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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.
 
TAGS
Sector
Acute Care/Hospital
Type
Process
Topic
Access, Wait Times
Dimension
Timely
Source
Wait Time Information System (WTIS)
 
PUBLISH
Publish Datetime
13/10/2016 16:36:00