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
Numerator
The number of ED AMI patients whose time from ED arrival to fibrinolysis is 30 minutes or less.
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.
Measure Record
Point of Contact
This measure does not have a copyright.
Public Comments