NQMC Update Service: August 17, 2015 ► Centers for Medicare & Medicaid Services

NQMC Update Service: August 17, 2015

Centers for Medicare & Medicaid Services

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

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

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

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

• Acute myocardial infarction (AMI): 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 (AMI): percent of patients with ST-segment elevation 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 (AMI): percent of patients with ST-segment elevation 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.

• Emergency department (ED): admit decision time to ED departure time for admitted patients. This updates a previously published measure summary.

• Emergency department (ED): median time from ED arrival to ED departure for admitted ED patients. This updates a previously published measure summary.

• Heart failure: percent of patients with documentation in the hospital record that LVS function was evaluated before arrival, during hospitalization, or is planned for after discharge. This updates a previously published measure summary.

• Pneumonia: percent of immunocompetent patients with community-acquired pneumonia who receive an initial antibiotic regimen during the first 24 hours that is consistent with current guidelines. This updates a previously published measure summary.