Public Reporting of PCI and Valves Moves Along (SB 830)

James MacMillan attended a hearing in Sacramento last week at which Senate Bill 830 was presented and discussed.  Dr. MacMillan submitted a letter of support and made a presentation to the committee hearing.  He described the changes that have occurred in cardiovascular procedures since the beginning of public reporting of CABG more than ten years ago.  The incidence of CABG has decreased, and there are now 4 times more PCI’s than CABG procedures performed in California.  Heart Valve procedures have increased relative to CABG, now representing more that half of the cardiac surgeres performed at most hospitals.  Outcomes for CABG and valve surgery have improved, and recent data shows that PCI accounts for more deaths and complications than cardiac surgery.  His presentation was well received and there appears to be little opposition to the expansion of public reporting.

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