Transcript Tip of the Month: August 2013

Provider-Specific Data:
The NCDR CathPCI Registry
Physician Dashboard
Henry S. Jennings, III, MD, FSCAI, FACC
Michael A. Kutcher, MD, FSCAI, FACC
The SCAI-Quality Improvement Toolkit was
developed with founding support from Daiichi
Sankyo, Inc., and Lilly USA, LLC., and support from
AstraZeneca. The Society gratefully acknowledges
this support while taking sole responsibility for all
content developed and disseminated through this
effort.
Take advantage of the new NCDR CathPCI Registry
Physician Dashboard to (1) ensure your data are
being accurately documented and abstracted, (2)
assess the quality of the care you are providing
and (3) identify opportunities for improvement.
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As of August 2013, individual data are available for
review by physicians themselves; includes data from
all submitting institutions where a practitioner
provides care.
NCDR created 1997 by American College of
Cardiology, with support from Society for
Cardiovascular Angiography and Interventions.
Previously, individual interventional/invasive
cardiologists were unable to (1) access personal
data, and (2) integrate data from multiple practice
sites, even if all sites were enrolled in NCDR
CathPCI Registry.
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This is a powerful new tool for invasive/interventional
cardiologists for self-improvement in the quality arena
and worthy of the time and effort of all to review.
Awareness and encouragement for individual
practitioners to access/utilize will significantly increase
engagement in cath lab quality improvement efforts at
the “grassroots” level.
U.S. healthcare delivery is increasingly emphasizing
accountability and quality of outcomes. This tool will
have high relevance for all interventionalists.
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Confidential individual comparisons to CathPCI Registry
physicians as a whole.
Individuals can be aware of their own data and can
compare their own data with national data.
Quality improvement will be enhanced at an individual
as well as institutional level.
Additional value for invasive/interventional cardiologists
to fulfill Maintenance of Certification (MOC IV)
Performance Improvement Modules (PIM’s) for ABIM
certification/recertification.
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Access your individual dashboard data via Cardiosource
http://www.cardiosource.org/.
First, you must update your “Member Profile” with NPI
number, click “Verify” and “Update Account.”
Select “NCDR Physician Dashboard” under “Lifelong
Learning and MOC” on Cardiosource.
If you are denied access because NPI number has not
been verified, consider logging out and then back in to
Cardiosource. Pop-up blocker must be off.
You must be a paid member of ACC to access the
Physician Dashboard.
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Individual data can be selected in any four consecutive
quarters in rolling fashion.
Participant institutions submitting data to the NCDR on
the given practitioner can then be selected individually or
aggregated.
Data is delivered in five key areas: Volume Summary,
Quality Metrics, Outcome Metrics, AUC Metrics,
Resources.
Whisker plots are used to compare to national
benchmarks in a detailed multipage analysis that can be
downloaded as PDF or Excel file.
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Patients
Procedures
ACS type
Procedure access type
Trends for each also displayed graphically for
eight consecutive quarters (includes the four prior
to the “selected” four)
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Includes data on both Diagnostic and PCI cases
Incidence of non-obstructive CAD (elective
patients)
Proportion of patients with prior positive stress or
imaging study
Median time to PCI for STEMI patients (in
minutes)
Proportion of STEMI patients receiving immediate
PCI within 90 minutes
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Analysis of times from transferring facilities and
ED to time of PCI in STEMI patients (in minutes)
Median fluoroscopy time
Post-procedural complications and length of stay
analysis
Adherence to guideline recommended discharge
medical therapy, such as DAPT, statins, etc.
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Proportion of diagnostic cath procedures with
major vascular injury/bleeding
Proportion of PCI procedures with MACE
Proportion of PCI procedures with emergent CAB
Observed/Expected mortality analysis, in both
STEMI and NSTEMI patients
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Proportion of PCI procedures categorized as
Appropriate, Uncertain, and Inappropriate
Analyzed for both ACS and Non-ACS patient
populations
Proportion of PCI procedures judged not
classifiable for AUC reporting
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Currently: Physician Dashboard: Guide for
Physicians, Physician Dashboard: Guide for
Cath/PCI Registry Participants (institutions), and
Trouble Shooting Ability to Download Physician
Dashboard
Other resources expected to be added.
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Powerful new tool for invasive/interventional
cardiologists for self-improvement in the quality
arena and worthy of the time and effort of all to
review
Other parameters that may have relevance may
be tracked in the future
Today, healthcare delivery increasingly
emphasizes accountability and quality of
outcomes, and this tool will have high relevance
If you have feedback, questions, or suggestions for
current or future SCAI-QIT Tip of the Month topics,
please submit them at [email protected] or at the
e-mails listed below.
Michael A. Kutcher, MD, FSCAI
[email protected]
Henry S. Jennings, III, MD, FSCAI
[email protected]
www.SCAI.org
www.SecondsCount.org
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