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.
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1.5 Measure Type1.7 Electronic Clinical Quality Measure (eCQM)1.9 Care Setting1.20 Testing Data Sources
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1.14 Numerator
The number of ED AMI patients whose time from ED arrival to fibrinolysis is 30 minutes or less.
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1.15 Denominator
The number of ED AMI patients with ST-segment elevation on ECG who received fibrinolytic therapy.
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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.
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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 EmailSteward Organization Copyright
This measure does not have a copyright.
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Risk Adjustment
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6.1.2 Current or Planned Use(s)
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Use In Federal Program
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