CPMI-0825 - Metric key 7917. Aspirin at arrival v3.1-CPMI-0825 - Metric key 7917. Aspirin at arrival v3.1

CPMI-0825 - Metric key 7917. Aspirin at arrival v3.1

Video Transcription

Video Summary

The August 2025 case scenario reviews metric key 7917, focusing on aspirin administration at arrival in a 56-year-old male STEMI patient. Despite EMS and hospital activation of the cath lab, the patient did not receive aspirin within 24 hours of arrival, nor was there documentation of contraindication, so code "no" was assigned. The metric shows 100% performance due to a denominator exclusion, removing this case from the eligible population. Guidelines recommend early aspirin loading unless contraindicated, with various administration routes available. Proper coding distinguishes denominator exclusions from exceptions to ensure accurate quality metric evaluation.

Keywords

STEMI

drug-eluting stent

high-intensity statins

atorvastatin dosage

ezetimibe adjunct therapy

aspirin administration

STEMI patient

cath lab activation

denominator exclusion

quality metric evaluation