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Overall Defect Free Care for AMI

CBE ID
2377
Endorsed
Endorsement Status
Endorsed
1.1 New or Maintenance
Maintenance
Is Under Review
No
Next Planned Maintenance Review
Fall 2027
E&M Cycle Comments

Effective March 27, 2023, the National Quality Forum (NQF) is no longer the consensus-based entity (CBE) funded through the Centers for Medicare & Medicaid Services (CMS) National Consensus Development and Strategic Planning for Health Care Quality Measurement Contract. Battelle has been selected to oversee the endorsement & maintenance (E&M) of clinical quality and cost/resource use measures. Since the Fall 2022 cycle launched at NQF, measures submitted to this E&M cycle continued along the prior E&M protocols that were in place at time of the Fall 2022 “Intent to Submit.” Battelle took over the E&M work for the Fall 2022 cycle after developers and/or stewards submitted their full measure information to NQF, which for CBE #2377, the most recent measure specifications can be found here: https://p4qm.org/sites/default/files/2024-02/2377.zip

Battelle took over the E&M work beginning with the public comment period to close the E&M committees for the post-comment meeting, convening the CSAC to render a final endorsement decision, and executing the appeals period.

 

1.3 Measure Description

The proportion of acute MI patients >= 18 years of age that receive "perfect care" based upon their eligibility for each performance measures

    • 1.7 Electronic Clinical Quality Measure (eCQM)
      No
      1.8 Level Of Analysis
      Facility
      1.20 Testing Data Sources
      Other Data Source
    • 1.14 Numerator

      The number of perfect care opportunities met from all eligible acute MI patients

    • 1.15 Denominator

      All acute MI patients (including STEMI and NSTEMI) 

      Note: 
      • Patients less than 18 years of age are not included in the denominator
      • The guidelines-based care for STEMI and NSTEMI populations differ in some respects.

    • Exclusions

      The exclusions for this measure were minimal and comprised: patients <18 years of age, hospital submissions that did not pass the NCDR quality check, and patients who were ineligible for defect free care measure (e.g., contraindications, clinical studies).

    • OLD 1.12 MAT output not attached
      Attached
    • Most Recent Endorsement Activity
      Cardiovascular Fall 2022
      Initial Endorsement
      Last Updated
    • Risk Adjustment
      No risk adjustment or risk stratification
      Risk adjustment approach
      Off
      Risk adjustment approach
      Off
      Conceptual model for risk adjustment
      Off
      Conceptual model for risk adjustment
      Off