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ACEI or ARB for left ventricular systolic dysfunction- Acute Myocardial Infarction (AMI) Patients

CBE ID
0137
1.5 Project
Endorsement Status
1.1 Measure Structure
Previous Endorsement Cycle
Is Under Review
No
1.6 Measure Description

Percentage of acute myocardial infarction (AMI) patients with left ventricular systolic dysfunction (LVSD) who are prescribed an ACEI or ARB at hospital discharge. For purposes of this measure, LVSD is defined as chart documentation of a left ventricular ejection fraction (LVEF) less than 40% or a narrative description of left ventricular systolic (LVS) function consistent with moderate or severe systolic dysfunction.

    Measure Specs
      General Information
      1.7 Measure Type
      1.3 Electronic Clinical Quality Measure (eCQM)
      1.9 Care Setting
      1.20 Types of Data Sources
      1.14 Numerator

      AMI patients who are prescribed an ACEI or ARB at hospital discharge

      1.15 Denominator

      AMI patients (International Classification of Diseases, 9th revision, Clinical Modification [ICD-9-CM] principal diagnosis code of AMI: 410.00, 410.01, 410.10, 410.11, 410.20, 410.21, 410.30, 410.31, 410.40, 410.41, 410.50, 410.51, 410.60, 410.61, 410.70, 410.71, 410.80, 410.81, 410.90, 410.91); with chart documentation of a left ventricular ejection fraction (LVEF) < 40% or a narrative description of left ventricular systolic (LVS) function consistent with moderate or severe systolic dysfunction

      Exclusions

      Exclusions:
      •<18 years of age
      •Patients who have a length of stay greater than 120 days
      •Discharged to another hospital
      •Expired
      •Left against medical advice
      •Discharged to home for hospice care
      •Discharged to a health care facility for hospice care
      •Patients with comfort measures only documented
      •Patients enrolled in clinical trials
      •Patients with a documented reason for no ACEI and no ARB at discharge

      Most Recent Endorsement Activity
      Endorsed with Reserve Status Cardiovascular Project 2010-2013
      Initial Endorsement
      Last Updated
      Steward Organization
      Centers for Medicare & Medicaid Services
      Steward POC email
                Use
                6.1.2 Current or Planned Use(s)
                Planned Use
                Use In Federal Program
                  Public Comments