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Median time to thrombolysis. Time from arrival to initiation of a thrombolytic agent in patients with ST segment elevation or left bundle branch block (LBBB) on the electrocardiogram (ECG) performed closest to hospital arrival time.
Centers for Medicare and Medicaid Services, Health Care Quality Improvement Program (HCQIP) Quality Indicator.
1.40a Mean and median time to thrombolysis, United States, 1999-2000.
1.40b Mean and median time to thrombolysis, by state, 1999-2000.
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 meeting all three of the following criteria:
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);
ST segment elevation, ST elevation in 2 or more contiguous leads or LBBB on the ECG performed closest to the hospital arrival, or chest pain or other AMI symptoms within the 12 hours prior to arrival; and
Thrombolytic therapy within 24 hours after arrival.
Excludes patients transferred to another acute care hospital on day of admission, patients received in transfer from another hospital or another emergency department, patients discharged or expired on day of admission and patients with unknown admission source.
This measure is also a Joint Commission on Accreditation of Healthcare Organizations core measure.
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