National Healthcare Quality & National Healthcare Disparities Reports: Measure Specification Appendix, 2013

Measure Title

Acute myocardial infarction patients who received percutaneous coronary intervention (PCI) within 90 minutes of hospital arrival
Acute myocardial infarction (AMI) patients who received fibrinolytic medication within 30 minutes of hospital arrival
 

Measure Title

Acute myocardial infarction patients who received percutaneous coronary intervention (PCI) within 90 minutes of hospital arrival

Measure Source

Centers for Medicare & Medicaid Services (CMS) Quality Improvement Organization (QIO) Hospital Inpatient Quality Reporting (HIQR) Program

Table Description

Geographic Representation

National, State

Years Available

State: 2005-2011

National: 2005-2011

Population Subgroups

Age, gender, race/ethnicity

Data Source

National and State

Centers for Medicare & Medicaid Services (CMS) Quality Improvement Organization (QIO) Clinical Data Warehouse (CDW) for Hospital Inpatient Quality Reporting (HIQR) Program

Denominator

Discharged hospital patients with a principal diagnosis of acute myocardial infarction and documented receipt of percutaneous transluminal angioplasty (PCTA) or stent placement during the hospital stay, excluding people under age 18, patients transferred from other acute care hospitals (including other emergency departments) and patients administered thrombolytic agents or who had a reason for delay documented by a physician, advanced practice nurse or physician assistant

Numerator

Subset of the denominator who received PCI (angioplasty or stent placement) within 90 minutes of arrival

Comments

Time is measured in minutes from arrival to receipt of PCTA in patients with ST segment elevation or left bundle branch block on the electrocardiogram performed closest to hospital arrival time.

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Measure Title

Acute myocardial infarction (AMI) patients who received fibrinolytic medication within 30 minutes of hospital arrival

Measure Source

Centers for Medicare & Medicaid Services (CMS) Quality Improvement Organization (QIO) for Hospital Inpatient Quality Reporting (HIQR) Program

Table Description

Geographic Representation

National, State

Years Available

State: 2005-2011

National: 2005-2011

Population Subgroups

Age, gender, race/ethnicity

Data Source

National and State

Centers for Medicare & Medicaid Services (CMS) Quality Improvement Organization (QIO) Clinical Data Warehouse (CDW) for Hospital Inpatient Quality Reporting (HIQR) Program

Denominator

Discharged hospital patients with a principal diagnosis of acute myocardial infarction and thrombolytic therapy documented during the hospital stay, excluding patients under age 18, patients transferred from another acute care hospital (including another emergency department) and patients who had a reason for delay documented by a physician, advanced practice nurse or physician assistant

Numerator

Subset of the denominator who received thrombolytic therapy within 30 minutes of arrival

Comments

Time is measured in minutes from arrival to initiation of a thrombolytic agent in patients with ST segment elevation or left bundle branch block on the electrocardiogram performed closest to hospital arrival time.

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