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).
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Khatana SAM, Nathan AS, Dayoub EJ, Giri J, Groeneveld PW. Centers of Excellence Designations, Clinical Outcomes, and Characteristics of Hospitals Performing Percutaneous Coronary Interventions. JAMA Intern Med. Published online May 20, 2019179(8):1138–1140. doi:10.1001/jamainternmed.2019.0567
Browse and subscribe to JAMA Network podcasts!
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: