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

CBE ID
0162
1.4 Project
Cardiovascular
Endorsement Status
Endorsement Removed
1.1 New or Maintenance
Maintenance
Previous Endorsement Cycle
Full Year 2015
Is Under Review
No
1.3 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.

    • 1.14 Numerator

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

    • 1.15 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

    • Most Recent Endorsement Activity
      Measure Retired and Endorsement Removed Cardiovascular Project 2015-2016
      Initial Endorsement
      Last Updated
      Removal Date
    • Steward
      Centers for Medicare & Medicaid Services
      Steward Organization POC Email
      [email protected]