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Persistence of Beta-Blocker Treatment After a Heart Attack

CBE ID
0071
Endorsement Status
Endorsed
1.1 New or Maintenance
Maintenance
Previous Endorsement Cycle
Fall 2019
Is Under Review
No
Next Maintenance Cycle
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.

    • OLD 1.12 MAT output not attached
      Attached
      1.13a Data dictionary not attached
      No
    • Most Recent Endorsement Activity
      Endorsed Cardiovascular Fall Cycle 2019
      Initial Endorsement
      Last Updated
    • Steward
      National Committee for Quality Assurance
      Steward Organization POC Email
      [email protected]
      Steward Organization Copyright

      © 1999 by the National Committee for Quality Assurance 
      1100 13th Street, NW, 3rd Floor
      Washington, DC 20005

    • Risk Adjustment
      No risk adjustment or risk stratification
      Risk adjustment approach
      Off
      Risk adjustment approach
      Off
      Conceptual model for risk adjustment
      Off
      Conceptual model for risk adjustment
      Off