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Chronic Stable Coronary Artery Disease: Symptom and Activity Assessment

CBE ID
0065
1.4 Project
Cardiovascular
Endorsed
Endorsement Status
Endorsement Removed
1.1 New or Maintenance
Maintenance
E&M Cycle
Full Year 2010
Is Under Review
No
1.3 Measure Description

Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease seen within a 12 month period for whom there is documented results of an evaluation of level of activity AND an evaluation of presence or absence of anginal symptoms in the medical record

    • 1.14 Numerator

      Patients for whom there is documented results of an evaluation of level of activity AND an evaluation of presence or absence of anginal symptoms* in the medical record

      *Evaluation of level of activity and evaluation of presence or absence of anginal symptoms should include: 
      •Documentation of Canadian Cardiovascular Society (CCS) Angina Class OR 
      •Completion of a disease-specific questionnaire (eg, Seattle Angina Questionnaire or other validated questionnaire) to quantify angina and level of activity

      Numerator Definition:
      Canadian Cardiovascular Society (CCS) Angina Classification
      Class 0: Asymptomatic 
      Class 1: Angina with strenuous Exercise 
      Class 2: Angina with moderate exertion 
      Class 3: Angina with mild exertion 
      1. Walking 1-2 level blocks at normal pace 
      2. Climbing 1 flight of stairs at normal pace 
      Class 4: Angina at any level of physical exertion

    • 1.15 Denominator

      All patients aged 18 years and older with a diagnosis of coronary artery disease seen within a 12 month period

    • Exclusions

      None

    • Most Recent Endorsement Activity
      Measure Retired and Endorsement Removed Cardiovascular Project 2010-2013
      Initial Endorsement
      Last Updated
      Removal Date
    • Steward
      Physician Consortium for Performance Improvement
      Steward Organization Email
      [email protected]
      Steward Organization Copyright

      This Physician Performance Measurement Set (PPMS) and related data specifications were developed by the Physician Consortium for Performance Improvement (the Consortium) including the American College of Cardiology (ACC), the American Heart Association (AHA) and the American Medical Association (AMA) to facilitate quality improvement activities by physicians. The performance measures contained in this PPMS are not clinical guidelines and do not establish a standard of medical care, and have not been tested for all potential applications. This PPMS is intended to assist physicians to enhance quality of care and is not intended for comparing individual physicians to each other or for individual physician accountability by comparing physician performance against the measure or guideline. 

      This PPMS is subject to review and may be revised or rescinded at any time by the Consortium. The PPMS may not be altered without the prior written approval of the Consortium. A PPMS developed by the Consortium, while copyrighted, can be reproduced and distributed, without modification, for noncommercial purposes, e.g., use by health care providers in connection with their practices. Commercial use is defined as the sale, license, or distribution of the performance measures for commercial gain, or incorporation of the performance measures into a product or service that is sold, licensed or distributed for commercial gain. Commercial uses of the performance measures require a license agreement between the user and the AMA, (on behalf of the Consortium) or the ACC or the AHA. Neither the Consortium nor its members shall be responsible for any use of this PPMS.

      THE MEASURES AND SPECIFICATIONS ARE PROVIDED “AS IS” WITHOUT WARRANTY OF ANY KIND.

      © 2009 American College of Cardiology, American Heart Association and American Medical Association. All Rights Reserved.

      Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. The AMA, the ACC, the AHA, the Consortium and its members disclaim all liability for use or accuracy of any Current Procedural Terminology (CPT®) or other coding contained in the specifications.

      CPT® contained in the measures specifications is copyright 2005 American Medical Association. LOINC® copyright 2004 Regenstrief Institute, Inc. SNOMED CLINICAL TERMS (SNOMED CT®) copyright 2004 College of American Pathologists (CAP). All Rights Reserved. Use of SNOMED CT® is only authorized within the United States.