Beta-Blocker Prescribed at Discharge (NQF 0160)
-
Initial Patient Population =
- AND: "Diagnosis, Active: Hospital Measures-AMI (ordinality: 'Hospital Measures-Principal')"
- AND: "Patient Characteristic: birth date" >= 18 year(s) starts before or during "Occurrence A of Encounter: Hospital Measures
- Encounter Inpatient (admission datetime)"
- AND: "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (length of stay <= 120 day(s))"
- AND: "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (discharge datetime)" during "Measurement period"
-
Denominator =
- AND: "Initial Patient Population"
-
Denominator Exclusions =
- AND:
- OR: "Patient Characteristic: Clinical trial participant" during "Occurrence A of Encounter: Hospital Measures - Encounter
Inpatient"
- OR: "Intervention, Performed: Hospital Measures-Comfort measure only intervention" starts after start of "Occurrence A of
Encounter: Hospital Measures - Encounter Inpatient"
- OR: "Transfer To: Hospital Measures-Acute care hospital" < 1 day(s) starts after end of "Occurrence A of Encounter: Hospital
Measures - Encounter Inpatient"
- OR: "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (discharge status: 'Hospital Measures-Left against
medical advice')"
- OR: "Transfer To: Hospital Measures-Home hospice care" < 1 day(s) starts after end of "Occurrence A of Encounter: Hospital
Measures - Encounter Inpatient"
- OR: "Transfer To: Hospital Measures-Inpatient hospice care" < 1 day(s) starts after end of "Occurrence A of Encounter: Hospital
Measures - Encounter Inpatient"
- OR: "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (discharge status: 'Hospital Measures-Expired')"
- OR: "Medication, Active not done: Medical reason" for "Beta Blocker Therapy RxNorm Value Set" during "Occurrence A of Encounter:
Hospital Measures - Encounter Inpatient (discharge datetime)"
- OR: "Medication, Active not done: Patient reason" for "Beta Blocker Therapy RxNorm Value Set" during "Occurrence A of Encounter:
Hospital Measures - Encounter Inpatient (discharge datetime)"
- OR: "Medication, Order not done: Medical reason" for "Beta Blocker Therapy RxNorm Value Set" during "Occurrence A of Encounter:
Hospital Measures - Encounter Inpatient (discharge datetime)"
- OR: "Medication, Order not done: Patient reason" for "Beta Blocker Therapy RxNorm Value Set" during "Occurrence A of Encounter:
Hospital Measures - Encounter Inpatient (discharge datetime)"
- OR: "Medication, Allergy: Beta Blocker Therapy" starts before or during "Occurrence A of Encounter: Hospital Measures - Encounter
Inpatient"
- OR: "Medication, Intolerance: Beta Blocker Therapy" starts before or during "Occurrence A of Encounter: Hospital Measures
- Encounter Inpatient"
- OR: "Medication, Adverse Effects: Beta Blocker Therapy" starts before or during "Occurrence A of Encounter: Hospital Measures
- Encounter Inpatient"
- OR:
- AND: "Diagnosis, Active: Hospital Measures-Atrioventricular Block 2nd or 3rd degree" starts after start of "Occurrence A of
Encounter: Hospital Measures - Encounter Inpatient"
- AND NOT:
- OR: "Diagnosis, Active: Cardiac Pacer in Situ" during "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient"
- OR: "Device, Applied: Cardiac Pacer" during "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient"
-
Numerator =
- AND:
- OR: "Medication, Order: Beta Blocker Therapy" ends concurrent with "Occurrence A of Encounter: Hospital Measures - Encounter
Inpatient (discharge datetime)"
- OR: "Medication, Active: Beta Blocker Therapy (Health Record: 'Discharge Medications')" starts after start of "Occurrence
A of Encounter: Hospital Measures - Encounter Inpatient (discharge datetime)"
-
Denominator Exceptions =
-
"Device, Applied: Cardiac Pacer" using "Cardiac Pacer Value Set GROUPING (2.16.840.1.113883.3.666.05.303)"
-
"Diagnosis, Active: Cardiac Pacer in Situ" using "Cardiac Pacer in Situ Value Set GROUPING (2.16.840.1.113883.3.526.03.368)"
-
"Diagnosis, Active: Hospital Measures-AMI" using "Hospital Measures-AMI Value Set GROUPING (2.16.840.1.113883.3.666.05.624)"
-
"Diagnosis, Active: Hospital Measures-Atrioventricular Block 2nd or 3rd degree" using "Hospital Measures-Atrioventricular Block 2nd or 3rd degree Value Set GROUPING (2.16.840.1.113883.3.666.05.757)"
-
"Encounter: Hospital Measures-Encounter Inpatient" using "Hospital Measures-Encounter Inpatient SNOMED-CT Value Set (2.16.840.1.113883.3.666.05.625)"
-
"Intervention, Performed: Hospital Measures-Comfort measure only intervention" using "Hospital Measures-Comfort measure only intervention SNOMED-CT Value Set (1.3.6.1.4.1.33895.1.3.0.45)"
-
"Medication, Active: Beta Blocker Therapy" using "Beta Blocker Therapy RxNorm Value Set (2.16.840.1.113883.3.526.02.133)"
-
"Medication, Active not done: Medical reason" using "Medical reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.313)"
-
"Medication, Active not done: Patient reason" using "Patient reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.311)"
-
"Medication, Adverse Effects: Beta Blocker Therapy" using "Beta Blocker Therapy RxNorm Value Set (2.16.840.1.113883.3.526.02.133)"
-
"Medication, Allergy: Beta Blocker Therapy" using "Beta Blocker Therapy RxNorm Value Set (2.16.840.1.113883.3.526.02.133)"
-
"Medication, Intolerance: Beta Blocker Therapy" using "Beta Blocker Therapy RxNorm Value Set (2.16.840.1.113883.3.526.02.133)"
-
"Medication, Order: Beta Blocker Therapy" using "Beta Blocker Therapy RxNorm Value Set (2.16.840.1.113883.3.526.02.133)"
-
"Medication, Order not done: Medical reason" using "Medical reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.313)"
-
"Medication, Order not done: Patient reason" using "Patient reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.311)"
-
"Patient Characteristic: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
-
"Patient Characteristic: Clinical trial participant" using "Clinical trial participant SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.643)"
-
"Transfer To: Hospital Measures-Acute care hospital" using "Hospital Measures-Acute care hospital SNOMED-CT Value Set (2.16.840.1.113883.3.666.05.684)"
-
"Transfer To: Hospital Measures-Home hospice care" using "Hospital Measures-Home hospice care SNOMED-CT Value Set (2.16.840.1.113883.3.666.05.648)"
-
"Transfer To: Hospital Measures-Inpatient hospice care" using "Hospital Measures-Inpatient hospice care SNOMED-CT Value Set (2.16.840.1.113883.3.666.05.647)"
-
Attribute: "Discharge status: Hospital Measures-Left against medical advice" using "Hospital Measures-Left against medical advice SNOMED-CT Value Set (2.16.840.1.113883.3.666.05.1106)"
-
Attribute: "Discharge status: Hospital Measures-Expired" using "Hospital Measures-Expired Value Set GROUPING (2.16.840.1.113883.3.666.05.1146)"
-
Attribute: "Ordinality: Hospital Measures-Principal" using "Hospital Measures-Principal SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.8001)"
-
Attribute: "Health Record: Discharge Medications" using "Discharge Medications LOINC Value Set (2.16.840.1.113883.3.526.02.1075)"
- "Patient Characteristic: Gender" using "Gender HL7 Value Set (2.16.840.1.113883.1.11.1)"
- "Patient Characteristic: Race" using "Race CDC Value Set (2.16.840.1.114222.4.11.836)"
- "Patient Characteristic: Ethnicity" using "Ethnicity CDC Value Set (2.16.840.1.114222.4.11.837)"
- "Patient Characteristic: Payer" using "Payer Source of Payment Typology Value Set (2.16.840.1.113883.3.221.5)"