Query+Health+User+Story--+Hospital+Inpatient+Quality+Reporting+Program+Myocardial+Infarction+CQM

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=Query Health User Story-- Hospital Inpatient Quality Reporting Program Myocardial Infarction CQM=

For a single hospital or hospital system, calculate how well they are doing by the hospital(s), physician, patient age, sex, race on myocardial infarction (MI) patient compliance with Aspirin(ASA) therapy. The query could be: Identify the number of adults (over the age of 18) discharged in the past month (or other timeframe) who presented with a chief compliant of chest pain, were diagnosed with MI and were given an aspirin within 24 hours of hospital arrival. Show the results by hospital (in an integrated system), attending physician, patient age, sex and race (or another set of parameters chosen by the user).

A distributed query could extend this to identify the number of adults in a given region [e.g. stage, county, HIE] over the age of 18 who presented in the ER with a chief compliant of chest pain, discharged in 2010, with a diagnosis of myocardial infarction (MI) and given an aspirin within 24 hours of hospital arrival. Show the results totals by region, hospital, physician, patient age, sex and race(or another set of parameters chosen by the user). Could compare to a bordering state to look for patterns and best practices.

NOTE: the following information is provided as reference from the NQF query definition.

Exclude the following patients:

Excluded Populations:
 * Patients less than 18 years of age
 * Patients transferred to another acute care hospital or federal hospital on day of or day after arrival
 * Patients received in transfer from another acute care hospital, including another emergency department
 * Patients discharged on day of arrival
 * Patients who expired on day of or day after arrival
 * Patients who left against medical advice on day of or day after arrival
 * Patients with comfort measures only documented by a physician, nurse practitioner, or physician assistant
 * Patients with one or more of the following aspirin contraindications/reasons for not prescribing aspirin documented in the medical record:
 * Active bleeding on arrival or within 24 hours after arrival
 * Aspirin allergy
 * Coumadin/warfarin as pre-arrival medication
 * Other reasons documented by a physician, nurse practitioner, or physician assistant for not giving aspirin within 24 hours before or after hospital arrival

Data Elements:
 * Admission Date
 * Admission Source
 * Arrival Date
 * Birthdate
 * Comfort Measures Only
 * Contraindication to Aspirin on Arrival
 * Discharge Date
 * Discharge Status
 * ICD-9-CM Principal Diagnosis Code
 * Transfer From Another ED

Based on: NQF-ENDORSED VOLUNTARY CONSENSUS STANDARD FOR HOSPITAL CARE

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