Survey Says: Interventionalists Believe Public Reporting Leads to High-risk PCI Avoidance, Upcoding
Most interventional cardiologists believe that public reporting of PCI outcomes leads to avoidance of procedures and upcoding of patient clinical comorbidities, according to a survey of practitioners in New York and Massachusetts. Currently, both Massachusetts and New York are among the states that collect and report risk-adjusted mortality data at the hospital and physician levels for patients undergoing PCI after some exclusions. While these programs were designed to increase transparency, improve outcomes and reduce harm, interventional cardiologists have expressed concern in the past about unintended consequences of public reporting. Specifically, the
Society for Cardiovascular Angiography and Interventions
released a statement last year suggesting changes like transitioning from procedure- to disease-based reporting and de-emphasizing risk-adjusted mortality as a primary metric.
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