Measure Source

Centers for Medicare and Medicaid Services (CMS), Health Care Quality Improvement Program Quality Indicator.

Tables

1.41a Percent of Medicare AMI patients with beta blocker prescribed at discharge, United States, 2002 and 2003.

1.41b Percent of Medicare AMI patients with beta blocker prescribed at discharge, by States, 2002 and 2003.

1.41c Percent of AMI patients with beta blocker prescribed at discharge, by State, 2004

Data Source

CMS, Medicare Quality Improvement Organization Program.

CMS, Hospital Compare.

Denominator

Medicare hospital discharges with a principal diagnosis of acute myocardial infarction (AMI) without beta blocker contraindication.

Numerator

Subset of AMI denominator patients who were prescribed a beta blocker at hospital discharge.

Comments

ICD-9-CM codes for AMI include 410.01, 410.11, 410.21, 410.31, 410.41, 410.51, 410.61, 410.71, 410.81, and 410.91. Measure criteria exclude patients under age18, patients transferred to acute care hospital or Federal hospital, patients who expired, patients who left against medical advice, patients discharged to hospice and patients with certain beta blocker contraindications. Further information on this and other heart disease measures is available at http://www.cms.hhs.gov/QualityInitiativesGenInfo/.

In the 2004 table, the State average percent was pre-calculated and supplied as part of the Hospital Compare database.