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2005 National Healthcare Quality Report

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Percent of AMI patients given smoking cessation counseling while hospitalized

Measure Source

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

Tables

1.43a Percent of Medicare AMI patients given smoking cessation counseling while hospitalized, United States, 2002 and 2003.

1.43b Percent of Medicare AMI patients given smoking cessation counseling while hospitalized, by State, 2002 and 2003.

1.43c Percent of AMI patients given smoking cessation counseling while hospitalized, 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) and a history of smoking cigarettes anytime during the year prior to hospital arrival.

Numerator

Subset of AMI denominator patients who received smoking cessation advice or counseling during the hospital stay.

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 specifies exclusion of patients under age 18, patients transferred to another acute care or Federal hospital, patients transferred to hospice, patients who expired, and patients who left against medical advice. 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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Median time in minutes 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. Percent of AMI patients with left ventricular systolic dysfunction prescribed ACE inhibitor at discharge.

 

 

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