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 TypeElectronic Clinical Quality Measure (eCQM)Care SettingNumerator
The number of ED AMI patients whose time from ED arrival to fibrinolysis is 30 minutes or less.
DenominatorThe number of ED AMI patients with ST-segment elevation on ECG who received fibrinolytic therapy.
ExclusionsPatients 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.
Testing Data Sources
- Measure StructureClinical Condition Topic AreaTarget PopulationNational Quality Strategy PrioritiesPrevention and Treatment
- Risk Adjustment
- Current or planned use(s)Current Use(s)Use In Federal Program
- Most Recent Endorsement ActivityMeasure Retired and Endorsement Removed Cardiovascular Project 2016-2017Initial EndorsementEndorsement StatusLast UpdatedRemoval Date
- Steward Organization EmailSteward Organization Copyright
This measure does not have a copyright.