This measure calculates the percentage of stress echocardiography, single photon emission computed tomography myocardial perfusion imaging (SPECT MPI), stress magnetic resonance imaging (MRI), or computed coronary tomography angiography (CCTA) performed at each facility in the 30 days prior to an ambulatory non-cardiac, low-risk surgery performed at any location. The measure is calculated based on a one-year window of Medicare claims data. The measure has been publicly reported, annually, by the Centers for Medicare & Medicaid Services (CMS), since 2011, as a component of its Hospital Outpatient Quality Reporting (OQR) Program.
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1.5 Measure Type1.7 Electronic Clinical Quality Measure (eCQM)1.8 Level Of Analysis1.9 Care Setting1.20 Testing Data Sources
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1.14 Numerator
The number of stress echocardiography, SPECT MPI, stress MRI, and CCTA tests performed in a hospital outpatient department within 30 days of an ambulatory non-cardiac, low-risk surgery performed at any location (e.g., same hospital, other hospital, or physician’s office), for Medicare beneficiaries aged 18 years and older.
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1.15 Denominator
The number of stress echocardiography, SPECT MPI, stress MRI, and CCTA studies performed in a hospital outpatient department on Medicare beneficiaries within a 12-month time window, for Medicare beneficiaries aged 18 years and older.
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Exclusions
Studies are excluded for any patients with diagnosis codes in at least three of the following categories: diabetes mellitus, renal insufficiency, stroke or transient ischemic attack, prior heart failure, or ischemic heart disease.
Studies performed in the ED or within the 30 days following an ED encounter are also excluded from the measure’s initial patient population.
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Most Recent Endorsement ActivityMeasure Retired and Endorsement Removed Cardiovascular Fall Cycle 2021Initial EndorsementLast UpdatedRemoval Date
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StewardCenters for Medicare & Medicaid ServicesSteward Organization POC EmailSteward Organization Copyright
This measure does not have a copyright.
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Risk Adjustment
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6.1.2 Current or Planned Use(s)
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Use In Federal Program
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