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Median Time to ECG

CBE ID
0289
1.4 Project
Cardiovascular
Endorsement Status
Endorsement Removed
1.1 New or Maintenance
Maintenance
Previous Endorsement Cycle
Full Year 2013
Is Under Review
No
1.3 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).

    • 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

    • 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

    • Exclusions

      • Patients LESS THAN 18 years of age

    • Most Recent Endorsement Activity
      Measure Retired and Endorsement Removed Cardiovascular Project 2013-2014
      Initial Endorsement
      Last Updated
      Removal Date
    • Steward
      Centers for Medicare & Medicaid Services
      Steward Organization POC Email
      [email protected]
      Steward Organization Copyright

      N/A