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

Last updated: October 25, 2017

CMS Measure ID: CMS164v6
Version: 6
NQF Number: 0068
Measure Description:

Percentage of patients 18 years of age and older who were diagnosed with 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 antiplatelet during the measurement period

Initial Patient Population:

Patients 18 years of age and older with a visit during the measurement period who had an AMI, CABG, or PCI during the 12 months prior to the measurement year or who had a diagnosis of IVD overlapping the measurement year

Denominator Statement:

Equals Initial Population

Denominator Exclusions:

Patients who had documentation of use of anticoagulant medications overlapping the measurement year

Exclude patients who were in hospice care during the measurement year

Numerator Statement:

Patients who had an active medication of aspirin or another antiplatelet during the measurement year

Numerator Exclusions:

Not Applicable

Denominator Exceptions:

None

Measure Steward: National Committee for Quality Assurance
Domain: Effective Clinical Care
Previous Version: Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet
Improvement Notation:

Higher score indicates better quality

Guidance:

None

Addendum Notes: Value Set content updated Sept 2017, TRNs updated Oct 2017

Specifications

Release Notes

Header

  • ​Incremented eMeasure Version number.

    Measure Section: eMeasure Version number

    Source of Change: Measure Lead

  • ​Updated Copyright.

    Measure Section: Copyright

    Source of Change: Annual Update

  • ​Updated Disclaimer.

    Measure Section: Disclaimer

    Source of Change: Measure Lead

  • ​Updated the exclusion statement in the header to exclude patients in hospice care from the Denominator. Measures that focus on screenings and procedures may not be appropriate or a priority for those who are at end of life (ie, on hospice).

    Measure Section: Denominator Exclusions

    Source of Change: Measure Lead

Logic

  • Added new lines of logic to the Denominator Exclusions for all NCQA-stewarded measures (except CMS82) to ensure patients in hospice care are excluded from the Denominator.

    Measure Section: Denominator Exclusions

    Source of Change: Measure Lead

Value Set

The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets.

  • Value set Acute Myocardial Infarction (2.16.840.1.113883.3.464.1003.104.12.1001): Deleted 1 SNOMEDCT code (194798004). Deleted 31 ICD9CM codes. Deleted 15 ICD10CM codes.

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Percutaneous Coronary Interventions (2.16.840.1.113883.3.464.1003.104.12.1010): Added HCPCS extensional value set (2.16.840.1.113883.3.464.1003.104.11.1027) including 5 codes.

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Aspirin and Other Antiplatelets (2.16.840.1.113883.3.464.1003.196.12.1211): Added 1 RXNORM code (259081) and deleted 3 RXNORM codes (1537021, 198477, 349516).

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Anticoagulant Medications (2.16.840.1.113883.3.464.1003.196.12.1283): Added 1 RXNORM code (855350) and deleted 10 RXNORM codes (1110708, 1362024, 1362026, 1362027, 1362029, 1362030, 1362051, 1362935, 1366636, 855308).

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Ischemic Vascular Disease (2.16.840.1.113883.3.464.1003.104.12.1003): Deleted 6 ICD9CM codes (444.1, 444.21, 444.22, 444.81, 444.89, 444.9). Deleted 77 ICD10CM codes.

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Encounter Inpatient (2.16.840.1.113883.3.666.5.307): Added Encounter Inpatient.

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Hospice care ambulatory (2.16.840.1.113762.1.4.1108.15): Added Hospice care ambulatory.

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Discharged to Health Care Facility for Hospice Care (2.16.840.1.113883.3.117.1.7.1.207): Added Discharged to Health Care Facility for Hospice Care.

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Discharged to Home for Hospice Care (2.16.840.1.113883.3.117.1.7.1.209): Added Discharged to Home for Hospice Care.

    Measure Section: QDM Data Elements

    Source of Change: Annual Update

  • Value set Acute Myocardial Infarction (2.16.840.1.113883.3.464.1003.104.12.1001): Added 3 SNOMEDCT codes (15713081000119108, 15713121000119105, 703164000). Added 3 ICD10CM codes (I21.9, I21.A1, I21.A9).

    Measure Section: QDM Data Elements

    Source of Change: 2018 Addendum

  • Value set Aspirin and Other Antiplatelets (2.16.840.1.113883.3.464.1003.196.12.1211): Deleted 2 RXNORM codes (308414, 646434).

    Measure Section: QDM Data Elements

    Source of Change: 2018 Addendum

  • Value set Anticoagulant Medications (2.16.840.1.113883.3.464.1003.196.12.1283): Added 3 RXNORM codes (1361048, 1549683, 1798389).

    Measure Section: QDM Data Elements

    Source of Change: 2018 Addendum

  • Value set Ischemic Vascular Disease (2.16.840.1.113883.3.464.1003.104.12.1003): Added 24 SNOMEDCT codes and deleted 6 SNOMEDCT codes (433901000124101, 434991000124105, 442693003, 442735001, 45281005, 8001000119106).

    Measure Section: QDM Data Elements

    Source of Change: 2018 Addendum

External Resources