NQMC Update Service: October 29, 2012 ► Centers for Medicare & Medicaid Services/The Joint Commission

NQMC Update Service: October 29, 2012

NQMC Update Service: October 29, 2012

Agency for Healthcare Research and Quality (AHRQ) sent this bulletin at 10/29/2012 12:02 PM EDT

October 29, 2012

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New This Week

Measure Summaries

Centers for Medicare & Medicaid Services/The Joint Commission

• Acute myocardial infarction: median time from arrival to administration of fibrinolytic therapy in AMI patients with ST-segment elevation or LBBB on the ECG performed closest to hospital arrival time. This updates a previously published measure summary.

• Acute myocardial infarction: median time from hospital arrival to primary PCI in AMI patients with ST-segment elevation or LBBB on the ECG performed closest to hospital arrival time. This updates a previously published measure summary.

• Acute myocardial infarction: percent of patients who are prescribed a beta-blocker at hospital discharge. This updates a previously published measure summary.

• Acute myocardial infarction: percent of patients who are prescribed aspirin at hospital discharge. This updates a previously published measure summary.

• Acute myocardial infarction: percent of patients who received aspirin within 24 hours before or after hospital arrival. This updates a previously published measure summary.

• Acute myocardial infarction: percent of patients with LVSD who are prescribed an ACEI or ARB at hospital discharge. This updates a previously published measure summary.

• Acute myocardial infarction: percent of patients with ST-segment elevation or LBBB on the ECG closest to arrival time receiving fibrinolytic therapy during the hospital stay and having a time from hospital arrival to fibrinolysis of 30 minutes or less. This updates a previously published measure summary.

• Acute myocardial infarction: percent of patients with ST-segment elevation or LBBB on the ECG closest to arrival time receiving primary PCI during the hospital stay with a time from hospital arrival to PCI of 90 minutes or less. This updates a previously published measure summary.

• Acute myocardial infarction: percentage of patients who are prescribed a statin at hospital discharge.
• Emergency department: median time from admit decision time to time of departure from the ED for ED patients admitted to inpatient status. This updates a previously published measure summary.

• Emergency department: median time from ED arrival to time of departure from the emergency room for patients admitted to the facility from the ED. This updates a previously published measure summary.

• Heart failure: percent of patients discharged home with written instructions or educational material given to patient or caregiver at discharge or during the hospital stay addressing all of the following: activity level, diet, discharge medications, follow-up appointment, weight monitoring, and what to do if symptoms worsen. This updates a previously published measure summary.

• Heart failure: percent of patients with documentation in the hospital record that LVS function was evaluated before arrival, during hospitalization, or is planned for after discharge. This updates a previously published measure summary.

• Heart failure: percent of patients with LVSD who are prescribed an ACEI or ARB at hospital discharge. This updates a previously published measure summary.