Measure Information Form

Numerator Statement:

Included Populations:

Excluded Populations:

Data Elements:

Denominator Statement:

Included Populations:

Excluded Populations:

Data Elements:

Continuous Variable Statement: Time (in minutes) from hospital arrival to primary PCI in patients with ST-segment elevation or LBBB on the ECG performed closest to hospital arrival

Included Populations: Discharges with:

• An ICD-9-CM Principal Diagnosis Code for AMI as defined in Appendix A, Table 1.1
  AND
• PCI (ICD-9-CM Principal and Other Procedure Codes for PCI as defined in Appendix A, Table 1.2)
  AND
• ST-segment elevation or LBBB on the ECG performed closest to hospital arrival
  AND
• PCI performed within 24 hours after hospital arrival

Excluded Populations:

• Patients less than 18 years of age
• Patients who have a Length of Stay >120 days
• Patients with Comfort Measures Only documented on day of or day after arrival
• Patients enrolled in clinical trials
• Patients received as a transfer from an acute care facility where they were an inpatient or outpatient
• Patients received as a transfer from one distinct unit of the hospital to another distinct unit of the same hospital
• Patients received as a transfer from the emergency department of another hospital
• Patients administered fibrinolytic agent prior to PCI
• PCI described as non-primary by a physician/advanced practice nurse/physician assistant (physician/APN/PA)
• Patients who did not receive PCI within 90 minutes and had a reason for delay documented by a physician/APN/PA (e.g., social, religious, initial concern or refusal, cardiopulmonary arrest)

Data Elements:

• Birthdate
• Clinical Trial
• Fibrinolytic Administration
• First PCI Date
• First PCI Time
• ICD-9-CM Other Procedure Codes
• ICD-9-CM Principal Diagnosis Code
• ICD-9-CM Principal Procedure Code
• Initial ECG Interpretation
• Non-Primary PCI
• Point of Origin for Admission or Visit
• Reason for Delay in PCI
• Transfer From Another ED