Median time to ECG Median time from emergency department arrival to ECG (performed in the ED prior to transfer) for acute myocardial infarction (AMI) or Chest Pain patients (with Probable Cardiac Chest Pain). Nominated by Dana Safran, BCBSMA Priority Area Steward NQF Appropriateness of hospital-based care CMS Endorsement Removed (0289) Summary Addresses SQAC NQF-Endorsed or in Minimum Scores Overall Score Rating Priority Area a National Set 11    Good (Average 2.75) No Alternative Recommended for inclusion Detailed Measure Evaluation Variation may exist in the assignment of ICD-10-CM codes; therefore, coding Reliability and Validity 2 Minimum 2 practices may require evaluation to ensure consistency. There may be additional variation by provider, facility, and documentation protocol for chart-abstracted data elements. Amenability to Targeted 1 NQF removed endorsement in 2014 for lack of evidence indicating that knowing the Improvement door to ECG time improves outcomes, particularly given that door to balloon time for No Minimum Score STEMI patients is already measured. This measure is more distal to the outcome of treatment for STEMI patients; as such, the Committee did not find it to be necessary to endorse this measure, and consequently devote resources to calculating this measure, when the outcome measure is already available and in use. Ease of Measurement 4 Requires chart review, but is already publicly reported by CMS. Minimum 1 Implementation 4 Already used and publicly reported by CMS on a facility level. Minimum Score: 1 References Measure Submission Forms: http://www.qualityforum.org/ProjectTemplateDownload.aspx?SubmissionID=277, Accessed September 1, 2017 NQF-endorsed Measures for Cardiovascular Conditions: 2014. Accessed September 1, 2017
Median time to ECG Median time from emergency department arrival to ECG (performed in the ED prior to transfer) for acute myocardial infarction (AMI) or Chest Pain patients (with Probable Cardiac Chest Pain). Nominated by Dana Safran, BCBSMA Priority Area Appropriateness of hospital-based care Steward CMS NQF Endorsement Removed (0289) Summary Addresses SQAC Priority Area NQF-Endorsed or in a National Set Minimum Scores Overall Score Rating    11 (Average 2.75) Good No Alternative Recommended for inclusion Detailed Measure Evaluation Reliability and Validity Minimum 2 2 Variation may exist in the assignment of ICD-10-CM codes; therefore, coding practices may require evaluation to ensure consistency. There may be additional variation by provider, facility, and documentation protocol for chart-abstracted data elements. Amenability to Targeted Improvement No Minimum Score 1 NQF removed endorsement in 2014 for lack of evidence indicating that knowing the door to ECG time improves outcomes, particularly given that door to balloon time for STEMI patients is already measured. This measure is more distal to the outcome of treatment for STEMI patients; as such, the Committee did not find it to be necessary to endorse this measure, and consequently devote resources to calculating this measure, when the outcome measure is already available and in use. Ease of Measurement Minimum 1 4 Requires chart review, but is already publicly reported by CMS. Implementation Minimum Score: 1 4 Already used and publicly reported by CMS on a facility level. References Measure Submission Forms: http://www.qualityforum.org/ProjectTemplateDownload.aspx?SubmissionID=277, Accessed September 1, 2017 NQF-endorsed Measures for Cardiovascular Conditions: 2014. Accessed September 1, 2017
2017-SQMS-Nomination-Evaluations-Word.docx