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Overall Defect Free Care for AMI

CBE ID
2377
Endorsed
New or Maintenance
Maintenance
Is Under Review
No
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.

 

Measure Description

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

  • Electronic Clinical Quality Measure (eCQM)
    No
    Level Of Analysis
    Facility
    MAT output not attached
    Attached
    Numerator

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

    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).

    All information required to stratify the measure results
    Off
    All information required to stratify the measure results
    Off
    Testing Data Sources
    Other Data Source
  • 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
  • Most Recent Endorsement Activity
    Cardiovascular Fall 2022
    Initial Endorsement
    Next Planned Maintenance Review
    Fall 2027
    Endorsement Status
    Endorsed
    Last Updated
  • Detailed Measure Specifications
    No
    Logic Model
    Off
    Impact and Gap
    No
    Feasibility assessment methodology and results
    No
    Address health equity
    No
    Measure’s use or intended use
    No
    508 Compliance
    Off
    If no, attest that all information will be provided in other fields in the submission.
    Off