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Primary Prevention of Cardiovascular Events in Diabetics – Use of Aspirin or Antiplatelet Therapy

CBE ID
0632
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
1.3 Measure Description

The percentage of male diabetics, age 50 years or older, or female diabetics, aged 60 years or older, with a Framingham risk score > 10 who are taking aspirin or an antiplatelet agent.

        • 1.14 Numerator

          Patients with a refill for aspirin or antiplatelet therapy in the past 6 months

        • 1.15 Denominator

          Male diabetics, age 50 years or older, or female diabetics, aged 60 years or older, with a Framingham risk score > 10.

        • Exclusions

          Specific Exclusions:

          1. Contraindications to aspirin therapy, including:
          - Hemorrhage contraindications and procedures
          - Neutropenia
          - Thrombocytopenia
          - Hematocrit lab value </= 25
          - INR lab value > 1.6
          - Platelet lab value </= 50
          - WBC lab value < 2.0
          - Chronic liver disease
          - Aspirin intolerance
          - Aspirin-induced asthma
          - Intracerebral hemorrhage
          - Coagulopathies (bleeding disorders)

          2. Other denominator exclusions include:
          - Warfarin use
          - Long term anticoagulation therapy



          General exclusions:
          1. Evidence of metastatic disease or active treatment of malignancy (chemotherapy or radiation therapy) in the last 6 months;
          2. Patients who have been in a skilled nursing facility in the last 3 months
          3. Patients who are terminally ill or in Hospice
          4. Patient or provider feedback indicating allergy, intolerance or other contraindication to Aspirin or Antiplatelet therapy anytime in the past

          See attachment for code sets

        • Most Recent Endorsement Activity
          Measure Retired and Endorsement Removed National Voluntary Consensus Standards For Clinically Enriched Administrative Data
          Initial Endorsement
          Last Updated
          Removal Date
        • Steward
          ActiveHealth Management
          Steward Organization POC Email