Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

Last updated: July 12, 2017

CMS Measure ID: CMS164v4
Version: 4
NQF Number: 0068
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 documentation of use of aspirin or another antithrombotic during the measurement period.

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) 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:

Patients who have documentation of use of aspirin or another antithrombotic during the measurement period

Numerator Exclusions:

Not Applicable

Denominator Exceptions:

None

Measure Steward: National Committee for Quality Assurance
Domain: Effective Clinical Care
Next Version: Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet
Previous Version: Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic
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) should be included in the measure.

Specifications

Release Notes

Header

  • Copyright updated.
  • Disclaimer updated.
  • eMeasure version number incremented.
  • References updated.

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

  • 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 Aspirin and Other Anti-thrombotics (OID 2.16.840.1.113883.3.464.1003.196.12.1211): Added 3 RXNORM codes (1537021, 349516, 646434).
  • 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 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).

External Resources