| Valid Data Submission Method(s) | Measure Type | High Priority Measure? | NQS Domain | Specialty Measure Sets |
|---|---|---|---|---|
| Registry | Efficiency | Yes | Efficiency and Cost Reduction | Cardiology |
Measure Description
Percentage of all stress single-photon emission computed tomography (SPECT) myocardial perfusion imaging (MPI), stress echocardiogram (ECHO), cardiac computed tomography angiography (CCTA), and cardiovascular magnetic resonance (CMR) performed in patients aged 18 years and older routinely after percutaneous coronary intervention (PCI), with reference to timing of test after PCI and symptom status
Instruction
This measure is to be reported once per procedure of cardiac stress imaging (i.e., SPECT, MPI, ECHO, CCTA and CMR) for patients seen during the performance period. There is no diagnosis associated with this measure. It is anticipatedthat eligible clinicians who provide the professional component of diagnostic imaging studies for cardiac stress will submitthis measure.
Denominator
All instances of stress single-photon emission computed tomography (SPECT) myocardial perfusion imaging(MPI), stress echocardiogram (ECHO), cardiac computed tomography angiography (CCTA), or cardiac magneticresonance (CMR) performed on patients aged 18 years and older during the reportingperiod
Denominator Criteria (Eligible Cases):
Patients aged ≥ 18 years on date of encounter
AND
Cardiac Stress Imaging Performed – Procedure Codes (CPT): 75559, 75563, 75571, 75572, 75573, 75574, 78451, 78452, 78453, 78454, 78491, 78492, 78494, 93350, 93351
Numerator
Number of stress SPECT MPI, stress echo, CCTA and CMR performed in asymptomatic patients within 2 years of the most recent PCI
Numerator Instructions:
INVERSE MEASURE – A lower calculated performance rate for this measure indicates better clinical care or control. The “Performance Not Met” numerator option for this measure is the representation of the better clinical quality or control. Reporting that numerator option will produce a performance rate that trendscloser to 0%, as quality increases. For inverse measures a rate of 100% means a tor eligible patients did not receive the appropriate care or were not in proper control.
NUMERATOR NOTE: A lower calculated performance rate for this measure indicates better clinical careor control. This measure is assessing overuse of cardiac stress imaging in asymptomatic patients that received PCI. Clinical quality outcome is cardiac stress imaging NOT performed on patient who is asymptomatic or low CHD risk.
Numerator Options:
Performance Met: Cardiac Stress Imaging performed primarily for monitoring of asymptomatic patient who had PCI within 2 years (G8963)
OR
Performance Not Met: Cardiac Stress Imaging test performed primarily for any other reason than monitoring of asymptomatic patient who had PCI within 2 years (e.g., symptomatic patient, patient greater than 2 years since PCI, initial evaluation, etc.) (G8964)