Indicator Metadata

PCI Volume by Province and Centre

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

Place of service

Number - Total number

None

Not applicable

Description:
Total number of PCI procedures performed in a fiscal year
Inclusions:
1. PCI intervention codes (CCI code: 1.IJ.50.^^, 1.IJ.57.GT, or 1.IJ.57.GU), 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

Description:
Not applicable

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

Volumes above 400 are desirable.

Health System Outputs: Appropriate and effective

Getting Better

Not applicable

1. Government of Canada. Heart Disease in Canada. Accessed February 22, 2019.

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.

DAD, NACRS

Type of Year:
Fiscal
First Available Year:
2013
Last Available Year:
2018

All provinces/territories except Quebec

National, Province/Territory, Facility

Every year

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

Please refer to the CCQI General Methodology Notes.

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

Not applicable

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.