Ischemic Vascular Disease (IVD): Complete Lipid Panel and LDL Control

Last updated: May 17, 2016

CMS Measure ID: CMS182v5
Version: 5
NQF Number: None
Measure Description:

Percentage of patients 18 years of age and older who were discharged alive for acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) in the 12 months prior to the measurement period, or who had an active diagnosis of ischemic vascular disease (IVD) during the measurement period, and who had a complete lipid profile performed during the measurement period and whose LDL-C was adequately controlled (< 100 mg/dL).

Initial Patient Population:

Patients 18 years of age and older with a visit during the measurement period, and an active diagnosis of ischemic vascular disease (IVD) during the measurement period, or who were discharged alive for acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) in the 12 months prior to the measurement period

Denominator Statement:

Equals Initial Population

Denominator Exclusions:

Not Applicable

Numerator Statement:

Numerator 1: Patients with a complete lipid profile performed during the measurement period

Numerator 2: Patients whose most recent LDL-C level performed during the measurement period is <100 mg/dL

Numerator Exclusions:

Not Applicable

Denominator Exceptions:

None

Measure Steward: National Committee for Quality Assurance
Domain: Effective Clinical Care
Next Version: Ischemic Vascular Disease (IVD): Complete Lipid Profile and LDL-C Control (<100 mg/dL)
Previous Version: Ischemic Vascular Disease (IVD): Complete Lipid Panel and LDL Control
Measure Score: Proportion
Improvement Notation:

Higher score indicates better quality

Guidance:

Only patients who were discharged alive for acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) are included in this measure

Specifications

Release Notes

Header

  • Copyright updated.
  • Disclaimer updated.
  • eMeasure version number incremented.
  • NQF Number and Endorsed By fields updated to reflect measure no longer endorsed by NQF.
  • Reference punctuation updated.
  • eMeasure version number incremented from 5.1.000 to 5.2.000.

Logic

  • Changed data type of 'result' or 'finding' to 'performed'.
  • Introduced function 'satisfies all' to specify that qualifying events must meet all conditions from a set of conditions or 'satisfies any' to specify that qualifying events must meet at least one condition from a set of conditions to streamline expression logic.
  • Introduced the new timing operator 'overlaps' to replace two lines of logic (AND/AND NOT) or to enforce when an event or set of events occur to meet the measure intent.
  • Replaced 'ORs' with 'Union of' operator.
  • Replaced 'Patient Characteristic Birthdate' with 'Age at' operator.

Value Sets

  • Replaced value set LDL-C Laboratory Test (OID 2.16.840.1.113883.3.526.3.1248) with the value set LDL-c (OID 2.16.840.1.113883.3.117.1.7.1.215) to harmonize the LDL-C value sets across measures.
  • Value set Acute Myocardial Infarction (OID 2.16.840.1.113883.3.464.1003.104.12.1001): Added 2 SNOMED codes (17531000119105, 23311000119105).
  • Value set Coronary Artery Bypass Graft (OID 2.16.840.1.113883.3.464.1003.104.12.1002): Added 6 SNOMED codes (10190003, 14323007, 29819009, 418824004, 67166004, 90487008).
  • Value set HDL-C Laboratory Test (OID 2.16.840.1.113883.3.464.1003.104.12.1012): Added 2 LOINC codes (18263-4, 49130-8).
  • Value set Ischemic Vascular Disease (OID 2.16.840.1.113883.3.464.1003.104.12.1003): Added 1 ICD10CM code (I25.84).
  • Value set Percutaneous Coronary Interventions (OID 2.16.840.1.113883.3.464.1003.104.12.1010): Added 4 SNOMED codes (429809004, 609152003, 609153008, 698740005).
  • Value set Total Cholesterol Laboratory Test (OID 2.16.840.1.113883.3.464.1003.104.12.1013): Added 1 LOINC code (48620-9).

XML

  • This measure contains multiple Population Criteria sections. The earlier version of this measure contained mismatches between the applicable Population Criteria human readable narrative sections and their associated computer-readable sections in the XML file. This issue has been corrected.

External Resources