3701-84-34 Patient selection/utilization.

 

 

 

3701-84-34                  Patient selection/utilization.

 

 

 

(A)   The provider of a cardiac catheterization service shall have established criteria for patient selection and appropriateness that are specific to each procedure performed in the service.

 

(B)   Criteria for elective cardiac catheterization procedures shall be distinguished clearly from criteria for emergency cardiac catheterization procedures and for procedures associated with the care of patients who have acute or evolving myocardial infarctions.

 

(C)    All patient selection and appropriateness criteria required in paragraph (A) of this rule shall be consistent with currentthe 2001 American Collegecollege of Cardiologycardiology / American heart associationsociety for cardiac angiography and interventions clinical expert consensus document on cardiac catheterization laboratory standards and the 2005 American college of cardiology/American heart association/society for cardiovascular angiography and interventions guidelinesguideline update for percutaneous coronary intervention regarding indications for outpatient (ambulatory) cardiac catheterization, indications for coronary angiography and indications for percutaneous coronary interventions., set forth in appendix A of this rule. The 2001 clinical expert consensus document on cardiac catheterization laboratory standards is available at www.acc.org and www.scai.org. The 2005 guideline update for percutaneous coronary intervention is available                                       at

http://www.acc.org/qualityandscience/clinical/guidelines/percutaneous/update/index.pdf.

 

(D)   The provider of a cardiac catheterization service should meet the following volume goals, per year, by the second full year of operation:

 

(1)  For each catheterization service - , three hundred procedures;

 

(2)   For each catheterization service in which percutaneous coronary interventions are performed - , at least two hundred of these procedures.

 

(E)   Volume goals shall be considered by the director in conjunction with outcome data and other indicators of quality and not as the sole indicator of service performance.

 

(F)    Failure to meet a volume goal for two consecutive years will trigger an extended review of the cardiac catheterization service by the director, including possible inspections. and audits. In determining whether a cardiac catheterization service's outcome data is unsatisfactory and/or volume goals have not been met, the director may not take into consideration that low volume of procedures has created poor outcome percentages.

 

 

 

(G)   The provider of a cardiac catheterization service shall have explicit criteria indicating the number of times each year an appropriately privileged physician shall perform each catheterization procedure in order to retain privileges to perform that procedure. These criteria shall be consistent with current recommendations of recognized professional societies and accrediting bodies.

Effective:   R.C. 119.032 review dates:	05/15/2008   02/29/2008 and 03/01/2013
CERTIFIED ELECTRONICALLY
Certification
05/05/2008
Date
Promulgated Under:	119.03
Statutory Authority:	3702.11, 3702.13
Rule Amplifies:	3702.11, 3702.12, 3702.13, 3702.14, 3702.141,
	3702.15, 3702.16, 3702.18, 3702.19, 3702.20
Prior Effective Dates:	3/20/1997, 3/24/03