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ACEI or ARB for left ventricular systolic dysfunction - Heart Failure (HF) Patients

CBE ID
0162
Project
Cardiovascular
Endorsed
New or Maintenance
Maintenance
Endorsement and Maintenance (E&M) Cycle
Full Year 2015
Is Under Review
No
Measure Description

Percentage of heart failure (HF) patients with left ventricular systolic dysfunction (LVSD) who are prescribed an ACEI or ARB at hospital discharge. For purposes of this measure, LVSD is defined as chart documentation of a left ventricular ejection fraction (LVEF) less than 40% or a narrative description of left ventricular systolic (LVS) function consistent with moderate or severe systolic dysfunction.

  • Measure Type
    Process
    Electronic Clinical Quality Measure (eCQM)
    No
    Level Of Analysis
    Facility
    Other
    Population: Regional and State
    Care Setting
    Inpatient/Hospital
    Numerator

    HF patients who are prescribed an ACEI or ARB at hospital discharge

    Denominator

    HF patients (International Classification of Diseases, 9th revision, Clinical Modification [ICD-9-CM] principal diagnosis code 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); with chart documentation of a left ventricular ejection fraction (LVEF) < 40% or a narrative description of left ventricular systolic (LVS) function consistent with moderate or severe systolic dysfunction

    Exclusions

    Exclusions:
    •Patients who had a left ventricular assistive device (LVAD) or heart transplant procedure during hospital stay (ICD-9-CM procedure code of LVAD or Heart Transplant: 33.6, 37.51, 37.52, 37.53, 37.54, 37.60, 37.62, 37.63, 37.65, 37.66, 37.68)
    •<18 years of age
    •Patients who have a length of stay greater than 120 days
    •Discharged to another hospital
    •Expired
    •Left against medical advice
    •Discharged to home for hospice care
    •Discharged to a health care facility for hospice care
    •Patients enrolled in clinical trials
    •Patients with comfort measures only documented
    •Patients with a documented reason for no ACEI and no ARB at discharge

    Testing Data Sources
    Claims Data
    Paper Patient Medical Records
  • Most Recent Endorsement Activity
    Measure Retired and Endorsement Removed Cardiovascular Project 2015-2016
    Initial Endorsement
    Endorsement Status
    Endorsement Removed
    Last Updated
    Removal Date