LAUSR

The public reporting of institutional and individual operator results of percutaneous coronary interventions (PCIs) is intended to provide meaningful information to the public and enhance the delivery of superlative health care. By giving consumers specific outcome data [1], patients will be empowered to participate more fully in decisions concerning their medical care. The influence that public reports wield could increase if publicly reported information proves to be an accurate representation of “value” in health care delivery, and if third-party payers use this information to allocate reimbursement in a value-based system [2]. Despite these well-intended goals, there is uncertainty whether existing programs correctly identify highand low-performing PCI centers and operators. Moreover, there is emerging evidence that public reporting can deleteriously influence case selection by encouraging risk avoidance behaviors. Thus, potentially beneficial procedures might be withheld from high-risk patients who can derive the greatest benefit, because operators and facilities fear being labeled as outliers [3–8]. This position statement updates the prior Society for Cardiac Angiography and Interventions (SCAI) Policy on Public Reporting [1]. SCAI continues to endorse public reporting, provided the reports are not misleading, deliver meaningful information to consumers to help inform their choices, and facilitate quality improvement. Offering the public accurate and understandable metrics, including measures to assess the appropriateness of case selection, are essential to achieve this aim.