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