VISN IHD



Cube: Ischemic Heart Disease

Information Included:

Patients with any activity during the last two years or that have a future appointment having been diagnosed with one of the following codes at any time.

410.0 AMI ANTEROLATERAL WALL

410.00 AMI ANTEROLATERAL, UNSPEC

410.01 AMI ANTEROLATERAL, INIT

410.02 AMI ANTEROLATERAL, SUBSEQ

410.1 AMI ANTERIOR WALL NEC

410.10 AMI ANTERIOR WALL, UNSPEC

410.11 AMI ANTERIOR WALL, INIT

410.12 AMI ANTERIOR WALL, SUBSEQ

410.2 AMI INFEROLATERAL WALL

410.20 AMI INFEROLATERAL, UNSPEC

410.21 AMI INFEROLATERAL, INIT

410.22 AMI INFEROLATERAL, SUBSEQ

410.3 AMI INFEROPOSTERIOR WALL

410.30 AMI INFEROPOST, UNSPEC

410.31 AMI INFEROPOST, INITIAL

410.32 AMI INFEROPOST, SUBSEQ

410.4 AMI INFERIOR WALL NEC

410.40 AMI INFERIOR WALL, UNSPEC

410.41 AMI INFERIOR WALL, INIT

410.42 AMI INFERIOR WALL, SUBSEQ

410.5 AMI LATERAL WALL NEC

410.50 AMI LATERAL NEC, UNSPEC

410.51 AMI LATERAL NEC, INITIAL

410.52 AMI LATERAL NEC, SUBSEQ

410.6 TRUE POSTERIOR INFARCT

410.60 TRUE POST INFARCT, UNSPEC

410.61 TRUE POST INFARCT, INIT

410.62 TRUE POST INFARCT, SUBSEQ

410.7 SUBENDOCARDIAL INFARCT

410.70 SUBENDO INFARCT, UNSPEC

410.71 SUBENDO INFARCT, INITIAL

410.72 SUBENDO INFARCT, SUBSEQ

410.8 MYOCARDIAL INFARCT NEC

410.80 AMI NEC, UNSPECIFIED

410.81 AMI NEC, INITIAL

410.82 AMI NEC, SUBSEQUENT

410.9 MYOCARDIAL INFARCT NOS

410.90 AMI NOS, UNSPECIFIED

410.91 AMI NOS, INITIAL

410.92 AMI NOS, SUBSEQUENT

411.0 POST MI SYNDROME

411.1 INTERMED CORONARY SYND

411.8 AC ISCHEMIC HRT DIS NEC

411.81 AC CORONAR OCCL W/O MYO INFARC

411.89 AC ISCHEMIC HRT DIS NEC

412. OLD MYOCARDIAL INFARCT

414.0 CORONARY ATHEROSCLEROSIS

414.00 COR ATHEROSCL UNSP TYP-VES

414.01 COR ATHEROSCL NATV C VSL

414.02 COR ATHEROSCL AUTOL V BYP

414.03 COR ATHEROSCL NONAUTO BIO BYP

414.04 CORONARY ATHER/ART BYP GRFT

414.05 CORONARY ATHER/UNSP TYP BYP GR

414.06 COR ATH NATV ART TP HRT

414.07 COR ATH BPS GRAFT TP HRT

414.11 ANEURYSM OF CORONARY VESSELS

414.12 DISSECTION OF CORONARY ARTERY

414.8 CHR ISCHEMIC HRT DIS NEC

414.9 CHR ISCHEMIC HRT DIS NOS

Patients Excluded from the Cohort:

Deceased patients

Test Patients

ZZ’d Patients

Cube Measures

|Measure |Description |

|IHD Patient Count |Count of patients in the cohort. |

|Patients With Lipid Panel Within 2 Years and LDL 120) |Count of patients with either a direct or calculated LDL within the last |

| |twenty-four months with a value greater then 120. |

|Percent With LDL Done (LDL > 120) |Percent of patients with either a direct or calculated LDL within the last |

| |twenty-four months with a value greater then 120. |

|Target LDL >= 120 |EPRP target for percent of patients that received a direct or calculated LDL |

| |value that was greater then 120. |

|Patients With Lipid Panel Within 2 Years and LDL |Count of patients that received a full lipid panel within the last twenty-four |

|>= 100 |months and the most recent direct or calculated LDL value was greater then or |

| |equal to 100. |

|Percent Lipid Panel Within 2 Years and LDL >= 100 |Percent of patients that received a full lipid panel within the last twenty-four|

| |months and the most recent direct or calculated LDL value was greater then or |

| |equal to 100. |

|Patients No Lipid Panel Last 2 Years |Count of patients that did not received a full lipid panel within the last |

| |twenty-four months. |

|Percent No Lipid Panel Last 2 Years |Percent of patients that did not received a full lipid panel within the last |

| |twenty-four months. |

|Patients With LDL Done (LDL < 100) |Count of patients with either a direct or calculated LDL within the last |

| |twenty-four months with a value less than 100. |

|Percent With LDL Done (LDL < 100) |Percent of patients with either a direct or calculated LDL within the last |

| |twenty-four months with a value less than 100. |

|Patients With LDL Done (LDL > = 100 and LDL < 120)|Count of patients with either a direct or calculated LDL within the last |

| |twenty-four months with a value greater then or equal to 100 and less then 120. |

|Percent With LDL Done (LDL > = 100 and LDL < 120) |Percent of patients with either a direct or calculated LDL within the last |

| |twenty-four months with a value greater then or equal to 100 and less then 120. |

|Patients With LDL Not Done |Count of patients with no direct or calculated LDL within the last twenty-four |

| |months. |

|Percent With LDL Not Done |Percent of patients with no direct or calculated LDL within the last twenty-four|

| |months. |

|Last LDL Value |Result of the last LDL taken either a direct or calculated. |

|Date Last LDL Resulted |Date last LDL taken either a direct or calculated. |

|1st Previous LDL Value |The first prior LDL (direct or calculated) resulted after the patients last LDL |

| |(direct or calculated) was taken. |

|Date 1st Previous LDL Resulted |Date first prior LDL (direct or calculated) was resulted. |

|2nd Previous LDL Value |The second prior LDL (direct or calculated) resulted after the patients last LDL|

| |(direct or calculated) was taken. |

|Date 2nd Previous LDL Resulted |Date second prior LDL-Cholesterol was resulted. |

|Last Outside LDL Value |Result of last LDL (direct or calculated) taken off site. The outside lab result|

| |is taken from the related LDL Health Factor at each site. If the outside result |

| |is not entered into the Health Factor as ‘number.number’ then the result value |

| |is ignored. |

|Date Last Outside LDL Value |Date last outside LDL (direct or calculated) was resulted. |

|Patients With Aspirin Rx (CN103) |Count of patients with Aspirin prescriptions from the (CN103) drug class the |

| |patient had within a twenty four time period. |

|Percent With Aspirin Rx (CN103) |Percent of patients with Aspirin prescriptions from the (CN103) drug class the |

| |patient had within a twenty four time period. |

|Patients With Lipid Agents Rx (CV350,TN300,VT103) |Count of patients with Lipid Agent prescriptions from the (CV350, TN300, VT103) |

| |drug class the patient had within a twenty four month time period. |

|Percent With Lipid Agents Rx (CV350,TN300,VT103) |Percent of patients with Lipid Agent prescriptions from the (CV350,TN300,VT103) |

| |drug class the patient had within a twenty four month time period. |

|Patients With Ace Inhibitor Rx (CV800) |Count of patients with Ace Inhibitor prescriptions from the (CV800) drug class |

| |the patient had within a twenty four month time period. |

|Percent With Ace Inhibitor Rx (CV800) |Percent of patients with Ace Inhibitor prescriptions from the (CV800) drug class|

| |the patient had within a twenty four month time period. |

|Patients With Beta Blocker Rx (CV100) |Count of patients with Beta Blocker prescriptions from the (CV100) drug class |

| |the patient had within a twenty four month time period. |

|Percent With Beta Blocker Rx (CV100) |Percent of patients with Beta Blocker prescriptions from the (CV100) drug class |

| |the patient had within a twenty four month time period. |

|Patients Received Pneumococcal Vaccine |Count of patients that received at anytime the Pneumococcal Vaccine. |

|Percent Received Pneumococcal Vaccine |Percent of patients that received at anytime the Pneumococcal Vaccine. |

|Patients Received Flu Vaccine |Count of patients that received a flu immunization within a twelve-month time |

| |period. |

|Percent Received Flu Vaccine |Percent of patients that received a flu immunization within a twelve-month time |

| |period. |

Cube Dimensions

|Dimension |Hierarchy |Description |

|Team |Site |Site where the patient was seen. |

| |Team Name |Last team that the provider was assigned too based on the |

| | |SnapshotDate column found in the PatientProviderRel table. |

|Patients |Site |Site where the patient was seen. |

| |Division |Division where patient received most of their outpatient |

| |First Char Last Name |treatment. |

| |Patient Name |First character of patient’s last name. |

| | |Patients last name, first name followed by last four of SSN. |

|PC Provider |Site |Site where the patient was seen. |

| |Type |Primary care provider or not. |

| |First Char Last Name |First character of provider’s last name. |

| |Provider Name |Last Primary Provider assigned to the patient based on the |

| | |SnapshotDate column found in the PatientProviderRel table. |

|Time |Date Range |Twenty four month time period. |

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