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.
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1.5 Measure Type1.7 Electronic Clinical Quality Measure (eCQM)1.8 Level Of Analysis1.9 Care Setting1.20 Testing Data Sources
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1.14 Numerator
AMI patients who are prescribed an ACEI or ARB at hospital discharge
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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
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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
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Most Recent Endorsement ActivityEndorsed with Reserve Status Cardiovascular Project 2010-2013Initial EndorsementLast Updated
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StewardCenters for Medicare & Medicaid ServicesSteward Organization POC Email
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Risk Adjustment
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6.1.2 Current or Planned Use(s)
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Planned UseUse In Federal Program
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