Identification of patients with coronary heart disease: meeting regulatory standards vs. improving overall care.
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.
Wang
Song
S
BJC Healthcare, Center for Healthcare Quality and Effectiveness, St. Louis, MO, USA.
Reichley
Richard M
RM
Noirot
Laura A
LA
Storey
Patricia
P
Traynor
Patrick
P
Dunagan
Wm Claiborne
WC
Bailey
Thomas C
TC
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*
D019210:Troponin I