To help understand how public reporting might influence clinicians to avoid the highest-risk cases, we propose a framework of relative risks and benefits and overall clinical acuity. In (Figure 2), the incremental health benefit for a patient undergoing PCI is plotted along the horizontal axis, and the risk of the procedure, here considered to be the likelihood of survival to discharge after the procedure, is plotted along the vertical axis. As shown in (Figure 2), the framework can be divided into 4 quadrants based on the procedural risk (likelihood of survival) and benefit (incremental health benefit to the patient). Shown in green in (Figure 2) is the low risk, high benefit (upper right) quadrant, in which, even in the face of public reporting, there should be minimal disincentive for physicians to perform the procedure. An example of such a case may be an otherwise healthy patient presenting with a non–STEMI, in which case there is substantial health benefit from PCI, and the risk of the procedure is quite low. Conversely, there are some patients in whom the risk is high and the benefit is low, shown in red as the lower left quadrant in (Figure 2). Such a case might include a patient presenting with sepsis complicated by a non–STEMI. The upper left and lower right quadrants have less certain tradeoffs in terms of risk and benefit and are represented in yellow.