We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editorial |

Public Reporting of PCI Outcomes and Quality of Care One Step Forward and New Questions Raised

Mauro Moscucci, MD, MBA
JAMA. 2012;308(14):1478-1479. doi:10.1001/jama.2012.13389.
Text Size: A A A
Published online


In 1987, Medicare for the first time released mortality statistics for coronary artery bypass graft (CABG) surgery and the following year released mortality statistics for percutaneous coronary intervention (PCI). At the same time, New York State began collecting mortality data for CABG by hospital and individual surgeon. The New York State mortality statistics were published in a landmark article in the December 18, 1991, issue of Newsday. After initial refusal by New York State to release those statistics, the Supreme Court ordered the state, under the Freedom of Information Act, to release the data to Newsday, marking the first time that mortality data by hospital and by surgeon were published in a newspaper. In that same year, a report from the Northern New England Cardiovascular study group and a report from Pennsylvania were published in JAMA.1,2 Both reports showed that differences in mortality for CABG surgery across institutions could not be explained just by disease severity and comorbid conditions. The reports stimulated a vivid debate, which provided a starting point for what followed over the next 2 decades. Since then, public reporting of quality data and outcomes data has become a mainstay of contemporary health care delivery.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

6 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles

Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice, 3rd ed