Percentage-urgent-PCI-completed - Health Quality Ontario (HQO)

INDICATOR NAME

Name

Percentage of urgent percutaneous coronary interventions (PCI) completed within the target time

Alternate Name

Percentage of urgent percutaneous coronary interventions (PCI) completed within access target

INDICATOR DESCRIPTION

Description

This indicator measures the percentage of patients that require urgent percutaneous coronary interventions (PCI) and receive it within the recommended maximum wait time target. Wait times were calculated from the day the patient and doctor decided to go ahead with the procedure, to the day it was performed. A higher percentage is better.

Indicator Status

Active

HQO Reporting tool/product

Public reporting

Dimension

Timely

Type

Process

DEFINITION AND SOURCE INFORMATION

Unit of Measurement

Percentage

Calculation Methods

The percentage is calculated as: numerator divided by the denominator times 100

Numerator including inclusion/exclusion

Number of urgent (P2) PCI completed within recommended maximum wait time

Denominator including inclusion/exclusion

All adult urgent PCI that are done within Ontario's 18 advanced cardiac service hospitals.

Inclusions:

1. Static (month-end) Data.

2. Must be onlisted and offlisted as that procedure : Onlisted and offlisted refers to being put on the waiting list. Once a patient sees a specialist (cardiologist, cardiac surgeon) and that physician accepts the patient for a procedure (CATH, PCI, CABG) they are "onlisted" to the wait list. Once the patient receives their treatment and the procedure is over the patient is "offlisted" from the wait list (because the treatment is done).

3. Ontario patients with valid OHIP.

4. Takes into account up to one DART* per patient. If a patient has two DARTs, the second one will not be counted. *DART stands for Dates Affecting Readiness to Treat. It means that a wait list clock is paused because the patient asked the physician to pause it.

Exclusions:

1. Patients who die before they receive their procedures

Adjustment (risk, age/sex standardization)- detailed

None

Data Source

Wait Time Information System (WTIS)

Data provided to HQO by

Cardiac Care Network (CCN)

Reported Levels of comparability /stratifications (defined)

Region, Time

OTHER RELEVANT INFORMATION

Caveats and Limitations

Patients who are scheduled for a diagnostic cardiac catheterization but proceed to have a PCI are not included in the PCI wait times. Data cannot be reported by Local Health Integration Network (LHIN) region because cardiac centres are not distributed across all LHINs.