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Primary PCI received within 90 minutes of hospital arrival

CBE ID
0163
1.4 Project
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
1.3 Measure Description

Percentage of acute myocardial infarction (AMI) patients with ST-segment elevation or LBBB on the ECG closest to arrival time receiving primary percutaneous coronary intervention (PCI) during the hospital stay with a time from hospital arrival to PCI of 90 minutes or less.

        • 1.14 Numerator

          AMI patients whose time from hospital arrival to primary percutaneous coronary intervention (PCI) is 90 minutes or less.

        • 1.15 Denominator

          Principal diagnosis of AMI (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); and PCI procedure (International Classification of Diseases, 9th revision, Clinical Modification [ICD-9-CM] principal or other procedure code for PCI: 00.66); and ST-segment elevation or LBBB on the ECG performed closest to hospital arrival; and PCI performed within 24 hours after hospital arrival.

        • Exclusions

          Exclusions:
          •<18 years of age
          •Patients who have a length of stay greater than 120 days
          •Patients enrolled in clinical trials
          •Patients received as a transfer from an inpatient or outpatient department of another hospital
          •Patients received as a transfer from the emergency/observation department of another hospital
          •Patients received as a transfer from an ambulatory surgery center
          •Patient administered fibrinolytic agent prior to PCI
          •PCI described as non-primary by physician, advanced practice nurse, or physician assistant
          •Patients who did not receive PCI within 90 minutes and had a documented reason for delay in PCI

        • Most Recent Endorsement Activity
          Measure Retired and Endorsement Removed Cardiovascular Project 2016-2017
          Initial Endorsement
          Last Updated
          Removal Date
        • Steward
          Centers for Medicare & Medicaid Services
          Steward Organization POC Email