Percutaneous Coronary Intervention Quality Outcomes

What is Percutaneous Coronary Intervention (PCI)?

Percutaneous coronary intervention (PCI), commonly known as ‘coronary angioplasty’ or simply ‘angioplasty’, is a therapeutic procedure to treat the stenotic (narrowed) coronary arteries of the heart found in coronary heart disease. These stenotic segments are due to the build up of cholesterol-laden plaques that form due to atherosclerosis. PCI is usually performed by an interventional cardiologist.

How is Process of Care Measured?

University Hospitals participates in the University HealthSystem Consortium (UHC): a nationwide alliance of academic medical centers and their affiliated hospitals. This group represents approximately 90% of the nation’s non-profit academic medical centers.

The UHC maintains a comparative database of healthcare measures which have been established to indicate the overall quality of commonly-performed medical procedures. Criteria for measuring PCI outcomes include:

Mortality Rate

Why is this important to you as a patient?

Mortality rate is an indicator of good patient care process.
A lower number is better.

How do we compare outcomes?

UHCMC participates in the University HealthSystem Consortium (UHC) comparative database along with more than 100 other academic centers across the country. The national comparison shown below compares our outcomes to those of other nationally-recognized academic medical centers.

Results:

UHCMC’s mortality for PCI is better than expected.

Percutaneous Coronary Intervention – Mortality (%)

A lower number is better
Source: University HealthSystem Consortium
Range: October 2010 - September 2011

•  
• Actual

  • 0.26

• Expected

  • 0.57

•  

• 5.0

  4.0

  3.0

  2.0

  1.0

Percutaneous Coronary Intervention: Patient Experience

Patient experience is measured by the following criteria:

• Length of stay
• Readmission to the Hospital

Length of Stay as a Quality Measure

Why is this important to you as a patient?

This measure indicates the number of days a patient spends in the hospital. A shorter length of stay usually indicates more efficient and effective care. It means the patient can return home faster to recuperate in a familiar, more comfortable surrounding. A shorter stay in the hospital is also generally less disruptive for the patient and his / her family.

How do we compare outcomes?

UHCMC participates in the University HealthSystem Consortium (UHC) comparative database along with more than 100 other academic centers across the country. The national comparison shown below compares our outcomes to those of other nationally-recognized academic medical centers.

Results:

UHCMC’s average length of stay for PCI is longer than expected.

Readmission to the Hospital as a Quality Measure

Why is this important to you as a patient?

This measure indicates the number of patients who are discharged from the hospital and then readmitted within 30 days of their discharge. A lower number indicates more efficient and effective care.

How do we compare outcomes?

UHCMC participates in the University HealthSystem Consortium (UHC) comparative database along with more than 100 other academic centers across the country. The national comparison shown below compares our outcomes to those of other nationally-recognized academic medical centers.

Results:

UHCMC’s readmission to the hospital for PCI is better than the national average.

Percutaneous Coronary Intervention – Readmissions in 30 Days (%)

A lower number is better
Source: University HealthSystem Consortium
Range: October 2010 - September 2011

•  
• UH Case Medical Center

  • 3.09

• Academic Medical Center

  • 3.78

•  

• 6.0

  5.0

  4.0

  3.0

  2.0

  1.0