Mortality/PAS (Hospitalization and ER Indicators)

Mortality

Heart Disease

Resident deaths during the eleven-year period for which the underlying cause of death was given on the death certificate as heart disease.

"Heart disease" is one of the National Center for Health Statistics' standard categories for ranking the leading causes of death. It is the leading cause of death in Missouri and the US. Two major categories of heart disease deaths are due acute myocardial infarction ("heart attack") and heart failure, both described below.  Other heart disease causes of death include rheumatic heart disease, hypertensive heart disease, pulmonary embolism, various valve disorders, cardiomyopathy, and atrial fibrillation.

International Classification of Diseases (ICD-10) codes: I00-I09.9, I11-I11.9, I13-I13.9, and
I20-I51.9.

Acute Myocardial Infarction (AMI)

Resident deaths for which the underlying cause of death was given on the death certificate as acute myocardial infarction. These deaths are included among deaths due to "Heart disease." An acute myocardial infarction (AMI) is death of tissue in heart muscle due to an interruption in the blood supply. An AMI, or "heart attack," is usually caused by a blood clot obstructing a coronary artery.

International Classification of Diseases (ICD-10) codes:  I21 - I22.9.

Hospitalizations and Emergency Room Discharges

Heart Disease

Resident hospitalizations and emergency room discharges with a principal diagnosis of heart disease. This includes acute myocardial infarction (heart attack), rheumatic heart disease, hypertensive heart disease, pulmonary embolism, various valve disorders, cardiomyopathy, atrial fibrillation, congestive heart failure, chest pain, tachycardia, heart palpitations, meningococcal carditis, cocksackie carditis, and problems with transplanted heart valves and cardiac devices (pacemaker, etc.).

Clinical Classifications Software Refined (CCSR) Category: CIR011-CIR018.

International Classification of Diseases (ICD-10) codes: Heart Disease Inpatient ICD-10-CM List.

Heart Failure

Resident hospitalizations and emergency room discharges with a principal diagnosis of congestive heart failure. Congestive Heart Failure is defined as the inability of the heart to supply sufficient blood flow to meet the needs of the body and lungs. This is most common where cardiac output is low and the body becomes congested with fluid.

Clinical Classifications Software Refined (CCSR) Category: CIR019.

International Classification of Diseases (ICD-10) codes: Heart Failure Inpatient ICD-10-CM List.

Coronary Atherosclerosis and Other Heart Disease

Resident hospitalizations with a primary diagnosis of coronary atherosclerosis and other heart disease. This category of "coronary atherosclerosis and other heart disease" is a subset of "heart disease".

Clinical Classifications Software Refined (CCSR) Category: CIR011.

International Classification of Diseases (ICD-10) codes: Coronary Atherosclerosis and Other Heart Disease Inpatient ICD-10-CM List.

Cardiac Dysrhythmias

Resident hospitalizations with a primary diagnosis of cardiac dysrhythmias. This category is a subset of "heart disease".

Clinical Classifications Software Refined (CCSR) Category: CIR017.

International Classification of Diseases (ICD-10) codes: I47-I49.

Acute Myocardial Infarction (AMI)

Resident hospitalizations and emergency room discharges with a principal diagnosis of acute myocardial infarction. An acute myocardial infarction (AMI) is death of tissue in heart muscle due to an interruption in the blood supply. An AMI, or "heart attack," is usually caused by a blood clot obstructing a coronary artery.

Clinical Classifications Software Refined (CCSR) Category: CIR009.

International Classification of Diseases (ICD-10) codes: I21-I22.

ST Elevation MI (STEMI)

Resident hospitalizations and emergency room discharges with a principal diagnosis indicating myocardial infarction with ST-segment elevation. A STEMI heart attack is one for which the electrocardiogram shows ST-segment elevation, usually in association with an acutely blocked coronary artery. A STEMI is one type of heart attack that is a potentially lethal condition for which specific therapies, administered rapidly, reduce mortality and disability. The more time that passes before blood flow is restored, the more damage that is done to the heart muscle.

International Classification of Diseases (ICD-10-CM) codes: I21, I22 except I21.4, I22.2.

Non-ST Elevation MI (NSTEMI)

Resident hospitalizations and emergency room discharges with a principal diagnosis indicating myocardial infarction without ST-segment elevation. An NSTEMI is a type of heart attack caused by a partially blocked blood supply to a portion of the heart. While serious, this type of heart attack is not considered as dangerous as a STEMI heart attack, where an artery in the heart is completely blocking blood flow to a portion of the heart. This form of heart attack does not result in an elevation of the 'ST segment' of the electrocardiogram. 

International Classification of Diseases (ICD-10-CM) code: I21.4, I22.2.

Hospitalization Utilization Indicators

Diseases of the Heart

Average Charges

The average hospital charges for inpatient hospitalization discharges for residents of the area (state, region, county) who were discharged with a diagnosis of heart disease or congestive heart failure. The charges do not necessarily represent the cost to the hospital of providing the care nor do they represent the amount actually collected by the hospital for providing the care.

Average Length of Stay

The average days of care (length of stay) in the hospital for residents of the area (state, region, county) who were discharged with a diagnosis of heart disease or congestive heart failure.

Heart Failure

Average Charges

The average hospital charges for inpatient hospitalization discharges for residents of the area (state, region, county) who were discharged with a diagnosis of heart disease or congestive heart failure. The charges do not necessarily represent the cost to the hospital of providing the care nor do they represent the amount actually collected by the hospital for providing the care.

Average Length of Stay

The average days of care (length of stay) in the hospital for residents of the area (state, region, county) who were discharged with a diagnosis of heart disease or congestive heart failure.

Myocardial Infarction

ST Elevation MI (STEMI)
Non-ST Elevation MI (NSTEMI)

Average Charges

The amount that the hospital charges for inpatient hospitalizations for residents of the area (state, region, county) discharged with a diagnosis of acute myocardial infarction with or without a ST-segment elevation. The charges do not necessarily represent the cost to the hospital of providing the care nor do they represent the amount actually collected by the hospital for providing the care.

Average Length of Stay

The days of care (length of stay) in the hospital for residents of the area (state, region, county) discharged with a diagnosis of acute myocardial infarction with or without a ST-segment elevation.

Coronary Atherosclerosis and Other Heart Disease

Average Charges

The amount that the hospital charges for inpatient hospitalizations for residents of the area (state, region, county) discharged with a diagnosis of coronary atherosclerosis and other heart disease. The charges do not necessarily represent the cost to the hospital of providing the care nor do they represent the amount actually collected by the hospital for providing the care.

Average Length of Stay

The days of care (length of stay) in the hospital for residents of the area (state, region, county) discharged with a diagnosis of coronary atherosclerosis and other heart disease.

Cardiac Dysrhythmias

Average Charges

The amount that the hospital charges for inpatient hospitalizations for residents of the area (state, region, county) discharged with a diagnosis of cardiac dysrhythmias. The charges do not necessarily represent the cost to the hospital of providing the care nor do they represent the amount actually collected by the hospital for providing the care.

Average Length of Stay

The days of care (length of stay) in the hospital for residents of the area (state, region, county) discharged with a diagnosis of cardiac dysrhythmias.