Clinical Quality Measure
CMS145v2 (NQF 0070) - Additional Measure

Coronary Artery Disease (CAD): Beta-Blocker Therapy: Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%)

Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease seen within a 12 month period who also have a prior MI or a current or prior LVEF < 40% who were prescribed beta-blocker therapy.

NQS DOMAIN:   Clinical Process/Effectiveness




Description and Implementation within the EMR software

There are 2 denominators each having 1 numerator in this measure and this translates to 2 sets in total.

Denominator 1: All patients 18 years or older with at least 1 encounter during the meaningful-use reporting period and having one of the following ICD-10 codes selected in ASSESSMENT/DIAGNOSIS section on the ENCOUNTER form:
I20.0, I20.1, I20.8, I20.9, I24.0, I24.8, I24.9, I25.10, I25.110, I25.111, I25.118, I25.119, I25.5, I25.6, I25.700, I25.701, I25.708, I25.709, I25.710, I25.711, I25.718, I25.719, I25.720, I25.721, I25.728, I25.729, I25.730, I25.731, I25.738, I25.739, I25.750, I25.751, I25.758, I25.759, I25.760, I25.761, I25.768, I25.769, I25.790, I25.791, I25.798, I25.799, I25.810, I25.811, I25.812, I25.82, I25.83, I25.89, I25.9, Z95.1, Z95.5, Z98.61
AND who also have LVSD (LVEF < 40%)

Numerator 1: Patients in the above mentioned list to whom beta-blocker therapy such as Atenolol, Betapace, Coreg etc was prescribed. UniCharts looks for the custom code QM070A: [Quality Measure] CAD with no MI, LVSD patient, beta-blocker therapy not prescribed or QM070B: [Quality Measure] CAD with no MI, LVSD patient, beta-blocker therapy prescribed within the PROCEDURES/SERVICES section on the ENCOUNTER form as the required documentation.

Denominator 2: All patients 18 years or older with at least 1 encounter during the meaningful-use reporting period and having one of the following ICD-10 codes selected in ASSESSMENT/DIAGNOSIS section on the ENCOUNTER form:
As above
AND who also have prior MI

Numerator 2: Patients in the above mentioned list to whom beta-blocker therapy such as Atenolol, Betapace, Coreg etc was prescribed. UniCharts looks for the custom code QM070C: [Quality Measure] CAD with no MI, prior MI patient, beta-blocker therapy not prescribed or QM070D: [Quality Measure] CAD with no MI, prior MI patient, beta-blocker therapy prescribed within the PROCEDURES/SERVICES section on the ENCOUNTER form as the required documentation.

Exceptions: UniCharts looks for the custom code QM070E: [Exception] Action specified in CMS145v2 not performed due to medical, patient, or system reasons within the PROCEDURES/SERVICES section on the ENCOUNTER form as the required documentation.

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