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Indicator Metadata

NamePercutaneous Coronary Intervention (PCI) Volume by Province and Centre
Short/Other Names

PCI Volume by Province and Centre

DescriptionTotal number of percutaneous coronary intervention (PCI) procedures performed in a fiscal year. For further details, please see the CCQI General Methodology Notes.
InterpretationVolumes above 400 are desirable.
HSP Framework Dimension

Health System Outputs: Appropriate and effective

Areas of Need

Getting Better

Geographic Coverage

All provinces/territories except Quebec

Reporting Level/Disaggregation

National, Province/Territory, Facility

Indicator Results

https://www.cihi.ca/en/cardiac-care

Identifying Information
NamePercutaneous Coronary Intervention (PCI) Volume by Province and Centre
Short/Other Names

PCI Volume by Province and Centre

Indicator Description and Calculation
DescriptionTotal number of percutaneous coronary intervention (PCI) procedures performed in a fiscal year. For further details, please see the CCQI General Methodology Notes.
Calculation: Description

The total number is calculated by adding the total number of intervention codes for the province or facility in a fiscal year.

Unit of analysis: Intervention code

Calculation: Geographic Assignment

Place of service

Calculation: Type of Measurement

Number - Total number

Calculation: Adjustment Applied

None

Calculation: Method of Adjustment

Not applicable

Denominator

Description:
Total number of PCI procedures performed in a fiscal year
Inclusions:
1. PCI intervention codes (CCI code 1.IJ.50.^^ or 1.IJ.57.GQ^^), where the intervention was not coded as out of hospital or abandoned (Out-of-Hospital Indicator not equal to Y and Intervention Status Attribute not equal to A)
Exclusions:
None

Numerator

Description:
Not applicable

Background, Interpretation and Benchmarks
Rationale

Considering that about 2.4 million Canadians are living with heart disease and that Canada’s population is increasingly at risk,1 it’s important to examine the quality of cardiac care in order to support improvements in care and ultimately in the health of Canadians.

PCI is a well-established procedure to treat coronary artery stenosis. Current evidence suggests that centres that perform fewer than 400 PCIs per year have a larger incidence of adverse events.2 Based on this evidence, annual PCI volume has been identified as a key quality indicator for PCI care by the Canadian Cardiovascular Society.3

National measurement of and reporting on this indicator is important due to the continued establishment of new PCI centres.4

Interpretation

Volumes above 400 are desirable.

HSP Framework Dimension

Health System Outputs: Appropriate and effective

Areas of Need

Getting Better

Targets/Benchmarks

Not applicable

References

1. Government of Canada. Heart disease — Heart health. Accessed February 2, 2017.

2. Harold JG, et al. ACCF/AHA/SCAI 2013 update of the Clinical Competence Statement on Coronary Artery Interventional Procedures: A report of the American College of Cardiology Foundation/American Heart Association/American College of Physicians Task Force on Clinical Competence and Training (Writing Committee to Revise the 2007 Clinical Competence Statement on Cardiac Interventional Procedures. Circulation. July 2013.

3. Canadian Cardiovascular Society. Quality Indicators for Percutaneous Coronary Intervention. 2015.

4. Quraishi A, et al. Quality of care for percutaneous coronary intervention: Development of Canadian Cardiovascular Society quality indicators. Canadian Journal of Cardiology. December 2016.

Availability of Data Sources and Results
Data Sources

DAD, NACRS

Available Data Years

Type of Year:
Fiscal
First Available Year:
2013
Last Available Year:
2015

Geographic Coverage

All provinces/territories except Quebec

Reporting Level/Disaggregation

National, Province/Territory, Facility

Result Updates
Update Frequency

Every year

Indicator Results

Web Tool:
Cardiac Care Quality Indicators Report
URL: https://www.cihi.ca/en/cardiac-care

Updates

Please refer to the CCQI General Methodology Notes.

Quality Statement
Caveats and Limitations

There is no comprehensive capture of PCI data in Quebec, so Quebec cannot be included in analyses.

Trending Issues

Not applicable

Comments

This indicator belongs to a suite of Cardiac Care quality indicators (CCQI) that provide pan-Canadian comparable information on outcomes related to selected cardiac interventions. The goal is to support monitoring and quality improvement in cardiac care.

More information on the CCQI Report is available on our Cardiac Care web page.