Appropriate Care Measure (ACM) Measures
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Ohio KePRO will assist both rural and urban Prospective Payment System (PPS) hospitals to improve
their performance on the Appropriate Care Measure (ACM), through intensive team-based activities. The
ACM is a composite of the 10-measure starter set in Section 501(b) of the Medicare Modernization Act,
2003 (MMA). These include 5 acute myocardial infarction (AMI) measures, 2 heart failure (HF) measures,
and 3 pneumonia (PN) measures.
All patients eligible for care in at least 1 of the 10 measures are counted in the denominator. However,
only the patients receiving all the care they are eligible for are counted in the numerator.
- Acute Myocardial Infarction
AMI-1 Aspirin on arrival
AMI-2 Aspirin at discharge
AMI-3 ACEI or ARB for LVSD
AMI-5 Beta blocker at discharge
AMI-6 Beta blocker at arrival
- Heart Failure
HF-2 LVF assessment
HF-3 ACEI or ARB for LVSD
- Pneumonia
PN-1 Oxygenation assessment
PN-2 Pneumonia Vaccine
PN-5b Antibiotic within 4 hours
Why use the ACM?
The ACM is currently used to evaluate each QIO's effectiveness. It also serves as a composite mortality
measure used in IHI's 100,000 Lives Campaign and a composite process and mortality measure used
in CMS's pay-for-performance pilot with Premier.
It reinforces CMS's commitment to the right care for every patient every time and encourages
organizational wide improvement at each hospital by demonstrating a commitment to quality
improvement through administrative support/communication.
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