CMS996v5 Subsequent EKG STEMI Time

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    • Type: Other
    • Resolution: Answered
    • Priority: Moderate
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    • 757-612-7263
    • Riverside Health
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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). The decision not to use EKG timing in the measure numerator was based on clinical expert input and measure testing results indicating that EKG timing in EHR documentation was unreliable. However, the issue of the measure not excluding cases where the STEMI develops during the ED encounter, but the measure still assesses appropriate treatment starting from ED arrival time has previously been brought to the attention of CMS and the measure developer. The measure developer will continue to evaluate feedback and recommendations during the annual update cycle and will work with CMS to update the measure as needed to align with clinical guidelines and workflow.
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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). The decision not to use EKG timing in the measure numerator was based on clinical expert input and measure testing results indicating that EKG timing in EHR documentation was unreliable. However, the issue of the measure not excluding cases where the STEMI develops during the ED encounter, but the measure still assesses appropriate treatment starting from ED arrival time has previously been brought to the attention of CMS and the measure developer. The measure developer will continue to evaluate feedback and recommendations during the annual update cycle and will work with CMS to update the measure as needed to align with clinical guidelines and workflow.
    • CMS0996v5
    • Clock is starting at arrival time and not the subsequent STEMI EKG time, prolonging our DIDO, D2N, and D2B times.

      We’ve noted that the mapping for arrival time does not account for cases where a patient’s initial EKG is negative but a subsequent EKG shows STEMI findings. The door time would typically reset to the time of the diagnostic EKG showing STEMI. Could you please clarify whether the ED-STEMI measure will consider the time of a subsequent STEMI-diagnostic EKG as the effective arrival time, or if this issue is under review for future updates

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Jatifha C. Harris (Inactive)
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