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Primary PCI received within 90 minutes of hospital arrival

CBE ID
0163
1.4 Project
Cardiovascular
Endorsed
Endorsement Status
Endorsement Removed
1.1 New or Maintenance
Maintenance
E&M Cycle
Full Year 2016
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