HCA Probe Reignites Questions Over Interventional Appropriateness
A third development may have had some influence as well. Last July, a report in the Journal of the American Medical Association used the American College of Cardiology's PCI registry and found that only 50% of a sample of such procedures met necessity criteria, 12% were indisputably unnecessary, and another 38% were uncertain.
Fonarow says that over the last several years, perhaps in response to "some of the earlier cases that were under scrutiny," hospitals, cardiology practices and professional societies have become proactive to assure the necessity of all procedures.
Sometimes, he says, hospitals will have a second interventional cardiologist review the films before allowing an interventionalist to proceed. Or, cases will be subject to subsequent peer review.
Some hospitals have decided to regularly select a random set of cases to send to a committee "to see if there's any concern and provide feedback, to make sure they're providing high quality, but also appropriate, care."
"You're seeing lot of hospitals doing that," he says.
- Two-Midnight Rule Must be Fixed or Replaced, Say Providers
- Hospital Groups Strike Back at Hospital Rating Systems
- The Secret to Physician Engagement? It's Not Better Pay
- AHIP: Enormity of HIX Challenges Sinks In
- Don't Underestimate Emotional Intelligence
- 4 Reasons PCMH Principles Aren't Going Away
- Yale New Haven Health Partners with Tenet Healthcare in CT
- Evidence-Based Practice and Nursing Research: Avoiding Confusion
- Care Coordination Tough to Define, Measure
- SCOTUS Review of NC Board Case 'A Very Big Deal' to Providers