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

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...

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Bibliographic Details
Published in:The American journal of cardiology 2016-04, Vol.117 (8), p.1289-1293
Main Authors: Puri, Pranav, Carroll, Jennifer, MSN, RN, Patterson, Bobette, RN, MHA
Format: Article
Language:English
Subjects:
Aged
Angina pectoris
Cardiology
Cardiovascular
Cardiovascular disease
Coronary Artery Disease - economics
Coronary Artery Disease - surgery
Cost control
Cost Savings
Economic impact
Female
Health care access
Heart attacks
Humans
Illinois
Intubation
Laboratories
Male
Outcome and Process Assessment (Health Care)
Patient Selection
Peer Group
Percutaneous Coronary Intervention - economics
Quality
Registries
Retrospective Studies
Studies
Trends
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Summary: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
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2016.01.025