Cost Savings Associated With Implementation of Peer-Reviewed Appropriate Use Criteria for Percutaneous Coronary Interventions

The American Journal of Cardiology
Pranav PuriBobette Patterson

Abstract

Appropriate use criteria (AUC) for coronary revascularization have been developed to provide a practical standard to assess the quality of patient selection for percutaneous coronary interventions (PCI). However, the economic impact of AUC implementation has yet to be quantified. A peer-reviewed AUC process was implemented at UnityPoint Trinity in February 2012. Volumes of PCI cases were measured in 12-month intervals for 2 years after AUC implementation and compared with volumes from the corresponding 12-month intervals in the 2 years preceding implementation of AUC. Hospital reimbursement was averaged based on each year's payer mix and reimbursement contracts. In the 2 years preceding AUC implementation, PCI volumes were similar (1,414 in 2010 and 1,411 in 2011). After AUC implementation, volumes of PCI decreased by 17% in both 2012 and 2013. From 2012 to 2013, the relative ratio of elective to acute interventions decreased from 1.36 to 1.02. In the same time frame, the proportion of appropriate PCI significantly increased from 76% to 84% (p <0.001). Total hospital reimbursement for PCI decreased by 36% after AUC implementation. In conclusion, implementation of a peer-reviewed AUC process at the UnityPoint Trinity led to sign...Continue Reading

References

Mar 28, 2007·The New England Journal of Medicine·William E BodenUNKNOWN COURAGE Trial Research Group
Feb 14, 2012·JACC. Cardiovascular Interventions·Steven P MarsoJ Aaron Grantham
May 10, 2012·Circulation. Cardiovascular Quality and Outcomes·Steven M BradleyChris L Bryson
May 19, 2012·Journal of the American College of Cardiology·Edward L HannanSpencer B King
Oct 16, 2012·Journal of the American College of Cardiology·Dennis T KoUNKNOWN Cardiac Care Network (CCN) of Ontario Variations in Revascularization Practice in Ontario (VRPO) Working Group
Mar 19, 2013·Journal of the American College of Cardiology·Dean J Kereiakes, Gregg W Stone
Mar 26, 2013·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·James C Blankenship, J Jeffrey Marshall
Aug 14, 2015·Journal of the American College of Cardiology·Vera BittnerUNKNOWN BARI 2D Study Group

❮ Previous
Next ❯

Citations

Jul 23, 2016·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Jordan C Ray, Fred Kusumoto
Apr 25, 2018·Cardiology in the Young·Mark J CartoskiPhilip J Spevak
Apr 2, 2020·European Heart Journal. Quality of Care & Clinical Outcomes·David E WinchesterChristian D Helfrich

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiovascular Diseases: Risk Factors

Cardiovascular disease is a significant health concern. Risk factors include hypertension, obesity, dyslipidemia and smoking. Women who are postmenopausal are at an increased risk of heart disease. Here is the latest research for risk factors of cardiovascular disease.

Related Papers

Clinical Research in Cardiology : Official Journal of the German Cardiac Society
Tassilo BonzelRalf Zahn
Circulation. Cardiovascular Quality and Outcomes
Steven M BradleyChris L Bryson
© 2022 Meta ULC. All rights reserved