Measure Source

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

Tables

1.39a Percent of Medicare AMI patients with aspirin prescribed at discharge, United States, 2002 and 2003.

1.39b Percent of Medicare AMI patients with aspirin prescribed at discharge, by State, 2002 and 2003.

1.39c Percent of AMI patients with aspirin 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 aspirin contraindication.

Numerator

Subset of AMI denominator patients who were prescribed aspirin 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. The measure criteria exclude patients under age 18, patients transferred to another acute care or Federal hospital, patients who expired, patients who left against medical advice, patients discharged to hospice, and patients with certain aspirin 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.