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Release Notes:
Data Element
Version 2010A1

Data Element Name: First PCI Date
Collected For: AMI-8, AMI-8a,
Definition:The date associated with the time of the first percutaneous coronary intervention (PCI) done after hospital arrival. PCI is defined as the dilation of a coronary (heart) arterial obstruction by means of a balloon catheter inserted into a narrowed blood vessel and inflated to flatten plaque against the artery wall. This may be performed with or without a stent, a metal scaffold that is used to assist in establishing and maintaining vessel patency.
Suggested Data Collection Question:What is the date associated with the time of the first percutaneous coronary intervention (PCI) done after hospital arrival (i.e., date associated with First PCI Time)?
Format:
Length:10 - MM-DD-YYYY (includes dashes) or UTD
Type:Date
Occurs:1
Allowable Values:


MM = Month (01-12)
DD = Day (01-31)
YYYY = Year (2000-9999)
UTD = Unable to Determine

Notes for Abstraction:
  • If the date of the first PCI is unable to be determined from medical record documentation, select “UTD.”
  • The medical record must be abstracted as documented (taken at “face value”). When the date documented is obviously in error (not a valid format/range or outside of the parameters of the care [after Discharge Date ]) and no other documentation is found that provides this information, the abstractor should select “UTD.”
    Examples:
    • Documentation indicates the First PCI Date was 02- 42 -2008. No other documentation in the medical record provides a valid date. Since the First PCI Date is outside of the range listed in Allowable Values for “Day,” it is not a valid date and the abstractor should select “UTD.”
    • Patient expires on 02-12-2008 and documentation indicates the First PCI Date was 03-12-2008. Other documentation in the medical record supports the date of death as being accurate. Since the First PCI Date is after the Discharge Date (death), it is outside of the parameters of care and the abstractor should select “UTD.”
      Note:
      Transmission of a case with an invalid date as described above will be rejected from the QIO Clinical Warehouse and the Joint Commission’s Data Warehouse. Use of “UTD” for First PCI Date allows the case to be accepted into the warehouse.
  • Do NOT include PCIs which were attempted but not completed on at least one vessel - e.g., angioplasty device (balloon, stent, thrombectomy device) could not be delivered to the blocked area of the artery, balloon could not be inflated, guidewire could not be advanced). Include PCIs that are completed but unsuccessful in maintaining the flow of blood through the artery. These may be described as “failed completed.”
  • May pre-populate using PCI ICD-9-CM Principal Procedure Date or ICD-9-CM Other Procedure Date . The abstractor should validate the ICD-9-CM date and correct as appropriate.
Suggested Data Sources:
  • Diagnostic test reports
  • Operative notes
  • Procedure notes
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • None
  • None

First PCI Date
Specifications Manual for Joint Commission National Quality Core Measures (2010A1)
Discharges 04-01-10 (2Q10) through 09-30-10 (3Q10)