Ischemic Vascular Disease: Use of Aspirin or Another Platelet

The percentage of patients 18-75 years of age who had a diagnosis of ischemic vascular disease (IVD) and were on daily aspirin or anti-platelet medication, unless allowed contraindications or exceptions are present.

Date Reviewed: November 4, 2018
Support
    Group/Practice Individual Clinician

Measure Info

MIPS 204 NQF 0068 CMS 204 NQF Endorsed
Measure Type
Process
Measure Steward
National Committee for Quality Assurance
Clinical Topic Area
Ischemic Vascular Disease
Care Setting
Outpatient
Data Source
Claims
CMS Web Interface
Electronic Health Records
Registry

ACP supports MIPS measure ID# 204: “Vascular Disease: Use of Aspirin or Another Antiplatelet Therapy” because implementation will likely lead to meaningful and measurable improvements in clinical outcomes and also promote the appropriate use of antiplatelet therapy in patients who are diagnosed with ischemic vascular disease (IVD). Furthermore, developers cite clinical recommendations of the American College of Cardiology and the American Heart Association for the “Management of Patients who are Diagnosed with IVD” to form the basis of the measure. Additionally, the numerator and denominator specifications are well defined and the denominator includes clinically appropriate exceptions to eligibility for the measure (i.e., patients who have a history of gastrointestinal bleeding, intracranial bleeding, bleeding disorder, allergy to aspirin or antiplatelet, or patients who are prescribed non-steroidal anti-inflammatory agent therapy). While we support this measure, we note that it may be difficult for clinicians who report this measure to capture over-the-counter aspirin therapy.