Acute Myocardial Infarction: Documentation to Support Quality

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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.

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