Hospital 30-Day Risk-Standardized Readmission Rate Following Percutaneous Coronary Intervention Measure
The ACC in collaboration with the Yale New Haven Health Services Corporation/Center for Outcomes Research and Evaluation (YNHHSC/CORE) and the Centers for Medicare and Medicaid Services (CMS) completed a pilot program in 2013 which reported a percutaneous coronary intervention (PCI) readmission measure to all NCDR CathPCI Registry hospitals. For institutions that further chose to participate in the public reporting option of the program, measure results were voluntarily publicly reported on CMS’s Hospital Compare website. The final update to the Hospital Compare website was completed in December 2013 and the pilot program is now closed.
About the PCI Readmission Measure
The measure that was reported assesses whether hospitals’ PCI readmission rates are better than, worse than, or on par with the CathPCI Registry unadjusted readmission rate. The measure, which was developed through collaboration among the ACC, YNHHSC/CORE and CMS, uses clinical data from the CathPCI Registry for risk adjustment and Medicare claims data to determine readmission outcomes. The National Quality Forum endorsed the measure in 2011.
The measure includes Medicare Fee-for-Service beneficiaries at least 65 years of age who receive a PCI at the hospital (as inpatients or outpatients) and were discharged between Jan. 1, 2010 and Nov. 30, 2011 (measurement period). For each hospital, the measure estimates hospital risk-standardized 30-day readmission rates based on unplanned readmissions to any acute care hospital within 30 days of discharge. CathPCI Registry hospitals must have submitted at least one eligible PCI procedure during the measurement period to be included in the measure. For more information about measure specifications please refer to the technical report in the Resources section below.
Voluntary Hospital Public Reporting of PCI Readmission Measure
With CMS funding and logistical support, the ACC afforded hospitals the opportunity to voluntarily publicly report their measure results. Hospitals that chose to participate in voluntary hospital public reporting had their results displayed on Hospital Compare. Private Preview Period
Prior to choosing to participate in the public reporting option, CathPCI Registry hospitals had the opportunity to privately preview their hospital-specific reports by logging into their NCDR report dashboard. Hospitals with at least one case during the measurement period received their measure results in a Hospital-Specific Data and Results Excel file containing their detailed measure results, hospital stay-level data on readmissions, and hospital case-mix. As of April 2014 this report is no longer available for download.
The ACC hosted a live webinar for hospitals to learn more about the measure and voluntary public reporting. For a detailed review of the webinar material please access the archived webinar slide deck. You can also find more information about the measure and voluntary public reporting in the frequently asked questions document in the Resources section below.
How to Participate in Voluntary Hospital Public Reporting
The PCI 30 day readmission measure pilot ended in December 2013 when the Hospital Compare
display was updated with the final list of CathPCI Registry hospitals which participated in the pilot. The ACC is now in process of implementing a larger public reporting program containing multiple measures and multiple NCDR registries. You are encouraged to learn more about the full program and to take advantage of this continuing quality reporting opportunity by accessing the new public reporting program website
July 2013: Results first posted on Hospital Compare for hospitals that opted-in to voluntary hospital public reporting.
December 2013: Final update to the Hospital Compare display to include all hospitals participating in the public reporting option.
March 25, 2014: CathPCI Registry hospitals notified of April 1 deadline to access their private Hospital-Specific Data and Results Excel file on their NCDR report dashboard.
April 1, 2014: Access to Hospital-Specific Data and Results Excel file is no longer available.
Implementation Timeline – general overview of key implementation dates.
Frequently Asked Questions (FAQs) – a list of frequently asked questions and responses, including general and measure-specific question.
2009 PCI Readmission Measure Methodology Report – provides background and rationale for measure development, describes the approach to risk model development and testing, and provides detailed measure specifications.
2013 PCI Readmission Measure Updates Memo – provides detailed information on measure updates since development.
Hospital Performance Categorization Document – explains how performance categories are assigned based on the hospital risk-standardized readmission rate confidence interval.
Mock Hospital-Specific Data and Results Excel File – an example dataset including detailed measure results, information for each readmission counted in the measure, risk factor coefficients, and case mix information for a simulated hospital’s patients compared with all hospitals in the CathPCI Registry.
Mock Hospital Compare Display – an example posting to the Hospital Compare website for those CathPCI Registry Participants who consented to have their data publicly reported.
Questions and Comments
The ACC will continue to respond to hospital and stakeholder questions and comments between the hours of 9:00 a.m. and 5:00 p.m. Monday through Friday Eastern Standard Time.There are two ways to reach us:
- By email at NCDR@acc.org. Please include your full name, institution name, address, phone number and a brief description of your inquiry.
- By phone at (800) 257-4737.
To ensure proper handling of inquiries, please reference "PCI Readmission Measure" when contacting the ACC regarding this initiative.