Government Regulation and Percutaneous Coronary Intervention Volume, Access and Outcomes: Insights From the Washington State Cardiac Care Outcomes Assessment Program.
Publication Title
J Am Heart Assoc
Document Type
Article
Publication Date
9-6-2022
Keywords
washington; spokane; pshmc; certificate of need; health policy; percutaneous coronary intervention; regulation; Government Regulation; Humans; Myocardial Infarction; Outcome Assessment, Health Care; Percutaneous Coronary Intervention; Retrospective Studies; Treatment Outcome; Washington
Abstract
Background It is unclear how to geographically distribute percutaneous coronary intervention (PCI) programs to optimize patient outcomes. The Washington State Certificate of Need program seeks to balance hospital volume and patient access through regulation of elective PCI. Methods and Results We performed a retrospective cohort study of all non-Veterans Affairs hospitals with PCI programs in Washington State from 2009 to 2018. Hospitals were classified as having (1) full PCI services and surgical backup (
Clinical Institute
Cardiovascular (Heart)
Specialty/Research Institute
Cardiology
