Key result
Multidisciplinary PCI pathway redesign increases same-day discharge to ~63% with zero 30-day readmissions.
Why the study?
Same day discharge rates following outpatient PCI at the University of Virginia Medical Center were significantly lower compared with national benchmarks despite evidence supporting safety and benefits of SDD.
Does a structured, multidisciplinary redesign of the outpatient PCI care pathway increase same day discharge utilization while maintaining safety in patients undergoing outpatient percutaneous coronary intervention?
Does a structured, multidisciplinary redesign of the outpatient PCI care pathway increase same day discharge utilization while maintaining safety in patients undergoing outpatient percutaneous coronary intervention?
A structured, multidisciplinary redesign of the outpatient PCI care pathway safely increased same day discharge rates from 35%-40% to over 70% with zero 30-day readmissions or mortalities, despite a nearly 60% increase in procedural volume.
Answers are grounded in this paper and cite their sources.
May safely increase same-day discharge after outpatient PCI via multidisciplinary redesign; leaves open generalizability beyond this single-center experience.
BACKGROUND: Same day discharge (SDD) after outpatient percutaneous coronary intervention (PCI) has been shown to be safe in appropriately selected patients and can improve patient experience while reducing health care costs. PROJECT RATIONALE: Despite this evidence, at the University of Virginia Medical Center, SDD rates following outpatient PCI were significantly lower compared with national benchmarks derived from Biome Analytics peer teaching hospital data. PROJECT SUMMARY: A multidisciplinary team was developed to improve SDD following outpatient PCI while maintaining high-quality outcomes. The team implemented targeted interventions to address discharge barriers throughout the procedural process. Following implementation, SDD rates increased, reaching a performance best of 75%. One safety issue occurred with a patient who did not follow instructions. No additional safety concerns were identified. TAKE-HOME MESSAGE: A structured, multidisciplinary design of the outpatient PCI care pathway can safely and significantly increase SDD utilization, even in the setting of rising procedural volumes.
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Cherrix et al. (2026) studied Outpatient percutaneous coronary intervention (PCI). Multidisciplinary same-day discharge (SDD) quality improvement care pathway redesign vs. Pre-intervention baseline standard care (calendar year 2023) was evaluated on Same day discharge (SDD) rate following outpatient PCI. Multidisciplinary outpatient PCI pathway redesign increased same-day discharge rates from 35%-40% at baseline to a 4-quarter average of 62.6% with zero 30-day readmissions.
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