I was watching CQM-7351 and this was the solution "The measure captures three potential numerators for patients that arrive to the ED with a STEMI diagnoses: PCI procedure within 90 minutes, fibrinolytic therapy in 45 minutes, or discharge to PCI-capable facility within 45 minutes. In the scenario that you outlined, patients are first discharged from the ED into inpatient care, and then receive the PCI. Discharging the patient from the ED to an acute setting within 45 minutes can count towards the numerator as one of the three possible numerator outcomes. In this numerator, a patient will need a disposition plan from the ED and may go on to an acute setting (either on-site or at another setting) to receive further diagnostic or treatment services. In addition, we want to clarify that this measure is specific to the hospital outpatient/ED setting and is not intended to capture inpatients STEMIs."

After reading that, I just want to clarify: If a patient were to be admitted to inpatient at the same facility as the ED they were seen at within 45 minutes, they would be part of the numerator even if no intervention for the STEMI was actually done besides the transfer?

Because our facility mostly does PCI in the ED and then transfers to inpatient, but occasionally they are just admitted to inpatient and started on a heparin drip and have the PCI done the next day. For those patients, because they were admitted within the 45 minutes, they would fall into the numerator based off the previously mentioned solution.