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2005 National Healthcare Quality Report

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Percent of AMI patients administered beta blocker within 24 hours of admission

Measure Source

Centers for Medicare and Medicaid Services (CMS), Health Care Quality Improvement Program Quality Indicator.

Tables

1.40a Percent of Medicare AMI patients administered beta blocker within 24 hours of admission, United States, 2002 and 2003.

1.40b Percent of Medicare AMI patients administered beta blocker within 24 hours of admission, by State, 2002 and 2003.

1.40c Percent of AMI patients administered beta blocker within 24 hours of admission, by State, 2004

Data Source

CMS, Medicare Quality Improvement Organization Program.

CMS, Hospital Compare.

Denominator

Medicare hospital discharges with a principal diagnosis of acute myocardial infarction (AMI) without beta blocker contraindication.

Numerator

Subset of AMI denominator patients who received a beta blocker within 24 hours after hospital arrival.

Comments

ICD-9-CM codes for AMI include 410.01, 410.11, 410.21, 410.31, 410.41, 410.51, 410.61, 410.71, 410.81, and 410.91. The measure criteria exclude patients under age18, patients transferred to another acute care or Federal hospital, patients who expired or were discharged to hospice, patients who left against medical advice, and patients with certain conditions or contraindications pertaining to beta blockers. Further information on this and other heart disease measures is available at http://www.cms.hhs.gov/QualityInitiativesGenInfo/.

In the 2004 table, the State average percent was pre-calculated and supplied as part of the Hospital Compare database.

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Percent of AMI patients with beta blocker prescribed at discharge. Percent of AMI patients with aspirin prescribed at discharge.

 

 

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