The Centers for Medicare & Medicaid Services (CMS) has contracted with Yale New Haven Health Services Corporation/Center for Outcomes Research and Evaluation (YNHHSC/CORE) to develop a hospital quality measure of acute myocardial infarction (AMI) mortality for use with electronic health record (EHR) data.  CMS developed and has implemented an AMI 30-day risk-standardized mortality measure using CMS claims data since 2008. This eMeasure was developed anew (de novo) using clinical data elements from a national registry. All data elements were selected based on feasibility of their extraction from EHR data and vetted with clinical and technical experts.  The measure is designed for potential use in public reporting in the EHR environment. The measure has undergone eSpecification and its related testing will be completed later in 2012.
 
CMS is requesting stakeholder review and public comment of this measure. All comments are welcome, but there is a particular interest on feedback on measure development methodology and final model. 

The measure specifications are outlined in the Measure Justification Form, technical report, and fully eSpecified eMeasure (including the human readable .html file, the eMeasure specification .xml file, and the value sets .xls file), all of which are available for download. Comments on the measure must be received by July 14, 2012, 11:59 p.m. ET and may be general or specific to the measure. The comments received will be posted approximately four weeks after the public comment period closes.

To access the CMS public comment system to download the documents described above and find instructions on comment submission, click here.

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