Adult cardiac catheterization service performance measures

(A)

Each adult cardiac catheterization service should maintain a volume of cardiac catheterization procedures sufficient to ensure the safety and quality of procedures performed at the service and individual cardiologist proficiency.

(B)

No minimum cardiologist volume is recommended, however, the combination of high mortality and low volume will trigger a thorough internal review of an individual physician by the adult cardiac catheterization service.

(C)

Volume may be considered by the director in conjunction with other indicators of quality and not as the sole indicator of service performance. An adult cardiac catheterization service with significant rates of in hospital complications, emergent transfers, or mortality may be subject to an independent third party review, including individual case review, by a third party approved by the director. The service will be responsible for: