Skip to main content

Quality of Care Composite for Implantable Cardioverter-Defibrillator (ICD)/Cardiac Resynchronization Therapy Defibrillator (CRT-D)

CBE ID
3748
Endorsed
New or 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 Spring 2023 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 Spring 2023 “Intent to Submit.” Battelle took over the E&M work for the Spring 2023 cycle when developers and/or stewards submitted their full measure information, which for CBE #3748, the most recent measure specifications can be found here: https://p4qm.org/sites/default/files/2023-06/3748_epdi_quality_composite.zip

To close out this E&M cycle, Battelle published the Spring 2023 measures for pre-evaluation public commenting, convened the E&M standing committees for their measure evaluation meetings, launched the Spring 2023 post-comment period, convened the E&M committees for the post-comment meeting, convened the CSAC to render a final endorsement decision, and executed the appeals period.

 

Measure Description

This measure is an all-or-none composite of the number of patients following an ICD/CRT-D implant procedure who received prescriptions for all medications (Angiotensin-converting enzyme inhibitors (ACE-I)/ Angiotensin receptor blockers (ARB)/ Angiotensin receptor-neprilysin inhibitors (ARNI) and beta blockers) for which they are eligible at discharge and those patients with procedures that fulfill class I, IIa, or IIb guideline indications.

  • Level Of Analysis
    MAT output not attached
    Attached
    Numerator

    Generator patients: Who receive all medications for which they are eligible: ACE/ARB/ARNI prescribed at discharge (if eligible for ACE/ARB/ARNI as described in denominator) AND Beta blockers prescribed at discharge (if eligible for beta blockers as described in denominator), AND Whose procedures fulfill class I, IIa, or IIb guideline indications.

    Denominator

    All generator patients surviving hospitalization who meet the criteria for the individual metrics in the composite.

    Exclusions

    None.

    All information required to stratify the measure results
    Off
    All information required to stratify the measure results
    Off
  • Risk adjustment approach
    Off
    Risk adjustment approach
    Off
    Conceptual model for risk adjustment
    Off
    Conceptual model for risk adjustment
    Off
  • Most Recent Endorsement Activity
    Prevention and Population Health Spring 2023
    Initial Endorsement
    Next Planned Maintenance Review
    Spring 2028
    Endorsement Status
  • 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