OP STEMI transfer to acute care setting

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
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      Thank you for your inquiry regarding CMS996v4: Appropriate Treatment for ST-Segment Elevation Myocardial Infarction (STEMI) Patients in the Emergency Department (ED). One of the measure’s numerator criteria is emergency department encounters with a diagnosis of STEMI where a “patient is transferred within 45 minutes of ED arrival”. To meet this numerator criteria, the discharge disposition needs to be documented as "Discharge To Acute Care Facility”. The measure calculation does not use the physical location of the patient. For more information, you can refer to the data element description in the Electronic Clinical Quality Improvement (eCQI) Resource Center: https://ecqi.healthit.gov/mcw/2025/ecqm-dataelement/dischargedispositiondischargetoacutecarefacility.html. You can also review the codes contained in the Discharge To Acute Care Facility value set (2.16.840.1.113883.3.117.1.7.1.87) on the Value Set Authority Center (VSAC) at https://vsac.nlm.nih.gov/.
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      Thank you for your inquiry regarding CMS996v4: Appropriate Treatment for ST-Segment Elevation Myocardial Infarction (STEMI) Patients in the Emergency Department (ED). One of the measure’s numerator criteria is emergency department encounters with a diagnosis of STEMI where a “patient is transferred within 45 minutes of ED arrival”. To meet this numerator criteria, the discharge disposition needs to be documented as "Discharge To Acute Care Facility”. The measure calculation does not use the physical location of the patient. For more information, you can refer to the data element description in the Electronic Clinical Quality Improvement (eCQI) Resource Center: https://ecqi.healthit.gov/mcw/2025/ecqm-dataelement/dischargedispositiondischargetoacutecarefacility.html . You can also review the codes contained in the Discharge To Acute Care Facility value set (2.16.840.1.113883.3.117.1.7.1.87) on the Value Set Authority Center (VSAC) at https://vsac.nlm.nih.gov/ .
    • CMS0996v4
    • In Numerator data

      A patient who was discharged from ED to an acute care setting (same facility inpatient admission) does that mean the "physical" transfer of the pt from ED to acute care setting or do the order of "Admit to Inpatient" count as a disposition plan from the ED to calculate the time from ED arrival to transfer to Acute Care setting? I do hope the inpatient order will count as a disposition plan because some patient may stay physically in ED but they have an "Inpatient" status already which the primary providers (Intensivist, Cardiologist or Hospitalist) are the admitting service taking care of the patients and not the ED physicians anymore. 

            Assignee:
            Augustine Weber
            Reporter:
            Charlene Noblejas
            Votes:
            1 Vote for this issue
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              Created:
              Updated:
              Resolved:
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