1 NOT a Primary measure for ACS/AMI, but it is a primary measure for CHF.
2 Cholesterol Management in patients with cardiovascular conditions includes the percentage of ACS/AMI patients who had a low-density lipoprotein cholesterol (LDL-C) screening performed and the percentage of patients who have a documented LDL-C level less than 130 mg/dL and less than 100 mg/dL.
3 Premier uses risk-adjusted AMI mortality based on JCAHO hierarchical logistic regression methodology. AHRQ IQI uses two separate APR-DRG methodologies for the two AMI mortality measures. AHRQ PSIs include ‘Failure to rescue,’ which is not specific to AMI, but contributes to this measure. It is risk adjusted by DRG and other patient characteristics across multiple diagnostic groups.
4 PCI mortality is risk-adjusted by different methodologies for each entity. NQF Consensus Standards for Hospital Care uses the ACC-NCDR logistic regression model. COAP uses its own model.
5 The AHRQ IQI measures for PCIs do not include outpatient procedures since ICD-9-CM procedure codes were named as the HIPAA standard code set for inpatient hospital procedures only and not for other settings such as hospital outpatient services or other types of ambulatory services. Hospitals may capture the ICD-9-CM procedure codes for internally tracking or monitoring hospital outpatient services; but when conducting standard transactions, hospitals must use Healthcare Common Procedure Coding System (HCPCS) codes to report. The HCPCS Level 1 Code set include Current Procedure Terminology (CPT) codes that are maintained by the AMA.
6 CABG mortality is risk-adjusted by different methodologies for each entity. AHRQ IQIs utilizes an APR-DRG methodology. NQF Consensus Standards for Hospital Care uses the NY State Cardiac Surgery Reporting System's logistic regression model. COAP uses its own model.