Median Time to ECG

CBE ID

0289

1.5 Project

Cardiovascular

Endorsement Status

Endorsement Removed

1.0 New or Maintenance

Maintenance

1.1 Measure Structure

Single Measure

Previous Endorsement Cycle

Full Year 2013

Is Under Review

1.6 Measure Description

Median time from emergency department arrival to ECG (performed in the ED prior to transfer) for acute myocardial infarction (AMI) or Chest Pain patients (with
Probable Cardiac Chest Pain).

Measure Specs

General Information

1.7 Measure Type

Efficiency

1.3 Electronic Clinical Quality Measure (eCQM)

1.8 Level of Analysis

Facility

Other

1.9 Care Setting

Inpatient/Hospital

1.20 Types of Data Sources

Claims Data

Electronic Health Records: Electronic Health Records

Other

Paper Patient Medical Records

Numerator

1.14 Numerator

Continuous Variable Statement:
Time (in minutes) from emergency department arrival to ECG (performed in the ED prior to transfer) for acute myocardial infarction (AMI) or Chest Pain patients (with Probable Cardiac Chest Pain)

Included Populations:
• ICD-9-CM Principal or Other Diagnosis Code for AMI as defined in Appendix A1, OP Table 6.1 or an ICD-9-CM Principal or Other Diagnosis Code for Angina, Acute Coronary Syndrome, or Chest Pain as defined in Appendix A1, OP Table 6.1a, and
• E/M Code for emergency department encounter as defined in Appendix A1, OP Table 1.0a, and
• Patients receiving an ECG as defined in the Appendix A1, and
• Patients discharged/transferred to a short term general hospital for inpatient care, to a Federal healthcare facility, or to a Critical Access Hospital.

Excluded Populations:
Patients less than 18 years of age

Denominator

1.15 Denominator

Continuous Variable Statement: Time (in minutes) from emergency department arrival to ECG (performed in the ED prior to transfer) for AMI or Chest Pain patients (with Probable Cardiac Chest Pain).

Included Populations:
•An E/M Code for emergency department encounter as defined in Appendix A, OP Table 1.0, and
•Patients discharged/transferred to a short term general hospital for inpatient care, or to a Federal healthcare facility, and
•An ICD-9-CM Principal Diagnosis Code for AMI as defined in Appendix A, OP Table 1.1 or an ICD-9-CM Principal or Other Diagnosis Codes for Angina, Acute Coronary Syndrome, or Chest Pain as defined in Appendix A, OP Table 1.1a, and
•Patients receiving an ECG

Excluded Populations:
•Patients less than 18 years of age

Data Elements:
•Arrival Time
•Birthdate
•Discharge Code
•E/M Code
•ECG
•ECG Date
•ECG Time
•ICD-9-CM Other Diagnosis Codes
•ICD-9-CM Principal Diagnosis Code
•Outpatient Encounter Date
•Probable Cardiac Chest Pain