Not a candidate for cardiac cath

XMLWordPrintable

    • Type: Hosp Outpt eCQMs - Hospital Outpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Redelia Raboca
    • 3058770160
    • South Miami Hospital
    • Hide
      Thank you for your inquiry regarding the Appropriate Treatment for ST-Segment Elevation Myocardial Infarction (STEMI) Patients in the Emergency Department (ED) measure. Your inquiry intends to determine whether patients who received a catheterization prior to arriving at the ED with a STEMI diagnosis are excluded from the measure. In addition, your inquiry notes that the patient was potentially diagnosed with atrial fibrillation with rapid ventricular response (RVR) prior to the ED arrival.

      The measure does exclude patients who underwent a major surgery prior to the ED visit, including several procedures related to atrial fibrillation that use catheterization, such as cardiac ablation for atrial fibrillation. The full list of procedures that map to the “Major Surgery” value set can be found here: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.3157.4056/
      Show
      Thank you for your inquiry regarding the Appropriate Treatment for ST-Segment Elevation Myocardial Infarction (STEMI) Patients in the Emergency Department (ED) measure. Your inquiry intends to determine whether patients who received a catheterization prior to arriving at the ED with a STEMI diagnosis are excluded from the measure. In addition, your inquiry notes that the patient was potentially diagnosed with atrial fibrillation with rapid ventricular response (RVR) prior to the ED arrival. The measure does exclude patients who underwent a major surgery prior to the ED visit, including several procedures related to atrial fibrillation that use catheterization, such as cardiac ablation for atrial fibrillation. The full list of procedures that map to the “Major Surgery” value set can be found here: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.3157.4056/
    • CMS0996v4
    • Not a candidate for cardiac catheterization lowers our Performance Score for eSTEMI.

      For a patient who "had recent catheterization (3 days pta), with findings of multivessel disease and worsened afib with RVR now suspect that symptoms are related to afib w RVR, defer emergent repeat cath at this time". The patient was determined not a candidate for cardiac cath. Will this not count as an exclusion? (Even if not in the list of exclusions). 

            Assignee:
            Augustine Weber
            Reporter:
            Redelia Raboca (Inactive)
            Votes:
            0 Vote for this issue
            Watchers:
            5 Start watching this issue

              Created:
              Updated:
              Resolved:
              Solution Posted On: