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Research Letter
May 20, 2019

Centers of Excellence Designations, Clinical Outcomes, and Characteristics of Hospitals Performing Percutaneous Coronary Interventions

Author Affiliations
  • 1Division of Cardiovascular Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia
  • 2Penn Cardiovascular Outcomes, Quality, & Evaluative Research Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia
  • 3The Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia
  • 4Division of General Internal Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia
  • 5Center for Health Equity Research and Promotion, Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania
JAMA Intern Med. 2019;179(8):1138-1140. doi:10.1001/jamainternmed.2019.0567

The designation of centers of excellence (COE) hospitals has been proposed as a way of constructing networks that deliver high-quality care and is already affecting physician and hospital choice for some patients.1 Previous studies of COE programs have been limited to surgical procedures and have had mixed results.2 We analyzed the association between patient outcomes and characteristics of hospitals performing percutaneous interventions (PCIs) in New York State (NYS) and COE programs by 3 commercial payers: Institutes of Quality for cardiac medical interventions by Aetna Inc, Centers of Excellence for cardiac catheterization and angioplasty by Cigna, and Blue Distinction Centers for cardiac care by Blue Cross Blue Shield (BCBS).

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