Percentage of patients, regardless of age, discharged from an inpatient facility to ambulatory care or home health care with a principal discharge diagnosis of heart failure for whom a follow up appointment was scheduled and documented prior to discharge (as specified)
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1.14 Numerator
Patients for whom a follow up appointment was scheduled and documented prior to discharge including either:
- an office visit for management for heart failure with a physician OR advanced practice nurse OR physician assistant OR
- a home health visit for management of heart failure
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1.15 Denominator
All patients, regardless of age, discharged from an inpatient facility (ie, hospital inpatient or observation) to ambulatory care (home/self care) of home health care with a principle discharge diagnosis of heart failure
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Exclusions
Denominator exclusions include:
Patient was discharged to a health care facility for hospice care, to home for hospice care, or to a rehabilitation facility.
Patient left against medical advice.
Patient expired.
Denominator exceptions include:
Documentation of medical reason(s) for not documenting that a follow up appointment was scheduled
Documentation of patient reason(s) for not documenting that a follow up appointment was scheduled (eg, international patients,
patients from state and/or local corrections facilities for whom scheduling the appointment is prohibited)
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1.13a Data dictionary not attachedNo
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Most Recent Endorsement ActivityMeasure Retired and Endorsement Removed Cardiovascular Fall Cycle 2017Initial EndorsementLast UpdatedRemoval Date
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StewardAmerican Heart AssociationSteward Organization POC EmailSteward Organization Copyright
This Physician Performance Measurement Set (PPMS) and related data specifications were developed by the Physician Consortium for Performance Improvement® (the Consortium) including the American College of Cardiology (ACC), the American Heart Association (AHA) and the American Medical Association (AMA) to facilitate quality improvement activities by physicians. The performance measures contained in this PPMS are not clinical guidelines and do not establish a standard of medical care, and have not been tested for all potential applications. While copyrighted, they can be reproduced and distributed, without modification, for noncommercial purposes, e.g., use by health care providers in connection with their practices. Commercial use is defined as the sale, license, or distribution of the performance measures for commercial gain, or incorporation of the performance measures into a product or service that is sold, licensed or distributed for commercial gain. Commercial uses of the PPMS require a license agreement between the user and the AMA, (on behalf of the Consortium) or the ACC or the AHA. Neither the AMA, ACC, AHA, the Consortium nor its members shall be responsible for any use of this PPMS.
THE MEASURES AND SPECIFICATIONS ARE PROVIDED “AS IS” WITHOUT WARRANTY OF ANY KIND.
© 2010 American College of Cardiology, American Heart Association and American Medical Association. All Rights Reserved.
Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. The AMA, the ACC, the AHA, the Consortium and its members disclaim all liability for use or accuracy of any Current Procedural Terminology (CPT®) or other coding contained in the specifications.
CPT® contained in the measures specifications is copyright 2008 American Medical Association. LOINC® copyright 2004 Regenstrief Institute, Inc. SNOMED CLINICAL TERMS (SNOMED CT®) copyright 2004 College of American Pathologists (CAP). All Rights Reserved. Use of SNOMED CT® is only authorized within the United States.
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Risk AdjustmentRisk adjustment approachOffRisk adjustment approachOffConceptual model for risk adjustmentOffConceptual model for risk adjustmentOff
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