OP-40 STEMI does not have Denominator Exclusion for "Anatomy not suitable for primary PCI"

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    • Type: Hosp Outpt eCQMs - Hospital Outpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Maya Frankenstein
    • 9704244551
    • St. Luke's Health System
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      Thank you for your inquiry regarding CMS996v4 and CMS996v5, Appropriate Treatment for ST-Segment Elevation Myocardial Infarction (STEMI) Patients in the Emergency Department (ED). This measure captures the percentage of ED encounters for patients 18 years and older with a diagnosis of STEMI who received appropriate treatment, defined as fibrinolytic therapy within 30 minutes of ED arrival, PCI within 90 minutes of ED arrival, or transfer to Acute Care Facility within 45 minutes of ED arrival. We acknowledge and appreciate your recommendation that the measure should exclude cases in which PCI may not be clinically appropriate. The measure developer will consider refinements in a future annual update.
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      Thank you for your inquiry regarding CMS996v4 and CMS996v5, Appropriate Treatment for ST-Segment Elevation Myocardial Infarction (STEMI) Patients in the Emergency Department (ED). This measure captures the percentage of ED encounters for patients 18 years and older with a diagnosis of STEMI who received appropriate treatment, defined as fibrinolytic therapy within 30 minutes of ED arrival, PCI within 90 minutes of ED arrival, or transfer to Acute Care Facility within 45 minutes of ED arrival. We acknowledge and appreciate your recommendation that the measure should exclude cases in which PCI may not be clinically appropriate. The measure developer will consider refinements in a future annual update.
    • CMS0996v5
    • CMS0996v4
    • Patients are being left in the denominator to count against the measure rate even though they would have had appropriate treatment.

      A patient may be taken for treatment within the 90 minute timeframe, only to find out their anatomy is not suitable for primary PCI so they can not receive treatment. 

            Assignee:
            Augustine Weber
            Reporter:
            Maya Frankenstein (Inactive)
            Votes:
            1 Vote for this issue
            Watchers:
            5 Start watching this issue

              Created:
              Updated:
              Resolved:
              Solution Posted On: