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Appropriate Treatment for ST-Segment Elevation Myocardial Infarction (STEMI) Patients in the Emergency Department (ED)

Compare Versions of: "Appropriate Treatment for ST-Segment Elevation Myocardial Infarction (STEMI) Patients in the Emergency Department (ED)"

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.

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Table Options
Measure Information 2023 Reporting Period
Title Appropriate Treatment for ST-Segment Elevation Myocardial Infarction (STEMI) Patients in the Emergency Department (ED)
CMS eCQM ID CMS996v3
Short Name OP-40 (STEMI)
CBE ID* 3613e
Measure Steward Centers for Medicare & Medicaid Services (CMS)
Description

Percentage of emergency department (ED) encounters for patients 18 years and older with a diagnosis of ST-segment elevation myocardial infarction (STEMI) that received appropriate treatment, defined as fibrinolytic therapy within 30 minutes of ED arrival, percutaneous coronary...

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Measure Scoring Proportion measure
Measure Type Process
Stratification *See CMS996v3.html
Risk Adjustment *See CMS996v3.html
Rationale *See CMS996v3.html
Clinical Recommendation Statement *See CMS996v3.html
Improvement Notation

Improvement noted as an increase in the rate

Definition *See CMS996v3.html
Guidance

This eCQM is an episode-based measure and should be reported for each instance of an ED encounter during the measurement period for patients with a STEMI.

This version of the eCQM uses QDM version 5.6. Please refer to the QDM page for more information on the QDM.

Initial Population

All emergency department encounters for patients 18 years and older at the start of the encounter with a diagnosis of ST-segment elevation myocardial infarction (STEMI) during the measurement period

Denominator

Equals Initial Population

Denominator Exclusions

Patients with the following conditions are excluded from measure denominator:

• Expired in the ED

• Allergic reaction to alteplase, streptokinase, anistreplase, tenecteplase, or reteplase

Within 90 days before start of ED encounter:

• Ischemic stroke

• Significant facial and/or closed head...

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Numerator

Emergency department encounters with a diagnosis of STEMI:

- where time from ED arrival to fibrinolysis is 30 minutes or fewer;

OR

- where PCI is performed within 90 minutes of arrival for non-transfer patients;

OR

- where the patient is transferred within 45 minutes of ED arrival.

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Numerator Exclusions

Not Applicable

Denominator Exceptions

None

Telehealth Eligible No
Next Version
Previous Version No Version Available
Specifications

There are known issues on CMS996v3. See issues EKI-24 and EKI-26 on the ONC eCQM Known Issues Dashboard for details.

Last Updated: Feb 03, 2025