QPP Measure #ACCCath3
The number of patients, age 18 years and older, undergoing isolated PCI procedure (defined by no CABG or other major surgery during episode of care) who have an intra or post procedure major bleeding event or an intra or post procedure vascular complication requiring treatment. Major access site related injury requiring treatment includes: access site occlusion, peripheral embolization, dissection, pseudo-aneurysm, AV fistulas requiring treatment anytime from the procedure until discharge. Major bleeding is defined as bleeding at access site, hematomas at access site, or retroperitoneal bleeds that occur within 72 hours of the procedure. To qualify the event must be associated with a hemoglobin drop of >3 g/dL; or transfusion of whole or packed red blood cells, or a procedural intervention/surgery at the bleeding site to reverse/stop or correct the bleeding. This measure evaluates the occurrence of vascular site injury requiring treatment or major bleeding as outcomes of a percutaneous coronary intervention (PCI) during a patient’s episode of care.
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