Release Notes:
Data Element
Version 2010B
| Data Element Name: | Non-Primary PCI |
|---|
| Collected For: | AMI-8, AMI-8a, |
|---|
| Definition: | Primary percutaneous coronary interventions (PCIs) are those performed as the initial approach to reperfusion for patients in the acute phase of STE MI with the goal of promptly restoring blood flow and function to the portion of the heart that is jeopardized by an acute coronary artery occlusion. The benefits of primary PCI are sensitive to the speed with which PCI is performed. In contrast, some patients with STEMI may undergo a PCI during hospitalization that is not considered primary. For example, some may undergo PCI after either successful or failed fibrinolysis (i.e. a secondary approach to reperfusion); others after presenting days after symptom onset; and others later in the hospitalization because their ST-segment elevation and symptoms resolved early (i.e. where acute reperfusion was not deemed necessary but subsequent PCI was pursued). In order for a PCI to be excluded from the measures as non-primary, physician/advanced practice nurse/physician assistant (physician/APN/PA) documentation must clearly describe the procedure as not primary. If the documentation does not specifically describe the PCI in this manner, it is assumed to be primary. |
|---|
| Suggested Data Collection Question: | Does the physician/APN/PA describe the first PCI as NOT primary? |
|---|
| Format: | | Length: | 1 |
|---|
| Type: | Alphanumeric |
|---|
| Occurs: | 1 |
|---|
|
|---|
| Allowable Values: |
Y (Yes) Physician/APN/PA documentation describes the first PCI as NOT primary.
N (No) Physician/APN/PA documentation does NOT describe the first PCI as non-primary, or unable to determine from medical record documentation.
|
|---|
| Notes for Abstraction: |
- Use only physician/APN/PA documentation which describes the first PCI. Do NOT attempt to determine whether the PCI was non-primary based on symptomatology, circumstances, timing, etc.
- If ANY documentation referring to the first PCI describes the procedure as non-primary (see Inclusion list), select “Yes.”
Examples:
- “Will schedule elective PCI”
- "Patient did not need to go to the cath lab emergently"
- "No indication for immediate PCI"
|
|---|
| Suggested Data Sources: |
PHYSICIAN/APN/PA DOCUMENTATION ONLY
- Consultation notes
- Diagnostic test reports
- Discharge summary
- Emergency department record
- History and physical
- Operative notes
- Procedure notes
- Progress notes
Excluded Data Sources:
Any documentation dated/timed after discharge, except discharge summary and operative/procedure/diagnostic test reports (from procedure done during hospital stay)
|
|---|
| Additional Notes: |
|
|---|
| Guidelines for Abstraction: |
|---|
| Inclusion | Exclusion |
- Elective
- Not emergent
- Not immediate
- Not primary
- Not urgent
- Secondary
| |
|
Non-Primary PCI
Specifications Manual for Joint Commission National Quality Core Measures (2010B)
Discharges 10-01-10 (4Q10) through 03-31-11 (1Q11)
|