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Fibrinolytic Therapy received within 30 minutes of hospital arrival

CBE ID
0164
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 fibrinolytic therapy during the hospital stay and having a time from hospital arrival to fibrinolysis of 30 minutes or less.

        • 1.14 Numerator

          AMI patients whose time from hospital arrival to fibrinolysis is 30 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 ST-segment elevation or LBBB on the ECG performed closest to hospital arrival; and fibrinolytic therapy within 6 hours after hospital arrival; and fibrinolytic therapy is primary reperfusion therapy

        • 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
          •Patients who did not receive fibrinolytic therapy within 30 minutes and had a documented reason for delay in fibrinolytic therapy

        • 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