• Institute for Clinical Systems Improvement (ICSI). Diagnosis and treatment of chest pain and acute coronary syndrome (ACS). Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2008 Oct. 69 p. [138 references]

Does not apply to this measure

This measure is used to assess the percentage of patients with acute myocardial infarction (AMI) receiving beta-blockers within 24 hours of arrival and on discharge.

The priority aim addressed by this measure is to increase the timely initiation of treatment to reduce post-infarction mortality in patients with acute myocardial infarction (AMI).

Acute myocardial infarction (AMI); beta-blockers

Number of patients with acute myocardial infarction (AMI) discharged in the measurement period

Number of patients with acute myocardial infarction (AMI) receiving beta-blockers within 24 hours of arrival and on discharge

• A clinical practice guideline or other peer-reviewed synthesis of the clinical evidence

Unspecified

Current routine use

Internal quality improvement

Hospitals

Physicians

Group Clinical Practices

Age greater than or equal to 18 years

Either male or female

Unspecified

Unspecified

Unspecified

Unspecified

Unspecified

Unspecified

Getting Better

Effectiveness
Timeliness

Users of care only

Adults 18 and older diagnosed as having an acute myocardial infarction (AMI)

It is highly recommended that data collection be completed on a real-time basis. This measure references all patients to improve process sensitivity at sites where few patients with AMI are routinely discharged in a given time period.

Should real-time data collection present insurmountable institutional obstacles, consider retrospective chart review of all, or a simple random sample, records of patients with AMI. A random sample is best employed in the presence of more than 30 discharges in a measurement period. If fewer than 30 discharges occur in a measurement period, consider examining all the records.

Data can be collected weekly or monthly.

Patients associated with provider

Inclusions
Number of patients with acute myocardial infarction (AMI) discharged in the measurement period

Exclusions
Unspecified

All cases in the denominator are equally eligible to appear in the numerator

Clinical Condition
Institutionalization

Time window brackets index event

Inclusions
Number of patients with acute myocardial infarction (AMI) receiving beta-blockers within 24 hours of arrival and on discharge

Exclusions
Unspecified

The measure results are somewhat or substantially under the control of the health care professionals, organizations and/or policymakers to whom the measure applies.

Institutionalization

Medical record

Individual Case

Unspecified

Rate

Better quality is associated with a higher score

Unspecified

Internal time comparison

Unspecified

Percentage of patients with AMI receiving beta-blockers within 24 hours of arrival and on discharge.

Institute for Clinical Systems Improvement

The following Minnesota health plans provide direct financial support: Blue Cross and Blue Shield of Minnesota, HealthPartners, Medica, Metropolitan Health Plan, PreferredOne, and UCare Minnesota. In-kind support is provided by the Institute for Clinical Systems Improvement's (ICSI) members.

Work Group Members: R. Scott Wright, MD (Work Group Leader) (Mayo Clinic) (Cardiology); Paul Spilde, PT (Park Nicollet Health Services) (Cardiac Rehabilitation); James Morrison, MD (HealthPartners Medical Group) (Cardiology); M. Danish Rizvi, MD (HealthPartners Medical Group) (Cardiology); Jackson Thatcher, MD (Park Nicollet Health Services) (Cardiology); Editha Liu, MD (Avera Health) (Hospitalist); Tonja Larson, PharmD, BCPS (Marshfield Clinic) (Pharmacy); Kathy Melsha, PharmD, BCPS (Park Nicollet Health Services) (Pharmacy); Myounghee Hanson (Institute for Clinical Systems Improvement) (Facilitator); Teresa Hunteman, MA, CPHQ (Institute for Clinical Systems Improvement) (Facilitator)

Measure was not adapted from another source.

2004 Nov

2008 Oct

This is the current release of the measure.

This measure updates a previous version: Institute for Clinical Systems Improvement (ICSI). Diagnosis and treatment of chest pain and acute coronary syndrome (ACS). Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2006 Oct. 76 p.

• Institute for Clinical Systems Improvement (ICSI). Diagnosis and treatment of chest pain and acute coronary syndrome (ACS). Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2008 Oct. 69 p. [138 references]

This NQMC summary was completed by ECRI on February 25, 2005. This NQMC summary was updated by ECRI Institute on December 29, 2005, January 24, 2007, and again on February 19, 2009.

This NQMC summary (abstracted Institute for Clinical Systems Improvement [ICSI] Measure) is based on the original measure, which is subject to the measure developer's copyright restrictions.

The abstracted ICSI Measures contained in this Web site may be downloaded by any individual or organization. If the abstracted ICSI Measures are downloaded by an individual, the individual may not distribute copies to third parties.

If the abstracted ICSI Measures are downloaded by an organization, copies may be distributed to the organization's employees but may not be distributed outside of the organization without the prior written consent of the Institute for Clinical Systems Improvement, Inc.

All other copyright rights in the abstracted ICSI Measures are reserved by the Institute for Clinical Systems Improvement, Inc. The Institute for Clinical Systems Improvement, Inc. assumes no liability for any adaptations or revisions or modifications made to the abstracts of the ICSI Measures.