The measure for 30-day readmission measures for PCI was developed with CMS and the Yale New Haven Health Services Corp. Center for Outcomes Research and Evaluation.
Dehmer outlined three reasons why a patient might have to be readmitted to a hospital after a PCI, which generally requires a one-day hospital stay:
1. The patient may develop heart failure after the PCI.
2. The patient develops chest pain and thinks they're having a heart attack.
3. Development of stent thrombosis. This is largely preventable, because it often occurs because patients didn't take their anti-platelet medication.
"If the patient goes home without having received the proper instruction for how important antiplatelet medication is, or didn't have appropriate checks to make sure the patient knew they had to take this medicine, that they have to make a daily commitment, we know that's preventable with better education," he says.
[There are rare incidents in which a person's genetic sequence makes him insensitive to those medications even if he's taking them faithfully, and that's not the provider's fault.]
The records used in this PCI registry database were for procedures performed between Jan. 1, 2010 and Nov. 30, 2011.