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Post-Discharge Evaluation for Heart Failure Patients

CBE ID
2443
1.4 Project
Endorsed
Endorsement Status
1.1 New or Maintenance
E&M Cycle
Is Under Review
No
1.3 Measure Description

Patients who receive a re-evaluation for symptoms worsening and treatment compliance by a program team member within 72 hours after inpatient discharge.

        • 1.14 Numerator

          Patients who have a documented re-evaluation conducted via phone call or home visit within 72 hours after discharge.

        • 1.15 Denominator

          All heart failure patients discharged from a hospital inpatient setting to home or home care AND patients leaving against medical advice (AMA).

        • Exclusions

          Excluded Populations:
          • Patients who had a left ventricular assistive device (LVAD) or heart transplant procedure during hospital stay (ICD-10-PCS procedure code for LVAD and heart transplant as defined in Appendix A, Table 2.2)
          • Patients less than 18 years of age
          • Patient who have a Length of Stay greater than 120 days
          • Patients with Comfort Measures Only documented
          • Patients enrolled in a Clinical Trial
          • Patients discharged to locations other than home, home care or law enforcement.

        • Most Recent Endorsement Activity
          Measure Retired and Endorsement Removed Cardiovascular Fall Cycle 2018
          Initial Endorsement
          Last Updated
          Removal Date