OP-40 STEMI Exclusion

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    • Type: Hosp Outpt eCQMs - Hospital Outpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Danielle Benard
    • 9096514835
    • Loma Linda University Health System
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      Thank you for your inquiry regarding 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 aged 18 years and older with a diagnosis of STEMI who received appropriate treatment—defined as fibrinolytic therapy within 30 minutes of ED arrival, percutaneous coronary intervention (PCI) within 90 minutes of ED arrival, or discharge to acute care within 45 minutes of ED arrival.

      The measure excludes encounters in which a patient experienced cardiopulmonary arrest either within 24 hours prior to the ED encounter or during the ED encounter, as identified by the “Cardiopulmonary Emergency” value set (OID: 2.16.840.1.113883.3.3157.4048). If the diagnosis of ventricular tachycardia (V-tach) is coded using any of the codes included in this value set, the ED encounter will be excluded from the measure. Codes in this value set include cardiac arrest, cardiopulmonary resuscitation (CPR), defibrillation, respiratory arrest, ventricular fibrillation (V-fib), V-tach, pulseless electrical activity (PEA), and traumatic or prolonged (>10 minutes) CPR.

      A full list of codes in the Cardiopulmonary Emergency value set is available through the Value Set Authority Center (VSAC)[https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.3157.4048/expansion/Latest]. Please note, you may need to create a free account to view these codes.
      Show
      Thank you for your inquiry regarding 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 aged 18 years and older with a diagnosis of STEMI who received appropriate treatment—defined as fibrinolytic therapy within 30 minutes of ED arrival, percutaneous coronary intervention (PCI) within 90 minutes of ED arrival, or discharge to acute care within 45 minutes of ED arrival. The measure excludes encounters in which a patient experienced cardiopulmonary arrest either within 24 hours prior to the ED encounter or during the ED encounter, as identified by the “Cardiopulmonary Emergency” value set (OID: 2.16.840.1.113883.3.3157.4048). If the diagnosis of ventricular tachycardia (V-tach) is coded using any of the codes included in this value set, the ED encounter will be excluded from the measure. Codes in this value set include cardiac arrest, cardiopulmonary resuscitation (CPR), defibrillation, respiratory arrest, ventricular fibrillation (V-fib), V-tach, pulseless electrical activity (PEA), and traumatic or prolonged (>10 minutes) CPR. A full list of codes in the Cardiopulmonary Emergency value set is available through the Value Set Authority Center (VSAC)[ https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.3157.4048/expansion/Latest ]. Please note, you may need to create a free account to view these codes.
    • CMS0996v5
    • VTach is currently excluding a patient from the measure

      A patient is being excluded from the STEMI measure due to a diagnosis code of V-Tach. The patient did have a single episode of 9 beats of Vtach during the stay but never went pulseless and no CPR was ever performed. Would this coding diagnosis of VTach still exclude the patient from the measure?

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Danielle Benard
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              Created:
              Updated:
              Resolved: