The National Cardiovascular Data Registry (NCDR) and the CMS MI Mortality Metric include patients diagnosed with a Type 1 MI (STEMI and NSTEMI).
Patients included in the NCDR registry are evaluated for the following discharge metrics:
• Discharged on Aspirin
• Discharged on P2Y12 inhibitor
• Discharged on beta blocker
• Discharged on ACE-I/ARB for LVSD
• Discharged on high intensity statin
• Cardiac rehab referral
Type 2 MI is EXCLUDED from both the NCDR tracking and CMS Mortality tracking.
| Type | Criteria | Documentation | NCDR | CMS Mortality |
| Type 1 MI | Abnormal troponin with rise/fall due to acute ischemia secondary to CAD | · STEMI
· NSTEMI |
Included | Included |
| Type 2 MI | Abnormal troponin with rise/fall due to acute ischemia secondary to supply/demand mismatch | · Type 2 MI
· MI due to demand ischemia · MI due to ischemic imbalance |
EXCLUDED
|
EXCLUDED |
Documentation of “Type 2 NSTEMI” codes to Type 2 MI.
Download the complete tip, Acute Myocardial Infarction: Documentation to Support Quality.