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SCAI Position Statement on the Performance of PCI in Ambulatory Surgical Centers

Position Statement Cath Lab Administration Quality

The Centers for Medicare & Medicaid Services (CMS) began reimbursement for percutaneous coronary intervention (PCI) performed in ambulatory surgical centers (ASC) in January 2020. In appropriately selected patients for outpatient PCI, clinical outcomes for same day discharge or routine overnight observation are comparable without any difference in short‐term or long‐term adverse events. Furthermore, there is potential for lower cost of care without a compromise in clinical outcomes. This position paper aims to provide guidance for starting a PCI program in an ASC with an emphasis on quality standards, regulatory requirements, and standards for the facility, staff and physicians.

Patient pathway for ambulatory surgical center PCI

All authors: Lyndon C. Box MD, FSCAI; James C. Blankenship MD, MSc, MSCAI; Timothy D. Henry MD, MSCAI; John C. Messenger MD, FSCAI; Joaquin E. Cigarroa MD, FSCAI; Issam D. Moussa MD, MBA, FSCAI; Richard W. Snyder MD; Peter L. Duffy MD, MMM, FSCAI; Jeffrey G. Carr MD, FSCAI; Deepali N. Tukaye MD, PhD, FSCAI; Lawrence Ang MD, FSCAI; Binita Shah MD, FSCAI; Sunil V. Rao MD, FSCAI; and Ehtisham Mahmud MD, MSCAI.

Other Guidance Documents

Evidence-based recommendations that promote optimal patient care based on current state-of-the-art science in interventional cardiology.