PCI

A prospective registry that represents a regional collaborative effort to assess and improve quality of care and outcomes of patients undergoing percutaneous coronary intervention.

Our Scope

We have collected information for more than 600,000 interventional cases, performed by hundreds of interventional cardiologists from 33 participating PCI hospitals since our inception in 1996.

Our Mission

We aim to:

  • Improve the safety and quality of PCI
  • Improve the appropriateness of care
  • Enhance high-value care

Our Current Goals

  • Increase the appropriateness of PCI therapy
  • Increase intervention quality
  • Improve rates of weight-based pre-procedure hydration in patients with impaired kidney function
  • Improve rates of peri-procedural ACT measurement
  • Improve rates of lipid-lowering agents prescribed at hospital discharge
  • Improve utilization of cardiac rehabilitation

Read more about our annual performance targets here

Our Data

We use two sources of data for reporting:

NCDR/CathPCI®

  • Demographics
  • Episode of care
  • History and risk factors
  • Pre-procedure information
  • Procedure information
  • Labs
  • Cath lab visit
  • Coronary anatomy
  • PCI Procedure
  • Lesions and devices
  • Intra- and post-procedure events
  • Discharge
  • Follow-up 30 days (optional)
  • Follow-up 1year (optional)

BMC2 PCI

  • Patient information (for matching cases)
  • Insurance coverage
  • Patient history/comorbidity
  • Pre-hospital STEMI (optional)
  • Procedure information
  • Outcomes in lab
  • Outcomes post lab
  • Discharge
  • Medications
  • Medications at admission
  • Medications at discharge

Elective PCI Registry

A prospective registry of percutaneous coronary interventions at hospitals without on-site open heart surgery capabilities, as mandated by the State of Michigan Certificate of Need Commission. Fifteen sites across Michigan participate in our elective PCI registry (EPCI). These sites participate similarly to BMC-PCI sites: they receive quarterly data reports, are invited to attend consortium-wide meetings, and undergo site visits and records review by our team of nurse auditors.

Impact of 3-5 Year BMC2 PCI Goals
Strategy Human Impact Financial Impact
Cross-site case reviews:
  • Mechanical support
  • Non-ACS
  • CTO
 Increased appropriateness and technical quality, reduce need for repeat future procedures, increase safety of the procedure
Reduced use of devices where no proven benefit is demonstrated		 Reduced number of procedures that do not meet procedural criteria
Cost savings

New strategies to reduce complications:

  • Low/no contrast -hydration
  • FFR/IFR/IVUS/OCT
  • Radiation safety
  • ACT monitoring
  • Reduced incidence of CIN
  • Reduce procedure failure and repeat procedures
  • Increased radiation safety for patient, staff and physician
  • Bleeding prevention

 

 

Cost savings
Reduced readmissions, ER visits and episode of care costs:
  • Same day discharge
  • Cardiac rehab
 Reduced incidence of Heart failure, vascular complications, reduce cost of repeat care and ER visits
Patient home sooner
Cost savings
Optimize Medication Use Maximizes benefit, lowest cost, reduces med-related complications Cost savings
MVC to provide readmission and ER data Cost effective approach to obtain insight into causes/reduces patient outcomes Reduces readmissions/ER visits
Enhancing mgmt. info. to sites Better management information for QI Can lead to cost savings