NQMC Update Service: September 1, 2014 ▲ Centers for Medicare & Medicaid Services

NQMC Update Service: September 1, 2014

Centers for Medicare & Medicaid Services

• Acute myocardial infarction (AMI)/chest pain: median time from ED arrival to ECG (performed in the ED prior to transfer) for patients with AMI or chest pain. This updates a previously published measure summary.

• Acute myocardial infarction (AMI)/chest pain: percentage of ED patients with AMI or chest pain who received aspirin within 24 hours before ED arrival or prior to transfer. This updates a previously published measure summary.

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

• Acute myocardial infarction (AMI): median time to transfer to another facility for acute coronary intervention. This updates a previously published measure summary.

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

• Emergency department (ED): median time from ED arrival to ED departure for discharged ED patients.

• Emergency department (ED): median time from ED arrival to provider contact for ED patients.

• Emergency department (ED): median time from ED arrival to time of initial oral or parenteral pain medication administration for ED patients with a principal diagnosis of long bone fracture.

• Emergency department (ED): percentage of ED acute ischemic stroke or hemorrhagic stroke patients who arrive at the ED within 2 hours of the onset of symptoms who have a head CT or MRI scan performed during the stay and having a time from ED arrival to interpretation of the head CT or MRI scan within 45 minutes of arrival.

• Hospital outpatient surgery: percentage of surgical patients who received prophylactic antibiotics consistent with current guidelines (specific to each type of surgical procedure). This updates a previously published measure summary.

• Hospital outpatient surgery: percentage of surgical patients with prophylactic antibiotics initiated within one hour prior to surgical incision. This updates a previously published measure summary.