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Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)

CBE ID
0081e
1.4 Project
Endorsed
Endorsement Status
1.1 New or Maintenance
E&M Cycle
Is Under Review
No
Next Planned Maintenance Review
Cardiovascular Spring 2025
1.3 Measure Description

Percentage of patients aged 18 years and older with a diagnosis of heart failure (HF) with a current or prior left ventricular ejection fraction (LVEF) < 40% who were prescribed ACE inhibitor or ARB or ARNI therapy either within a 12-month period when seen in the outpatient setting OR at each hospital discharge

        • 1.14 Numerator

          Patients who were prescribed ACE inhibitor or ARB or ARNI therapy either within a 12-month period when seen in the outpatient setting OR at each hospital discharge

        • 1.15 Denominator

          All patients aged 18 years and older with a diagnosis of heart failure with a current or prior LVEF < 40%

        • Exclusions

          Denominator Exceptions:
          Documentation of medical reason(s) for not prescribing ACE inhibitor or ARB or ARNI therapy (e.g., hypotensive patients who are at immediate risk of cardiogenic shock, hospitalized patients who have experienced marked azotemia, allergy, intolerance, other medical reasons).

          Documentation of patient reason(s) for not prescribing ACE inhibitor or ARB or ARNI therapy (e.g., patient declined, other patient reasons).

          Documentation of system reason(s) for not prescribing ACE inhibitor or ARB or ARNI therapy (e.g ., other system reasons).

        • Most Recent Endorsement Activity
          Endorsed Cardiovascular Spring Cycle 2019
          Initial Endorsement
          Last Updated
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          Steward Organization Copyright

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