title: Identification of patients with coronary heart disease: meeting regulatory standards vs. improving overall care.
abstract: Acute myocardial infarction (AMI) patients can be identified prospectively by troponin-I (TnI) result monitoring and retrospectively by ICD-9 diagnosis coding. Prospective identification is needed for interventions, while retrospective identification is required for regulatory reporting. Prospective approaches can identify patients with a reasonable degree of accuracy, but they cannot always predict ICD-9 coding for that condition. Our approach focuses on prospective identification of patients with CHD to improve their care. Meeting regulatory standards is a secondary goal.
authors.affiliation: BJC Healthcare, Center for Healthcare Quality and Effectiveness, St. Louis, MO, USA.
authors.forename: Song
authors.initials: S
authors.lastname: Wang
authors.forename: Richard M
authors.initials: RM
authors.lastname: Reichley
authors.forename: Laura A
authors.initials: LA
authors.lastname: Noirot
authors.forename: Patricia
authors.initials: P
authors.lastname: Storey
authors.forename: Patrick
authors.initials: P
authors.lastname: Traynor
authors.forename: Wm Claiborne
authors.initials: WC
authors.lastname: Dunagan
authors.forename: Thomas C
authors.initials: TC
authors.lastname: Bailey
mesh_terms: D006801:Humans; D038801:International Classification of Diseases; D009203:Myocardial Infarction / Q000175:diagnosis*; D017410:Practice Guidelines as Topic / Q000592:standards; D011315:Preventive Medicine / Q000592:standards; D011787:Quality of Health Care; D012016:Reference Values; D012680:Sensitivity and Specificity; D019210:Troponin I / Q000097:blood*
chemical_list: D019210:Troponin I