| Description | Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period |
| All patients who were previously diagnosed with or currently have an active diagnosis of clinical atherosclerotic cardiovascular disease (ASCVD), including an ASCVD procedure | Patients aged >= 20 years who have ever had a low-density lipoprotein cholesterol (LDL-C) level >= 190 mg/dL or were previously diagnosed with or currently have an active diagnosis of familial hypercholesterolemia | Patients aged 40-75 years with a diagnosis of diabetes |
| Initial Patient Population | All patients who were previously diagnosed with or currently have an active diagnosis of clinical ASCVD, including an ASCVD procedure | Patients aged >= 20 years at the beginning of the measurement period who have ever had a laboratory result of LDL-C >=190 mg/dL or were previously diagnosed with or currently have an active diagnosis of familial hypercholesterolemia | Patients aged 40 to 75 years at the beginning of the measurement period with Type 1 or Type 2 diabetes |
| Denominator | Equals Initial Population |
| Denominator Exclusions | Patients who have a diagnosis of pregnancy at any time during the measurement period Patients who are breastfeeding at any time during the measurement period Patients who have a diagnosis of rhabdomyolysis at any time during the measurement period
|
| Numerator | Patients who are actively using or who receive an order (prescription) for statin therapy at any time during the measurement period |
| Numerator Exclusions | – |
| Denominator Exceptions | Patients with statin-associated muscle symptoms or an allergy to statin medication Patients who are receiving palliative or hospice care Patients with active liver disease or hepatic disease or insufficiency Patients with end-stage renal disease (ESRD)
|
| Name | Value Set |
| Diagnosis: Atherosclerosis and Peripheral Arterial Disease | 2.16.840.1.113762.1.4.1047.21 |
| Diagnosis: Cerebrovascular Disease, Stroke, TIA | 2.16.840.1.113762.1.4.1047.44 |
| Diagnosis: Diabetes | 2.16.840.1.113883.3.464.1003.103.12.1001 |
| Diagnosis: Familial Hypercholesterolemia | 2.16.840.1.113762.1.4.1047.100 |
| Diagnosis: Ischemic Heart Disease or Other Related Diagnoses | 2.16.840.1.113762.1.4.1047.46 |
| Diagnosis: Myocardial Infarction | 2.16.840.1.113883.3.526.3.403 |
| Diagnosis: Stable and Unstable Angina | 2.16.840.1.113762.1.4.1047.47 |
| Encounter, Performed: Annual Wellness Visit | 2.16.840.1.113883.3.526.3.1240 |
| Encounter, Performed: Office Visit | 2.16.840.1.113883.3.464.1003.101.12.1001 |
| Encounter, Performed: Outpatient Consultation | 2.16.840.1.113883.3.464.1003.101.12.1008 |
| Encounter, Performed: Outpatient Encounters for Preventive Care | 2.16.840.1.113883.3.526.3.1576 |
| Encounter, Performed: Preventive Care Services - Established Office Visit, 18 and Up | 2.16.840.1.113883.3.464.1003.101.12.1025 |
| Encounter, Performed: Preventive Care Services - Other | 2.16.840.1.113883.3.464.1003.101.12.1030 |
| Encounter, Performed: Preventive Care Services-Individual Counseling | 2.16.840.1.113883.3.464.1003.101.12.1026 |
| Encounter, Performed: Preventive Care Services-Initial Office Visit, 18 and Up | 2.16.840.1.113883.3.464.1003.101.12.1023 |
| Name | Value Set |
| Adverse Event: Statin Allergen | 2.16.840.1.113762.1.4.1110.42 |
| Allergy/Intolerance: Statin Allergen | 2.16.840.1.113762.1.4.1110.42 |
| Diagnosis: End Stage Renal Disease | 2.16.840.1.113883.3.526.3.353 |
| Diagnosis: Hepatitis A | 2.16.840.1.113883.3.464.1003.110.12.1024 |
| Diagnosis: Hepatitis B | 2.16.840.1.113883.3.67.1.101.1.269 |
| Diagnosis: Liver Disease | 2.16.840.1.113762.1.4.1047.42 |
| Diagnosis: Statin Associated Muscle Symptoms | 2.16.840.1.113762.1.4.1108.85 |
| Encounter, Performed: Encounter for palliative care | ICD10CM Code Z51.5 |
| Intervention, Order: Hospice Care Ambulatory | 2.16.840.1.113883.3.526.3.1584 |
| Intervention, Order: Palliative or Hospice Care | 2.16.840.1.113883.3.600.1.1579 |
| Intervention, Performed: Hospice Care Ambulatory | 2.16.840.1.113883.3.526.3.1584 |
| |
| |