OP 40 STEMI PCI start time

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    • Type: Hosp Outpt eCQMs - Hospital Outpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • amanda enerson
    • Memorial Hermann health system
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      Thank you for your inquiry regarding CMS996: Appropriate Treatment for ST-Segment Elevation Myocardial Infarction (STEMI) Patients in the Emergency Department (ED). In alignment with clinical best practice, the measure intends to capture the time from ED arrival to balloon inflation (i.e. intervention time). It is ideal to capture the time of balloon inflation or reperfusion, and map to the relevantPeriod.startTime attribute of the “Procedure, Performed” QDM data element. The value set for Percutaneous Coronary Intervention (2.16.840.1.113883.3.3157.2000.5) includes CPT codes for balloon dilation. With regard to timestamps in the electronic health record (EHR), we recommend working with your EHR vendor on determining the best way to capture this information since we are aware that it is captured in other ways clinically. We will consider refinements in a future Annual Update.
      Show
      Thank you for your inquiry regarding CMS996: Appropriate Treatment for ST-Segment Elevation Myocardial Infarction (STEMI) Patients in the Emergency Department (ED). In alignment with clinical best practice, the measure intends to capture the time from ED arrival to balloon inflation (i.e. intervention time). It is ideal to capture the time of balloon inflation or reperfusion, and map to the relevantPeriod.startTime attribute of the “Procedure, Performed” QDM data element. The value set for Percutaneous Coronary Intervention (2.16.840.1.113883.3.3157.2000.5) includes CPT codes for balloon dilation. With regard to timestamps in the electronic health record (EHR), we recommend working with your EHR vendor on determining the best way to capture this information since we are aware that it is captured in other ways clinically. We will consider refinements in a future Annual Update.
    • CMS0996v5
    • CMS0996v4
    • We are trying to validate the mapping of our EHR to the correct PCI start time

      Hello, for the Op 40 appropriate treatment for ST-segment elevation myocardial infarction (STEMI) patients in the emergency department eCQM, is the PCI within 90 minutes looking at patient arrival in the ED to the balloon inflation time or the time to balloon insertion? There is a JIRA tix that says "The ideal time point to determine the start of the PCI is the device deployment time (the time the balloon crosses the lesion)." Is the device deployment time the balloon inflation time or the time the balloon is inserted?
      Thank you for clarifying.

            Assignee:
            Augustine Weber
            Reporter:
            amanda enerson
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