Physician Consortium for Performance Improvement® ► Heart failure

Physician Consortium for Performance Improvement®

• Heart failure: percentage of patient visits for those patients aged 18 years and older with a diagnosis of heart failure and with quantitative results of an evaluation of both level of activity AND clinical symptoms documented in which patient symptoms have improved or remained consistent with treatment goals since last assessment OR patient symptoms have demonstrated clinically important deterioration since last assessment with a documented plan of care.

• Heart failure: percentage of patient visits for those patients aged 18 years and older with a diagnosis of heart failure with quantitative results of an evaluation of both current level of activity and clinical symptoms documented.

• Heart failure: percentage of patients aged 18 years and older with a diagnosis of heart failure for whom the quantitative or qualitative results of a recent or prior (any time in the past) LVEF assessment is documented within a 12 month period.

• Heart failure: percentage of patients aged 18 years and older with a diagnosis of heart failure who were provided with self-care education on three or more elements of education during one or more visits within a 12 month period.

• Heart failure: percentage of patients aged 18 years and older with a diagnosis of heart failure with a current or prior left LVEF less than 40% who were prescribed ACE inhibitor or ARB therapy either within a 12 month period when seen in the outpatient setting or at hospital discharge. This updates a previously published measure summary.

• Heart failure: percentage of patients aged 18 years and older with a diagnosis of heart failure with a current or prior LVEF less than 40% who were prescribed beta-blocker therapy either within a 12 month period when seen in the outpatient setting or at hospital discharge. This updates a previously published measure summary.

• Heart failure: percentage of patients aged 18 years and older with a diagnosis of heart failure with current LVEF less than or equal to 35% despite ACE inhibitor/ARB and beta-blocker therapy for at least three months who were counseled regarding implantable cardioverter-defibrillator (ICD) implantation as a treatment option for the prophylaxis of sudden death.

• Heart failure: percentage of patients aged 18 years and older with a principal discharge diagnosis of heart failure with documentation in the hospital record of the results of a LVEF assessment that was performed either before arrival or during hospitalization, OR documentation in the hospital record that LVEF assessment is planned for after discharge.

• Heart failure: 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 including location, date and time for a follow-up office visit, or home health visit (as specified).