CMS 145 - Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <40%)
CMS145v5 (2017)
CMS145v6 (2018)
CMS145v7 (2019)
Description: 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.
Initial Patient Population: All patients aged 18 years and older with a diagnosis of coronary artery disease seen within a 12 month period.
Denominator: Equals Initial Population who also have prior (within the past 3 years) MI or a current or prior LVEF <40%
Numerator: Patients who were prescribed beta-blocker therapy.
Inverse Measure: No
Clinical Instructions
Track all patients aged 18+ prescribed beta-blocker therapy within a 12-month period of the diagnosis of coronary artery disease with prior myocardial infarction (MI) or a current or prior LVEF < 40%.
- Ensure patient has one of the following diagnoses:
- Moderate left ventricular systolic dysfunction (disorder) - SNOMED 981000124106
- Severe left ventricular systolic dysfunction (disorder) - SNOMED 991000124109
- Numerator will be populated with patients prescribed a beta-blocker therapy within the measure period.
Evidence
| Name | Value Set |
| Allergy/Intolerance | 2.16.840.1.113883.3.526.3.1493 |
| Diagnosis | 2.16.840.1.113883.3.526.3.1177 |
| Diagnosis | 2.16.840.1.113883.3.526.3.366 |
| Diagnosis | 2.16.840.1.113883.3.526.3.362 |
| Diagnosis | 2.16.840.1.113883.3.526.3.367 |
| Diagnosis | 2.16.840.1.113883.3.526.3.412 |
| Diagnosis | 2.16.840.1.113883.3.526.3.368 |
| Diagnosis | 2.16.840.1.113883.3.526.3.369 |
| Diagnosis | 2.16.840.1.113883.3.526.3.370 |
| Diagnosis | 2.16.840.1.113883.3.526.3.1178 |
| Diagnosis | 2.16.840.1.113883.3.526.3.1091 |
| Diagnosis | 2.16.840.1.113883.3.526.3.1090 |
| Diagnosis | 2.16.840.1.113883.3.526.3.403 |
| Diagnostic Study, Performed | 2.16.840.1.113883.3.526.3.1134 |
| Encounter, Performed | 2.16.840.1.113883.3.464.1003.101.12.1014 |
| Encounter, Performed | 2.16.840.1.113883.3.464.1003.101.12.1016 |
| Encounter, Performed | 2.16.840.1.113883.3.464.1003.101.12.1012 |
| Encounter, Performed | 2.16.840.1.113883.3.464.1003.101.12.1001 |
| Encounter, Performed | 2.16.840.1.113883.3.464.1003.101.12.1008 |
| Encounter, Performed | 2.16.840.1.113883.3.526.3.1012 |
| Medication, Active | 2.16.840.1.113883.3.526.3.1174 |
| Medication, Active | 2.16.840.1.113883.3.526.3.1184 |
| Medication, Not Ordered | 2.16.840.1.113883.3.526.3.1174 |
| Medication, Not Ordered | 2.16.840.1.113883.3.526.3.1184 |
| Medication, Order | 2.16.840.1.113883.3.526.3.1174 |
| Medication, Order | 2.16.840.1.113883.3.526.3.1184 |
| Patient Characteristic Ethnicity | 2.16.840.1.114222.4.11.837 |
| Patient Characteristic Payer | 2.16.840.1.114222.4.11.3591 |
| Patient Characteristic Race | 2.16.840.1.114222.4.11.836 |
| Patient Characteristic Sex | 2.16.840.1.113762.1.4.1 |
| Procedure, Performed | 2.16.840.1.113883.3.526.3.371 |