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ACEI or ARB for left ventricular systolic dysfunction- Acute Myocardial Infarction (AMI) Patients

CBE ID
0137
1.4 Project
Cardiovascular
Endorsed
Endorsement Status
Endorsed with Reserve Status
E&M Cycle
Full Year 2010
Is Under Review
No
1.3 Measure Description

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.

    • 1.14 Numerator

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

    • 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

    • 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

    • Most Recent Endorsement Activity
      Endorsed with Reserve Status Cardiovascular Project 2010-2013
      Initial Endorsement
      Last Updated