Does Public Reporting of PCI Outcomes Improve Patient Care?

In Medicare patients with acute myocardial infarction, PCI rates were lower — but mortality was not — in states with public reporting than in nonreporting states.

Since public reporting of outcomes after percutaneous coronary intervention (PCI) began more than 20 years ago, debate has raged over whether such reporting has improved quality of care. To assess the association of outcomes reporting with mortality, researchers used Medicare data from 2002–2010 to analyze PCI and mortality rates in patients hospitalized with acute myocardial infarction (MI) in three states with public reporting (New York, Massachusetts, and Pennsylvania) and in seven states in the same region without public reporting.

In 2010, the PCI rate was 37.7% in publicly reporting states and 42.7% in nonreporting states (risk-adjusted odds ratio, 0.82; P=0.003). The differences were greatest in patients with ST-segment-elevation MI (…

Reviewing Author

Harlan M. Krumholz, MD, SM

Disclosures

Consultant/Advisory BoardUnited Healthcare; Element Science; Eyedentifeye, F-Prime

EquityHugo Health; Refactor Health; Element Science

Grant/Research SupportPfizer; Agency for Healthcare Research and Quality; Janssen Research and Development, National Institute of Biomedical Imaging and Engineering; National Heart, Lung, and Blood Institute; Centers for Disease Control and Prevention; National Cancer Institute; American Heart Association

Harlan M. Krumholz, MD, SM

Disclosures

Consultant/Advisory BoardUnited Healthcare; Element Science; Eyedentifeye, F-Prime

EquityHugo Health; Refactor Health; Element Science