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Release Notes:
Data Element
Version 2010A1

Data Element Name: Pre-Arrival Lipid-Lowering Agent
Collected For: AMI-T1a, , (CMS Optional Test Measure)
Definition:Documentation in the medical record that the patient was on a lipid-lowering medication prior to hospital arrival.
Suggested Data Collection Question:Is there documentation that the patient was on a lipid-lowering medication prior to hospital arrival?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

Y    (Yes)   There is documentation that the patient was on a lipid-lowering medication prior to hospital arrival.

N   (No)   There is no documentation that the patient was on a lipid-lowering medication prior to hospital arrival or unable to determine from medical record documentation.

Notes for Abstraction:
  • Refer to the patient’s medication regimen just prior to acute care treatment. Include lipid-lowering medication if the patient was on it at home, the nursing home, a transferring psychiatric hospital, etc.
  • Include cases where there is documentation that the patient was prescribed a lipid-lowering medication at home but there is indication it was on temporary hold or the patient has been non-compliant/self-discontinued their medication (e.g., refusal, side effects, cost).
  • The abstractor should search every suggested data source listed for the collection of information. When conflicting information is documented in a medical record, a positive finding should take precedence over a negative finding (e.g., answer “Yes”), unless otherwise specified.
Suggested Data Sources:
  • Consultation notes
  • Emergency department record
  • History and physical
  • Nursing admission assessment
  • Progress notes
  • Transfer sheet
  • Medication reconciliation form
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • Refer to Appendix C, Table 1.6 for a comprehensive list of Lipid-Lowering Medications.
  • None

Pre-Arrival Lipid-Lowering Agent
Specifications Manual for Joint Commission National Quality Core Measures (2010A1)
Discharges 04-01-10 (2Q10) through 09-30-10 (3Q10)