Statewide Initiative to Increase Intracoronary Imaging Optimization in PCI: A Report From the BMC2 Registry.

Document Type

Article

Publication Date

7-2025

Publication Title

Journal of the Society for Cardiovascular Angiography & Interventions

Abstract

BACKGROUND: This study assessed the temporal trend in intracoronary imaging (ICI)-guided percutaneous coronary intervention (PCI) concurrent with the implementation of a statewide quality improvement initiative to increase ICI use.

METHODS: The Blue Cross Blue Shield of Michigan Cardiovascular Consortium implemented a formal initiative to increase ICI use for PCI optimization in the state of Michigan between 2020 and 2023. The initiative included focused education for physicians, reporting of comparative institution-level ICI use, and tracking of ICI use as a performance metric. The primary measure of interest was the use of ICI to optimize PCI. A hierarchical Bayesian regression model was created to assess the increase in ICI use over time. The year in which a PCI was performed was included as a variable in the model to delineate the impact of time on the odds of ICI use.

RESULTS: Over the 5-year study period, a total of 140,739 PCIs were performed at 48 nonfederal hospitals in Michigan and represented the study population. A progressive and significant increase in ICI use to optimize PCI was observed from 7.3% in the first year to 44.0% in the fifth year of the study (

CONCLUSIONS: Concurrent with a statewide quality improvement initiative, a significant increase in ICI use to optimize PCI was observed among patients undergoing PCI in the state of Michigan.

Volume

4

Issue

7

First Page

103710

Last Page

103710

DOI

10.1016/j.jscai.2025.103710

ISSN

2772-9303

PubMed ID

40933111

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