3701-84-34 Patient selection/utilization.

(A) The provider of a cardiac catheterization service shall have established criteria for patient selection and appropriateness that are specific to each procedure performed in the service.

(B) Criteria for elective cardiac catheterization procedures shall be distinguished clearly from criteria for emergency cardiac catheterization procedures and for procedures associated with the care of patients who have acute or evolving myocardial infarctions.

(C) All patient selection and appropriateness criteria required in paragraph (A) of this rule shall be consistent with the 2001 American college of cardiology/society for cardiac angiography and interventions clinical expert consensus document on cardiac catheterization laboratory standards and the 2011 American college of cardiology/American heart association/society for cardiovascular angiography and interventions guideline update for percutaneous coronary intervention regarding indications for outpatient (ambulatory) cardiac catheterization, indications for coronary angiography and indications for percutaneous coronary interventions. The 2001 clinical expert consensus document on cardiac catheterization laboratory standards is available at www.cardiosource.org and www.scai.org. The 2011 guideline update for percutaneous coronary intervention is available at www.cardiosource.org.

(D) The provider of a cardiac catheterization service should meet the following volume goals, per year, by the second full year of operation:

(1) For each catheterization service, three hundred procedures;

(2) For each catheterization service in which percutaneous coronary interventions are performed, at least two hundred of these procedures.

(E) Volume goals shall be considered by the director in conjunction with other indicators of quality and not as the sole indicator of service performance.

(F) Failure to meet a volume goal for two consecutive years will trigger an extended review of the cardiac catheterization service by the director, including possible inspections.

(G) The provider of a cardiac catheterization service shall have explicit criteria indicating the number of times each year an appropriately privileged physician shall perform each catheterization procedure in order to retain privileges to perform that procedure. These criteria shall be consistent with current recommendations of recognized professional societies and accrediting bodies.

Effective: 06/21/2012
R.C. 119.032 review dates: 04/05/2012 and 05/01/2017
Promulgated Under: 119.03
Statutory Authority: 3702.11 , 3702.13
Rule Amplifies: 3702.11 , 3702.12 , 3702.13 , 3702.14 , 3702.141 , 3702.15 , 3702.16 , 3702.18 , 3702.19 , 3702.20
Prior Effective Dates: 3/20/1997, 3/24/03, 5/15/08