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Disclaimer

In the Downloads section, the ‘Prior Submission’ file reflects the most recent measure submission to the former CBE. This file is provided for transparency. For any questions or clarification, please contact the designated measure steward.

Heart Failure (HF) : Patient Education

CBE ID
0082
Endorsement Status
1.0 New or Maintenance
1.1 Measure Structure
Previous Endorsement Cycle
Is Under Review
No
1.6 Measure Description

Percentage of patients who were provided with patient education on disease management and health behavior changes during one or more visit(s).

    Measure Specs
      General Information
      1.7 Measure Type
      1.3 Electronic Clinical Quality Measure (eCQM)
      No
      1.8 Level of Analysis
      1.9 Care Setting
      1.14 Numerator

      Patients provided with patient education during one or more visit(s).
      Patient education should include one or more of the following: weight monitoring; diet (sodium restriction); symptom management; physical activity; smoking cessation; medication instruction; minimizing or avoiding use of NSAIDS; referral for visiting nurse or specific educational or management programs; or prognosis/end-of-life issues.
      CPT-II code: 4003F Patient education, written/oral, appropriate for patients with heart failure performed

      1.15 Denominator

      All patient visits for patients aged >18 years with HF
      Patient Selection: 
      ICD-9-CM codes for HF: 402.01, 402.11, 402.91, 404.01, 404.03, 404.11, 404.13, 404.91, 404.93, 428.0, 428.1, 428.20-428.23, 428.30-428.33, 428.40-428.43, 428.9
      And
      CPT codes for patient visit: 99201-99205, 99212-99215, 99241-99245, 99354-99355, 99385-99387, 99395-99397, 99401-99404
      And
      Patient age is > 18 years

      Most Recent Endorsement Activity
      Measure Retired and Endorsement Removed Cardiovascular Project 2010-2013
      Initial Endorsement
      Last Updated
      Removal Date
      Steward Organization
      Physician Consortium for Performance Improvement
      Steward POC email
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