Government Regulation and Percutaneous Coronary Intervention Volume, Access and Outcomes: Insights From the Washington State Cardiac Care Outcomes Assessment Program.
J Am Heart Assoc
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
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 (
Kataruka, Akash; Maynard, Charles C; Hira, Ravi S; Dean, Larry; Dardas, Todd; Gurm, Hitinder; Brown, Josiah; Ring, Michael; and Doll, Jacob A, "Government Regulation and Percutaneous Coronary Intervention Volume, Access and Outcomes: Insights From the Washington State Cardiac Care Outcomes Assessment Program." (2022). Articles, Abstracts, and Reports. 6547.