Ischemic stroke patients who are prescribed or continuing to take statin medication at hospital discharge
Inpatient hospitalizations for patients age 18 and older, discharged from inpatient care (non-elective admissions) with a principal diagnosis of ischemic or hemorrhagic stroke and a length of stay less than or equal to 120 days that ends during measurement period
Inpatient hospitalizations for patients with a principal diagnosis of ischemic stroke
* Inpatient hospitalizations for patients admitted for elective carotid intervention. This exclusion is implicitly modeled by only including non-elective hospitalizations.
* Inpatient hospitalizations for patients discharged to another hospital
* Inpatient hospitalizations for patients who left against medical advice
* Inpatient hospitalizations for patients who expired
* Inpatient hospitalizations for patients discharged to home for hospice care
* Inpatient hospitalizations for patients discharged to a health care facility for hospice care
* Inpatient hospitalizations for patients with comfort measures documented
Inpatient hospitalizations for patients prescribed or continuing to take statin medication at hospital discharge
Not Applicable
* Inpatient hospitalizations for patients with a reason for not prescribing statin medication at discharge
* Inpatient hospitalizations for patients with a maximum LDL-c result of less than 70 mg/dL <= 30 days prior to arrival or any time during the hospital stay
* Inpatient hospitalizations for patients with a statin allergy
Improvement noted as an increase in rate
The "Non-elective Inpatient Encounter" value set intends to capture all non-scheduled hospitalizations. This value set is a subset of the "Inpatient Encounter" value set, excluding concepts that specifically refer to elective hospital admissions. Non-elective Inpatient Encounters include emergency, urgent, and unplanned admissions.
The "Medication, Discharge" datatype refers to the discharge medication list and is intended to express medications ordered for post-discharge use.
The denominator population includes patients with inpatient hospitalizations and patients from Acute Hospital Care at Home programs, who are treated and billed as inpatients but receive care in their home.
This eCQM is an episode-based measure. An episode is defined as each inpatient hospitalization or encounter that ends during the measurement period.
This version of the eCQM uses QDM version 5.6. Please refer to the QDM page for more information on the QDM.
The Compare function compares two years of the measure specifications found in the header of the measure's HTML. It does not include a comparison of any information in the body of the HTML, e.g., population criteria, Clinical Quality Language, or value sets.
Strikethrough text highlighted in red indicates information changed from the previous version. Text highlighted in green indicates information updated in the new eCQM version.
Inpatient hospitalizations for patients with a reason for not prescribing statin medication at discharge
Inpatient hospitalizations for patients with a maximum LDL-c result of less than 70 mg/dL <= 30 days prior to arrival or any time during the hospital stay
Inpatient hospitalizations for patients with a statin allergy
This eCQM is an episode-based measure.
This version of the eCQM uses QDM version 5.5. Please refer to the eCQI resource center for more information on the QDM.
This version of the eCQM uses QDM version 5.5. Please refer to the eCQI resource center (https://ecqi.healthit.gov/qdm) for more information on the QDM.
Updated copyright.
Measure Section: Copyright
Source of Change: Annual Update
Updated references.
Measure Section: Reference
Source of Change: Standards/Technical Update
Updated guidance to indicate patients in Acute Hospital Care at Home programs are included in the denominator population.
Measure Section: Guidance
Source of Change: Measure Lead
Updated version number of the Quality Data Model (QDM) used in the measure specification to v5.6.
Added bullets for readability and consistency with other measures per external review.
Measure Section: Multiple Sections
Updated the names of CQL definitions, functions, and/or aliases for clarification and to align with the CQL Style Guide.
Measure Section: Denominator Exceptions
Replaced reference to Global.ToDate with identical function named TJC.TruncateTime because Global.ToDate was retired.
Replaced age calculation from BirthDate with CQL function AgeInYearsAt in the TJCOverall library.
Measure Section: Definitions
Added function 'TruncateTime' to replace retired Global.'ToDate'. Function 'CalendarDayOfOrDayAfter' now uses TJC.'TruncateTime' rather than the retired Global.'ToDate' in TJCOverall library.
Measure Section: Functions
Replaced the Global.CalendarAgeInYearsAt function with the native CQL function AgeInYearsAt to take advantage of existing CQL features and increase human readability. As a result of this change, the LOINC code 21112-8 is no longer required and has been removed from the Terminology section of the human readable specification.
Updated the version of the Quality Data Model (QDM) to 5.6 and Clinical Quality Language (CQL) to 1.5.
Updated the version number of the Measure Authoring Tool (MAT) Global Common Functions Library to v7.0.000.
Updated the version number of the TJC Overall Library to v6.0.000.
The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets.
Value set Medical Reason (2.16.840.1.113883.3.117.1.7.1.473): Deleted 1 SNOMED CT code (397745006) based on terminology update.
Measure Section: Terminology
Value set Statin Allergen (2.16.840.1.113762.1.4.1110.42): Added 1 SNOMED CT code (96302009) based on review by technical experts, SMEs, and/or public feedback.
Value set Statin Grouper (2.16.840.1.113762.1.4.1110.19): Added 4 RxNorm codes (2535745, 2535747, 2535749, 2535750) based on terminology update.
Removed direct reference code LOINC code (21112-8) based on review by technical experts, SMEs, and/or public feedback.