ACC/AHA/SCAI/AMA-Convened PCPI/NCQA 2013 performance measures for adults undergoing percutaneous coronary intervention: a report of the American College of Cardiology/American Heart Association Task Force on Performance Measures, the Society for Cardiovascular Angiography and Interventions, the American Medical Association-Convened Physician Consortium for Performance Improvement, and the National Committee for Quality Assurance

[...]the initial goal of measure 1 (comprehensive documentation of indications for PCI) and measure 2 (appropriate indication for elective PCI) is to ensure that adequate information for assessing the indication for revascularization procedures is captured and reported, so that continued evaluation and feedback to improve both the AUC ratings and clinical care can occur.4.1.2 Patient Education/Shared Decision-Making Measures Although the aforementioned factors highlight the difficulty of determining when PCI is clinically indicated, reaching a high-quality decision goes beyond meeting the AUC. [...]it was recognized that rigorous, standardized anginal class assessment (e.g., the Seattle Angina Questionnaire), though standard in clinical trials, is not typically performed in the clinical setting, and that more common systems, like the Canadian Classification System, have poor reliability and are too subjective. [...]evidence indicates that doses are inconsistently documented. [...]although this measure is expected to have limited impact because it requires only documentation, it is an intermediate step to a more meaningful performance measure.Radiation Dose Documented‡2,3,41There are few potential unintended consequences given that there are no thresholds specified in this measure. [...]evidence indicates that doses are inconsistently documented. [...]although this measure is expected to have limited impact because it requires only documentation, it is an intermediate step to a more meaningful performance measure.Postprocedural Optimal Medical Therapy Composite†1,2,3,4Registry data are currently limited, making it unfeasible to capture specific medical, patient, or system exceptions.Cardiac Rehabilitation Patient Referral†1,2,3,4Regional or National PCI Registry Participation†2,3,41The guideline Class of Recommendation is 1, but Level of Evidence is only C.Annual Operator PCI Volume‡2,3b1,3a,4