• Specifications manual for national hospital inpatient quality measures, version 2.5b. Centers for Medicare & Medicaid Services (CMS), The Joint Commission; 2008 Oct. various p.

Does not apply to this measure

This measure is used to assess the percent of acute myocardial infarction (AMI) patients receiving primary percutaneous coronary intervention (PCI) during the hospital stay with a time from hospital arrival to PCI of 90 minutes or less.

The early use of primary angioplasty in patients with acute myocardial infarction (AMI) who present with ST-segment elevation or left bundle branch block (LBBB) results in a significant reduction in mortality and morbidity. The earlier primary coronary intervention is provided, the more effective it is. National guidelines recommend the prompt initiation of percutaneous coronary intervention (PCI) in patients presenting with ST-elevation myocardial infarction. Despite these recommendations, few eligible older patients hospitalized with AMI receive primary angioplasty within a timely manner.

Acute myocardial infarction (AMI); ST-segment elevation; left bundle branch block (LBBB); percutaneous coronary intervention (PCI)

Acute myocardial infarction (AMI) patients with ST-segment elevation or left bundle branch block (LBBB) on electrocardiogram (ECG) performed closest to hospital arrival and percutaneous coronary intervention (PCI) performed within 24 hours after hospital arrival (see the related "Denominator Inclusions/Exclusions" field in the Complete Summary)

Acute myocardial infarction (AMI) patients whose time from hospital arrival to primary percutaneous coronary intervention (PCI) is 90 minutes or less

Administrative data
Medical record

AMI-8a: primary PCI received within 90 minutes of hospital arrival.

Centers for Medicare & Medicaid Services
Joint Commission, The

Centers for Medicare & Medicaid Services/The Joint Commission

All external funding for measure development has been received and used in full compliance with The Joint Commission's Corporate Sponsorship policies, which are available upon written request to The Joint Commission.

Expert panel members have made full disclosure of relevant financial and conflict of interest information in accordance with the Joint Commission's Conflict of Interest policies, copies of which are available upon written request to The Joint Commission.

National Quality Forum

Hospital Compare
Hospital Quality Alliance

Measure was not adapted from another source.

2000 Aug

2008 Oct

This is the current release of the measure.

This measure updates a previous version: Specifications manual for national hospital quality measures, version 2.3b. Centers for Medicare & Medicaid Services (CMS), The Joint Commission; 2007 Oct. various p.

• Specifications manual for national hospital inpatient quality measures, version 2.5b. Centers for Medicare & Medicaid Services (CMS), The Joint Commission; 2008 Oct. various p.

This NQMC summary was completed by ECRI on January 6, 2003. The information was verified by the measure developer on January 29, 2003. This NQMC summary was updated by ECRI on October 6, 2005 and on April 16, 2007. The information was verified by the measure developer on July 24, 2007. This NQMC summary was updated again by ECRI Institute on October 26, 2007. The Joint Commission informed NQMC that this measure was updated on August 13, 2008 and provided an updated version of the NQMC summary. This NQMC summary was updated accordingly by ECRI Institute on November 11, 2008. The information was verified by the Centers for Medicare & Medicaid Services on Janaury 22, 2009.

The Specifications Manual for National Hospital Inpatient Quality Measures [Version 2.5b, October, 2008] is the collaborative work of the Centers for Medicare & Medicaid Services and The Joint Commission. The Specifications Manual is periodically updated by the Centers for Medicare & Medicaid Services and The Joint Commission. Users of the Specifications Manual for National Hospital Inpatient Quality Measures should periodically verify that the most up-to-date version is being utilized.