NQMC Update Service: March 17, 2014 ▲ Centers for Medicare & Medicaid Services/The Joint Commission

NQMC Update Service: March 17, 2014

March 17, 2014

Measure Summaries

Centers for Medicare & Medicaid Services/The Joint Commission

• Acute myocardial infarction: median time from arrival to administration of fibrinolytic therapy in AMI patients with ST-segment elevation or LBBB on the ECG performed closest to hospital arrival time.This updates a previously published measure summary.

• Acute myocardial infarction: median time from hospital arrival to primary PCI in AMI patients with ST-segment elevation or LBBB on the ECG performed closest to hospital arrival time. This updates a previously published measure summary.

• Acute myocardial infarction: percent of patients who are prescribed a beta-blocker at hospital discharge. This updates a previously published measure summary.

• Acute myocardial infarction: percent of patients who are prescribed aspirin at hospital discharge.This updates a previously published measure summary.

• Acute myocardial infarction: percent of patients who received aspirin within 24 hours before or after hospital arrival. This updates a previously published measure summary.

• Acute myocardial infarction: percent of patients with LVSD who are prescribed an ACEI or ARB at hospital discharge. This updates a previously published measure summary.

• Acute myocardial infarction: percent of patients with ST-segment elevation or LBBB on the ECG closest to arrival time receiving fibrinolytic therapy during the hospital stay and having a time from hospital arrival to fibrinolysis of 30 minutes or less. This updates a previously published measure summary.

• Acute myocardial infarction: percent of patients with ST-segment elevation or LBBB on the ECG closest to arrival time receiving primary PCI during the hospital stay with a time from hospital arrival to PCI of 90 minutes or less. This updates a previously published measure summary.

• Acute myocardial infarction: percentage of patients who are prescribed a statin at hospital discharge.This updates a previously published measure summary.

• Pneumonia: percent of patients who were transferred or admitted to the ICU within 24 hours of hospital arrival who had blood cultures performed within 24 hours prior to or the day prior to arrival, the day of arrival, or within 24 hours after arrival to the hospital. This updates a previously published measure summary.

• Pneumonia: percent of patients whose initial emergency room blood culture specimen was collected prior to first hospital dose of antibiotics. This updates a previously published measure summary.