Aspirin at arrival Percentage of emergency department acute myocardial infarction (AMI) patients or chest pain patients (with Probable Cardiac Chest Pain) without aspirin contraindications who received aspirin within 24 hours before ED arrival or prior to transfer. Nominated by Dana Safran, BCBSMA Priority Area Steward NQF Appropriateness of hospital-based care CMS Endorsement Removed (0286) Summary Addresses SQAC NQF-Endorsed or in Minimum Scores Overall Score Rating Priority Area a National Set 14    Strong (Average 3.5) No Alternative Recommended for inclusion Detailed Measure Evaluation Reliability and Validity 3 are no reliability results at the measure level, but the underlying claims data Minimum Score: 2 used for public reporting by CMS is extensively validated and considered the gold standard. Validity testing was strong. Amenability to Targeted 3 NQF removed endorsment because this measure was "topped out". However, Improvement scores voluntarily reported by MA hospitals do show some performance gap. is No Minimum Score evidence of a correllation between improved outcomes and immediate use of aspirin, but evidence supporting aspirin use any time within the first 24 hours is less clear. Ease of Measurement 4 Requires chart review, but is already publicly reported by CMS. Minimum 1 Field Implementation 4 Already used and publicly reported by CMS on a facility Minimum Score: 1 References Measure Submission and Testing Form: http://www.qualityforum.org/ProjectTemplateDownload.aspx?SubmissionID=274, Accessed August 29, 2017 A Comprehensive Review of Development and Testing for National Implementation of Hospital Core Measures: Accessed August 16, 2017 NQF-endorsed Measures for Cardiovascular Conditions: 2014. Accessed September 1, 2017
Aspirin at arrival Percentage of emergency department acute myocardial infarction (AMI) patients or chest pain patients (with Probable Cardiac Chest Pain) without aspirin contraindications who received aspirin within 24 hours before ED arrival or prior to transfer. Nominated by Dana Safran, BCBSMA Priority Area Appropriateness of hospital-based care Steward CMS NQF Endorsement Removed (0286) Summary Addresses SQAC Priority Area NQF-Endorsed or in a National Set Minimum Scores Overall Score Rating    14 (Average 3.5) Strong No Alternative Recommended for inclusion Detailed Measure Evaluation Reliability and Validity Minimum Score: 2 3 are no reliability results at the measure level, but the underlying claims data used for public reporting by CMS is extensively validated and considered the gold standard. Validity testing was strong. Amenability to Targeted Improvement No Minimum Score 3 NQF removed endorsment because this measure was "topped out". However, scores voluntarily reported by MA hospitals do show some performance gap. is evidence of a correllation between improved outcomes and immediate use of aspirin, but evidence supporting aspirin use any time within the first 24 hours is less clear. Ease of Measurement Minimum 1 4 Requires chart review, but is already publicly reported by CMS. Field Implementation Minimum Score: 1 4 Already used and publicly reported by CMS on a facility References Measure Submission and Testing Form: http://www.qualityforum.org/ProjectTemplateDownload.aspx?SubmissionID=274, Accessed August 29, 2017 A Comprehensive Review of Development and Testing for National Implementation of Hospital Core Measures: Accessed August 16, 2017 NQF-endorsed Measures for Cardiovascular Conditions: 2014. Accessed September 1, 2017
2017-SQMS-Nomination-Evaluations-Word.docx