NQMC Update Service: February 15, 2016 ► Centers for Medicare & Medicaid Services

NQMC Update Service: February 15, 2016

Measure Summaries

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 ST-segment elevation 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 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. This updates a previously published measure summary.

• Emergency department (ED): median time from ED arrival to provider contact for ED patients. This updates a previously published measure summary.

• Emergency department (ED): median time from ED arrival to time of initial oral, intranasal or parenteral pain medication administration for ED patients with a principal diagnosis of long bone fracture. This updates a previously published measure summary.

• 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. This updates a previously published measure summary.