Medical Treatment of Acute Myocardial Infarction (AMI) Cohort

The Medical Treatment of AMI cohort targets patients with a principal diagnosis of AMI who did not receive a major procedure. This cohort is aligned with the CMS (Centers for Medicare and Medicaid Services) AMI Readmission Measure, except that CMS includes surgical patients.

To leverage this cohort:

• Profile filters: In the Profile Editor, add the cohort as a profile filter. With this option, you can further customize the profile with additional filters.
• Statistical Process Control: Add a Statistical Process Control section to a scorecard and select the cohort from the dropdown. Within this section, the cohort is not customizable and must be used as-is. When drilling into a chart in the SPC section, you can select to create a profile of the encounters you're drilling into so you can analyze and customize further.

Cohort inclusions

To be eligible for the Medical Treatment of AMI Cohort, the encounter must have an ICD-10 Principal Diagnosis Code of AMI (one of: I2101, I2102, I2109, I2111, I2119, I2121, I2129, I213, or I214).

Cohort exclusions

Encounters are excluded from this cohort if they meet any of the following criteria:

• Included in the Coronary Artery Bypass Graft (CABG) Cohort
• Included in the Percutaneous Coronary Intervention (PCI) Cohort
• Discharged or transferred to another facility
• Discharged on the same day as admission (Length of Stay less than one day)

Statistical Process Control (SPC) measures

The following measures pertain to this cohort in the Statistical Process Control section of scorecards.

Key measures

• Length of Stay (LOS)
• 1 to 30 Day Readmission Rate Forward
• Mortality Rate

Adverse events

These measures flag the encounter if the condition is present. The adverse events are aggregated in the Adverse Event bar chart.

• Any PSI
• Any HAC
• Dysglycemia
• Myocardial rupture
• Reaction to Anesthesia