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Fibrinolytic Therapy Received Within 30 Minutes of ED Arrival

CBE ID
0288
1.5 Project
Endorsement Status
1.0 New or Maintenance
1.1 Measure Structure
Previous Endorsement Cycle
Is Under Review
No
1.6 Measure Description

This measure calculates the percentage of Emergency Department (ED) acute myocardial infarction (AMI) patients with ST-segment elevation on the electrocardiogram (ECG) closest to arrival time receiving fibrinolytic therapy during the ED stay and having a time from ED arrival to fibrinolysis of 30 minutes or less. The measure is calculated using chart-abstracted data, on a rolling, quarterly basis and is publicly reported, in aggregate, for one calendar year. The measure has been publicly reported, annually, by CMS as a component of its Hospital Outpatient Quality Reporting (HOQR) Program since 2012.

    Measure Specs
      General Information
      1.7 Measure Type
      1.3 Electronic Clinical Quality Measure (eCQM)
      1.8 Level of Analysis
      1.9 Care Setting
      1.20 Types of Data Sources
      1.14 Numerator

      The number of ED AMI patients whose time from ED arrival to fibrinolysis is 30 minutes or less.

      1.15 Denominator

      The number of ED AMI patients with ST-segment elevation on ECG who received fibrinolytic therapy.

      Exclusions

      Patients are excluded who are less than 18 years of age. Additionally, patients who are not administered fibrinolytic therapy within 30 minutes AND had a Reason for Delay in Fibrinolytic Therapy, as defined in the Data Dictionary, are also excluded.

      Most Recent Endorsement Activity
      Measure Retired and Endorsement Removed Cardiovascular Project 2016-2017
      Initial Endorsement
      Last Updated
      Removal Date
      Steward Organization
      Centers for Medicare & Medicaid Services
      Steward POC email
      Kristie.baus@cms.hhs.gov
      Steward Organization Copyright

      This measure does not have a copyright.

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