This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://info.ahrq.gov. Let us know the nature of the problem, the Web address of what you want, and your contact information.
Please go to www.ahrq.gov for current information.
Percent of AMI patients with left ventricular systolic dysfunction prescribed ACE inhibitor at discharge.
Centers for Medicare and Medicaid Services, Health Care Quality Improvement Program (HCQIP) Quality Indicator.
1.38a Percent of AMI patients with left ventricular systolic dysfunction prescribed ACE inhibitor at discharge, United States, 2000 - 2001.
1.38b Percent of AMI patients with left ventricular systolic dysfunction prescribed ACE inhibitor at discharge, by state, 2000 – 2001.
Centers for Medicare and Medicaid Services, Medicare Quality Improvement Organization Program. Data are from a systematic random sample of up to 800 inpatient records per state.
Medicare discharges with a principal diagnosis of acute myocardial infarction (AMI, ICD-9 codes 410.00, 410.01, 410.10, 410.11, 410.20, 410.21, 410.30, 410.31, 410.40, 410.41, 410.50 410.51, 410.60, 410.61, 410.70, 410.71, 410.80, 410.81, 410.90, 410.91) and chart documentation of a left ventricular ejection fraction (LVEF) less than 40% or a narrative description of left ventricular function (LVF) consistent with moderate or severe systolic dysfunction.
Subset of denominator population prescribed an angiotensin converting enzyme inhibitor (ACEI) at hospital discharge.
Excludes patients transferred to another acute care hospital, patients who expired, and patients with unknown discharge disposition.
Excludes patients with one or more of the following ACEI contraindications documented in the medical record: ACEI allergy or reaction to angiotensin converting enzyme inhibitors during hospitalization; aortic stenosis; admission or highest serum creatinine greater than 2 mg/dL; last systolic blood pressure lower than 100 mm Hg and not discharged on an ACE inhibitor.
Left ventricular systolic dysfunction (LVSD) is defined in this measure as chart documentation of a LVEF less than 40% or a narrative description of LVF consistent with moderate or severe systolic dysfunction. This measure is also a Joint Commission on Accreditation of Healthcare Organizations core measure.
Return to Previous Measure
Return to Measures Specifications Appendix
Proceed to Next Measure
Return to Contents