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Association of Public Reporting for Percutaneous Coronary Intervention With Utilization and Outcomes Among Medicare Beneficiaries With Acute Myocardial Infarction

Association of Public Reporting for Percutaneous Coronary Intervention With Utilization and... ORIGINAL CONTRIBUTION Scan for Author Video Interview Association of Public Reporting for Percutaneous Coronary Intervention With Utilization and Outcomes Among Medicare Beneficiaries With Acute Myocardial Infarction Karen E. Joynt, MD, MPH Context Public reporting of patient outcomes is an important tool to improve qual- Daniel M. Blumenthal, MD, MBA ity of care, but some observers worry that such efforts will lead clinicians to avoid high- risk patients. E. John Orav, PhD Objective To determine whether public reporting for percutaneous coronary inter- Frederic S. Resnic, MD, MS vention (PCI) is associated with lower rates of PCI for patients with acute myocardial Ashish K. Jha, MD, MPH infarction (MI) or with higher mortality rates in this population. Design, Setting, and Patients Retrospective observational study conducted using UBLIC REPORTING OF PATIENT data from fee-for-service Medicare patients (49 660 from reporting states and 48 142 outcomes is a key tool to drive from nonreporting states) admitted with acute MI to US acute care hospitals between improvements in health care 2002 and 2010. Logistic regression was used to compare PCI and mortality rates be- Pdelivery. Over the past 20 tween reporting states (New York, Massachusetts, and Pennsylvania) and regional non- years, 3 states—New York http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Association of Public Reporting for Percutaneous Coronary Intervention With Utilization and Outcomes Among Medicare Beneficiaries With Acute Myocardial Infarction

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Publisher
American Medical Association
Copyright
Copyright 2012 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2012.12922
pmid
23047360
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL CONTRIBUTION Scan for Author Video Interview Association of Public Reporting for Percutaneous Coronary Intervention With Utilization and Outcomes Among Medicare Beneficiaries With Acute Myocardial Infarction Karen E. Joynt, MD, MPH Context Public reporting of patient outcomes is an important tool to improve qual- Daniel M. Blumenthal, MD, MBA ity of care, but some observers worry that such efforts will lead clinicians to avoid high- risk patients. E. John Orav, PhD Objective To determine whether public reporting for percutaneous coronary inter- Frederic S. Resnic, MD, MS vention (PCI) is associated with lower rates of PCI for patients with acute myocardial Ashish K. Jha, MD, MPH infarction (MI) or with higher mortality rates in this population. Design, Setting, and Patients Retrospective observational study conducted using UBLIC REPORTING OF PATIENT data from fee-for-service Medicare patients (49 660 from reporting states and 48 142 outcomes is a key tool to drive from nonreporting states) admitted with acute MI to US acute care hospitals between improvements in health care 2002 and 2010. Logistic regression was used to compare PCI and mortality rates be- Pdelivery. Over the past 20 tween reporting states (New York, Massachusetts, and Pennsylvania) and regional non- years, 3 states—New York

Journal

JAMAAmerican Medical Association

Published: Oct 10, 2012

References