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<h1 class="page__title title" id="page-title">National Healthcare Quality & National Healthcare Disparities Reports: Measure Specification Appendix, 2013</h1>
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<div class="field field-name-field-subtitle field-type-text field-label-hidden"><div class="field-items"><div class="field-item even">Timeliness: Waiting Time</div></div></div><div class="field field-name-ahrq-generic-body field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even"><p><a id="top" name="top"> </a></p>
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<h3>Measure Title</h3>
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<p><a href="#wtime1">Acute myocardial infarction patients who received percutaneous coronary intervention (PCI) within 90 minutes of hospital arrival</a><br />
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<a href="#wtime2">Acute myocardial infarction (AMI) patients who received fibrinolytic medication within 30 minutes of hospital arrival</a><br />
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</p>
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<hr />
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<p><a id="wtime1" name="wtime1"> </a></p>
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<h3>Measure Title</h3>
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<p>Acute myocardial infarction patients who received percutaneous coronary intervention (PCI) within 90 minutes of hospital arrival</p>
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<h3>Measure Source</h3>
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<p>Centers for Medicare & Medicaid Services (CMS) Quality Improvement Organization (QIO) Hospital Inpatient Quality Reporting (HIQR) Program</p>
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<h3>Table Description</h3>
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<h4>Geographic Representation</h4>
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<p>National, State</p>
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<h4>Years Available</h4>
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<p>State: 2005-2011</p>
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<p>National: 2005-2011</p>
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<h4>Population Subgroups</h4>
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<p>Age, gender, race/ethnicity</p>
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<h3>Data Source</h3>
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<h4>National and State</h4>
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<p>Centers for Medicare & Medicaid Services (CMS) Quality Improvement Organization (QIO) Clinical Data Warehouse (CDW) for Hospital Inpatient Quality Reporting (HIQR) Program</p>
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<h3>Denominator</h3>
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<p>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</p>
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<h3>Numerator</h3>
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<p>Subset of the denominator who received PCI (angioplasty or stent placement) within 90 minutes of arrival</p>
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<h3>Comments</h3>
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<p>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.</p>
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<p class="size2"><a href="#top">Top of Page</a></p>
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<hr />
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<p><a id="wtime2" name="wtime2"> </a></p>
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<h3>Measure Title</h3>
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<p>Acute myocardial infarction (AMI) patients who received fibrinolytic medication within 30 minutes of hospital arrival</p>
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<h3>Measure Source</h3>
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<p>Centers for Medicare & Medicaid Services (CMS) Quality Improvement Organization (QIO) for Hospital Inpatient Quality Reporting (HIQR) Program</p>
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<h3>Table Description</h3>
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<h4>Geographic Representation</h4>
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<p>National, State</p>
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<h4>Years Available</h4>
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<p>State: 2005-2011</p>
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<p>National: 2005-2011</p>
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<h4>Population Subgroups</h4>
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<p>Age, gender, race/ethnicity</p>
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<h3>Data Source</h3>
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<h4>National and State</h4>
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<p>Centers for Medicare & Medicaid Services (CMS) Quality Improvement Organization (QIO) Clinical Data Warehouse (CDW) for Hospital Inpatient Quality Reporting (HIQR) Program</p>
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<h3>Denominator</h3>
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<p>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</p>
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<h3>Numerator</h3>
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<p>Subset of the denominator who received thrombolytic therapy within 30 minutes of arrival</p>
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<h3>Comments</h3>
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<p>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.</p>
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<p class="size2"><a href="#top">Top of Page</a></p>
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<p class="size2"><a href="/research/findings/nhqrdr/nhqrdr13/measurespec/index.html">Return to Contents</a><br />
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<a href="/research/findings/nhqrdr/nhqrdr13/measurespec/pt_centeredness-expcare.html">Proceed to Next Section</a></p>
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</div></div></div><div class="field field-name-field-last-reviewed field-type-datestamp field-label-hidden">
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Page last reviewed <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2014-07-01T00:00:00-04:00">July 2014</span> <br />Page originally created July 2014 </div>
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Internet Citation: National Healthcare Quality & National Healthcare Disparities Reports: Measure Specification Appendix, 2013. Content last reviewed July 2014. Agency for Healthcare Research and Quality, Rockville, MD. https://www.ahrq.gov/research/findings/nhqrdr/nhqrdr13/measurespec/timeliness-waiting.html<div class="citation-flag"></div>
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