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New York State Department of Health December 2010 - page 18 / 62

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2006-2008 HOSPITAL AND CARDIOLOgIST DATA FOR PCI

Table 3 provides the number of PCIs, number of PCI patients who died in the hospital or after discharge but within 30 days, OMR, EMR, RAMR and the 95 percent confidence interval for the RAMR for 2006-2008 for cardiologists in each of the 54 hospitals performing PCI during the time period and for each of the hospitals. Table 3 also contains the volume and RAMR for cardiologists and hospitals for non-emergency cases.

  • is information is presented for each cardiologist who (a) performed 200 or more PCIs during 2006-2008, and/or (b)

performed at least one PCI in each of the years 2006-2008. e results for cardiologists not meeting the above criteria are grouped together and reported as “All Others” in the hospital in which the procedures were performed. Cardiologists who met criterion (a) or (b) above and performed procedures in more than one hospital are noted in the table and are listed in all hospitals in which they performed procedures during 2006-2008.

Also, cardiologists who met criterion (a) or (b) above and have performed PCI in two or more NYS hospitals are listed separately in Table 4. For these cardiologists, the table presents the number of PCIs, the number of in-hospital/30-day deaths, OMR, EMR and RAMR with its 95 percent confidence interval for each hospital in which the cardiologist performed PCI, as well as the aggregate numbers (across all hospitals in which the cardiologist performed procedures). In addition, cardiologists and hospitals with RAMRs that are significantly lower or higher than the statewide mortality rate (as judged by a 95 percent confidence interval) are noted in Tables 3 and 4.

It should be noted that myocardial infarction (MI) less than 24 hours before the procedure and hemodynamic instability are significant risk factors in the All Cases model. However, patients with these conditions are excluded from the non-emergency analysis. e outcomes models for the two groups can, therefore, yield substantially different RAMRs. It is important to compare providers’ RAMRs to the statewide average mortality rate for the specific group of patients analyzed.

##Brady S

561

3

0.53

0.71

0.69

(0.14, 2.03)

476

0.31

##Delago A

1312

7

0.53

0.60

0.82

(0.33, 1.70)

1190

0.71

##Esper D

171

2

1.17

1.00

1.09

(0.12, 3.92)

128

0.00

##Hogan R

143

0

0.00

0.36

0.00

(0.00, 6.58)

140

0.00

Houghton J

397

4

1.01

0.75

1.23

(0.33, 3.16)

328

1.42

#Macina A

97

1

1.03

2.00

0.48

(0.01, 2.65)

46

0.00

##Papaleo R

368

3

0.82

0.55

1.37

(0.28, 4.00)

332

0.00

#Papandrea L

32

1

3.13

1.69

1.71

(0.02, 9.49)

12

5.85

All Others

60

1

1.67

0.79

1.95

(0.03, 10.84)

52

2.30

TOTAL

3141

22

0.70

0.70

0.92

(0.58, 1.40)

2704

0.65

276

2

0.72

0.85

0.79

(0.09, 2.85)

5

0

0.00

0.36

0.00

(0.00, 100.0)

106

2

1.89

1.04

1.68

(0.19, 6.05)

5

1

20.00

4.53

4.08

(0.05, 22.70)

166

1

0.60

0.86

0.65

(0.01, 3.62)

16

0

0.00

0.66

0.00

(0.00, 32.29)

9

0

0.00

0.50

0.00

(0.00, 74.98)

422

3

0.71

1.32

0.50

(0.10, 1.45)

6

1

16.67

1.34

11.49

(0.15, 63.91)

1011

10

0.99

1.08

0.85

(0.41, 1.56)

196

0.74

4

0.00

78

3.31

2

0.00

117

0.00

14

0.00

8

0.00

278

0.00

4

0.00

701

0.56

Albany Medical Center Hospital

NON-EMERGENCY Cases RAMR

144853 0.63

Arnot-Ogden Medical Center ##Amin N #Clark V ##Grella R #Kodali S #Laifer L #McNulty P #Menzies D Winer H All Others TOTAL

12

Table 3 Cardiologist In-Hospital/30-Day Observed, Expected and Risk-Adjusted Mortality Rates for PCI in New York State, 2006 - 2008 Discharges

Statewide Total

Cases

Deaths

164792

1523

OMR

0.92

95% CI for RAMR

ALL CASES EMR

RAMR

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