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.
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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 whose time from hospital arrival to fibrinolysis is 30 minutes or less
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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
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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
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Most Recent Endorsement ActivityMeasure Retired and Endorsement Removed Cardiovascular Project 2016-2017Initial EndorsementLast UpdatedRemoval Date
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Steward Organization Email
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Risk Adjustment
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6.1.2 Current or Planned Use(s)
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Planned Use
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