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Clinical Quality Measures Report - Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <40%)

Overview
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease seen within a 12 month period who also have a prior MI or a current or prior LVEF <40% who were prescribed beta-blocker therapy.

A patient will be in the first denominator when they have all of the following- 

  • An age 18 years or older
  • Two visits during your reporting period
  • One of the following-
    • A Coronary Artery Disease No MI diagnosis with an Onset Date matching their first visit's Procedure Date
    • A Cardiac Surgery performed prior to their first visit's Procedure Date
  • One of the following-
    • An ejection Fraction LNC code entered or imported as a Laboratory Order with a result <40% and a Received Date prior or identical to their first visit's Procedure Date
    • A Moderate or Severe LVSD diagnosis, indicated with the listed snomed codes in the report footer

A patient will be in the first numerator when they have all of the following- 

  • A Beta Blocker Therapy for LVSD medication with an Ordered Date matching their first visit's Procedure Date

 

A patient will be in the second denominator when they have all of the following- 

  • An age 18 years or older
  • Two visits during your reporting period
  • One of the following-
    • A Coronary Artery Disease No MI diagnosis with an Onset Date matching their first visit's Procedure Date
    • A Cardiac Surgery performed prior to their first visit's Procedure Date
  • A Myocardial Infarction diagnosis in their Problem List with an Onset Date matching the Procedure Date of their visit

A patient will be in the second numerator when they have all of the following- 

  • A Beta Blocker Therapy medication with an Ordered Date matching their first visit's Procedure Date

 

A patient will be in the exceptions when they have any of the following- 

  •  A diagnosis of Arrhythmia, Hypotension, Asthma, Bradycardia, Allergy to Beta Blocker Therapy,or Intolerance to Beta Blocker Therapy
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