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New York State Department of Health December 2010 - page 7 / 62

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MESSAgE FROM COMMISSIONER DAINES

December 2010

I am pleased to provide the information contained in this booklet for use by health care providers, patients and families of patients who are considering treatment options for cardiovascular disease. e report provides data on risk factors associated with in-hospital/30-day mortality following percutaneous coronary intervention (PCI, also known as angioplasty) and lists hospital and physician-specific mortality rates. e analyses use a risk-adjustment process to account for pre-existing differences in patients’ health statuses. is report includes information on mortality occurring in the same hospitalization as PCI and that which occurs outside the hospital but within 30 days following PCI. We believe this to be an important quality indicator that will provide useful information to patients and providers.

  • e Percutaneous Coronary Interventions Reporting System (the data set upon which these analyses are based) represents

the largest collection of data available in which all patients undergoing PCI have been reported. Hospitals and doctors involved in cardiac care have worked cooperatively with the New York State Department of Health and the New York State Cardiac Advisory Committee to compile accurate and meaningful data that can and have been used to enhance quality of care.

As they develop treatment plans, I encourage doctors to discuss this information with their patients and colleagues. While these statistics are an important tool in making informed health care choices, doctors and patients must make individual treatment plans together after careful consideration of all pertinent factors. It is also important to keep in mind that the information in this booklet does not include data after 2008. Important changes may have taken place in some hospitals since that time.

I would also ask that patients and physicians alike give careful consideration to the importance of healthy lifestyles for all those affected by heart disease. Controllable risk factors that contribute to a higher likelihood of developing coronary artery disease are high cholesterol levels, cigarette smoking, high blood pressure, obesity and lack of exercise. Limiting these risk factors will contribute to improved health for patients undergoing PCI and will help to minimize the development of new blockages in the coronary arteries.

I extend my appreciation to the providers in this State and to the Cardiac Advisory Committee for their efforts in developing and refining this remarkable system. e Department of Health will continue to work in partnership with hospitals and physicians to ensure high quality of care for patients with heart disease. We look forward to providing reports such as this and the Adult Cardiac Surgery Report on an annual basis. I applaud the continued high quality of care available from our New York State health care providers.

Richard F. Daines, M.D. Commissioner of Health

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