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Persistence of Beta-Blocker Treatment After a Heart Attack

CBE ID
0071
Endorsed
Endorsement Status
1.1 New or Maintenance
Is Under Review
No
Next Planned Maintenance Review
Fall 2025
1.3 Measure Description

The percentage of patient’s 18 years of age and older during the measurement year who were hospitalized and discharged from July 1 of the year prior to the measurement year to June 30 of the measurement year with a diagnosis of acute myocardial infarction (AMI) and who received persistent beta-blocker treatment for six months after discharge.

        • 1.14 Numerator

          Patients who received at least 135 days of treatment with beta-blockers during the 180-day measurement interval.

        • 1.15 Denominator

          An acute inpatient discharge from July 1 of the year prior to the measurement year through June 30 of the measurement year with any diagnosis of acute myocardial infarction (AMI) on the discharge claim.

        • Exclusions

          Any of the following any time during the patient’s history through the end of the continuous enrollment period meet criteria:
          - Asthma
          - COPD
          - Obstructive chronic bronchitis
          - Chronic respiratory conditions due to fumes and vapors
          - Hypotension, heart block >1 degree or sinus bradycardia
          - A medication dispensing event indicative of a history of asthma
          - Intolerance or allergy to beta-blocker therapy

          Additionally, this measure excludes adults in hospice. It also excludes adults with advanced illness and frailty, as well as Medicare adults 65 years of age and older enrolled in an I-SNP or living long-term in institutional settings.

        • 1.13a Data dictionary not attached
          No
          OLD 1.12 MAT output not attached
          Attached
        • Most Recent Endorsement Activity
          Endorsed Cardiovascular Fall Cycle 2019
          Initial Endorsement
          Last Updated
              • Risk adjustment approach
                Off
                Risk adjustment approach
                Off
                Conceptual model for risk adjustment
                Off
                Conceptual model for risk adjustment
                Off