procedures," ACC President John Harold says.

  • Dana Khan of the Cardiovascular Roundtable recently forecast a 15% decline in projected PCI volumes over the next five years. Read more about how she came up with the figure and where your hospital falls.

ACC's Public Reporting Advisory Group Chair Gregory Dehmer added that "[p]articipating in this registry and in public reporting of readmissions data shows a significant commitment on the part of the hospitals to transparency and quality" (Landen, Modern Healthcare, 7/18 [subscription required]).

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