AACVPR indicates American Association of Cardiovascular and Pulmonary Rehabilitation; ACC, American College of Cardiology; ACR, American College of Radiology; AHA, American Heart Association; AMA-PCPI, American Medical Association Physician Consortium for Performance Improvement; CV, Cardiovascular; DCRI, Duke Clinical Research Institute; DSMB, Data Safety Monitoring Board; NCDR, National Cardiovascular Data Registry; NCQA, National Committee for Quality Assurance; NHLBI, National Heart, Lung, and Blood Institute; SCAI, Society for Cardiovascular Angiography and Interventions. JACC Vol. 63, No. 7, 2014 Nallamothu et al. February 25, 2014:722 45 ACC/AHA/SCAI/AMA-PCPI/NCQA Appendix C. ACC/AHA/SCAI/AMA-PCPI/NCQA 2013 Percutaneous Coronary Interventions Performance Measures: Summary Analysis Table Completely Ful lls Attribute* Partially Ful lls or Does Not Ful ll Attribute* Summary Commentsx Measures included in the performance measure set Comprehensive Documentation of PCIy 1,2,3,4 Appropriate Indication for Elective PCIz 1,2,3b,4 3a Lack of existing data on use in test populations makes it dif cult to know whether the current measure accurately captures appropriateness (as opposed to encouraging gaming) or whether it will lead to unintended consequences by punishing providers. Assessment of Candidacy for Dual-Antiplatelet Therapyy 1,2,4 3 ACCF National Cardiovascular Data Registry CathPCI Registry is unable to measure this. It will require additional chart documentation and abstraction. Use of Embolic Protection Devices in the Treatment of Saphenous Vein Bypass Graft Diseasez 2,3b,4 1b, 3a The guideline Class of Recommendation is 1, and Level of Evidence is only B. Documentation of Preprocedural Glomerular Filtration Rate and Contrast Dose Used During the Procedurez 2,3,4 1 There are few potential unintended consequences, given that there are no thresholds speci ed in this measure. However, evidence indicates that doses are inconsistently documented. Therefore, 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. 