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Heart Failure (HF): Detailed discharge instructions

CBE ID
0136
1.5 Project
Endorsement Status
1.0 New or Maintenance
1.1 Measure Structure
Previous Endorsement Cycle
Is Under Review
No
1.6 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 Specs
      General Information
      1.7 Measure Type
      1.3 Electronic Clinical Quality Measure (eCQM)
      1.8 Level of Analysis
      1.9 Care Setting
      1.20 Types of Data Sources
      1.14 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

      1.15 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
      Last Updated
      Removal Date
      Steward Organization
      Centers for Medicare & Medicaid Services
      Steward POC email
                Use
                6.1.2 Current or Planned Use(s)
                6.1.3 Current Use(s)
                  Public Comments