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Overall Defect Free Care for AMI

CBE ID
2377
Endorsement Status
Endorsed
1.1 New or Maintenance
Maintenance
Previous Endorsement Cycle
Fall 2022
Is Under Review
No
Next Maintenance Cycle
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
    • Steward
      American College of Cardiology
      Steward Organization POC Email
      [email protected]
    • 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