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Heart Failure (HF): Detailed discharge instructions

CBE ID
0136
Project
Endorsed
New or Maintenance
Endorsement and Maintenance (E&M) Cycle
Is Under Review
No
Measure Description

Percentage of heart failure patients discharged home with written instructions or educational material given to patient or caregiver at discharge or during the hospital stay addressing all of the following: activity level, diet, discharge medications, follow-up appointment, weight monitoring, and what to do if symptoms worsen.

  • Measure Type
    Electronic Clinical Quality Measure (eCQM)
    Level Of Analysis
    Care Setting
    Numerator

    HF patients with documentation that they or their caregivers were given written discharge instructions or other educational material addressing all of the following:
    1.activity level
    2.diet
    3.discharge medications
    4.follow-up appointment
    5.weight monitoring
    6.what to do if symptoms worsen

    Denominator

    HF patients discharged home (ICD-9-CM principal diagnosis of 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, 428.21, 428.22, 428.23, 428.30, 428.31, 428.32, 428.33, 428.40, 428.41, 428.42, 428.43, 428.9); and a discharge to home, home care, or court/law enforcement

    Exclusions

    Exclusions:
    •<18 years of age
    •Patients who have a length of stay greater than 120 days
    •Patients enrolled in clinical trials
    •Patients with comfort measures only documented
    •Patients who had a left ventricular assistive device (LVAD) or heart transplant procedure during hospital stay (ICD-9-CM procedure code of LVAD and Heart Transplant: 33.6, 37.51, 37.52, 37.53, 37.54, 37.60, 37.62, 37.63, 37.65, 37.66, 37.68)

  • Most Recent Endorsement Activity
    Measure Retired and Endorsement Removed Cardiovascular Project 2010-2013
    Initial Endorsement
    Endorsement Status
    Last Updated
    Removal Date