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Specifications Manual for Joint Commission National Quality Measures (v2015A)
Home » LDL-c Less Than 100 mg/dL

Release Notes:
Data Element
Version 2015A

Data Element Name: LDL-c Less Than 100 mg/dL
Collected For: AMI-10,
Definition:Documentation of LDL-c cholesterol (LDL-c) level less than 100 mg/dL from test done within the first 24 hours after hospital arrival or within 30 days prior to hospital arrival. LDL is a complex of lipids and proteins, with greater amounts of lipid than protein that transports cholesterol in the blood. Higher levels are associated with an increased risk of atherosclerosis and coronary heart disease in patients without known cardiovascular disease as well as higher rates of recurrent cardiovascular events in patients who experience a first myocardial infarction.
Suggested Data Collection Question:Were any of the patient’s LDL-c cholesterol (LDL-c) levels less than 100 mg/dL from testing done within the first 24 hours after hospital arrival or within 30 days prior to hospital arrival?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

Y   (Yes)   LDL-c less than 100 mg/dL in the first 24 hours after hospital arrival or within 30 days prior to hospital arrival.

N   (No)   LDL-c is not less than 100 mg/dL in the first 24 hours after hospital arrival or within 30 days prior to hospital arrival, no testing was done during this timeframe (or LDL-c values not available), OR unable to determine from medical record documentation.
Notes for Abstraction:
  • If there is any LDL-c value less than 100 mg/dL from testing done within the first 24 hours after Arrival Time or within 30 days prior to Arrival Time, select “Yes.”
  • Direct and calculated (indirect) LDL-c values are both acceptable.
  • If there are no LDL-c values less than 100 mg/dL from testing done within the first 24 hours after Arrival Time or within 30 days prior to Arrival Time but there is a total cholesterol (TC or “cholesterol”) value less than 100 mg/dL from testing done during this timeframe, infer the LDL-c was less than 100 mg/dL and select “Yes.”
  • If all LDL-c value(s) from testing done within the first 24 hours after Arrival Time and within 30 days prior to Arrival Time are reported as not calculated (e.g., high triglycerides render the LDL-c calculation inaccurate), select “No.”
Suggested Data Sources:

  • Consultation notes
  • Emergency Department record
  • History and physical
  • Laboratory reports
  • Progress notes
  • Transfer record
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
LDL-cholesterol (LDL-c)
  • Low den lipoprotein
  • Low density lipoprotein (LDL)

LDL-cholesterol (LDL-c)
  • VLDL (very low density lipoprotein)

LDL-c Less Than 100 mg/dL
Specifications Manual for Joint Commission National Quality Measures (v2015A)
Discharges 01-01-15 (1Q15) through 09-30-15 (3Q15)
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