New York drops emergency PCI cases from physician-level reports

New York is dropping its emergency percutaneous coronary intervention (PCI) mortality outcomes requirement at the physician level, TCTMD reported Jan. 4.

The change will take place beginning with the 2018-2021 outcomes report set to be published at the end of 2023. Emergency PCI outcomes will still be included on the hospital-level reports.

Emergency PCI outcomes are defined as "patients with acute MI or cardiac arrest in the 24 hours leading up to PCI or those in nonrefractory cardiogenic shock at the time of the procedure," according to the report.

The change came after major concerns that the previous reporting requirement led to avoidance of high-risk patients and upcoding of patient comorbidities. The impact of the new policy will be assessed over the next four years to watch for unintended consequences, according to the report.

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