Heart Failure [ACCF/AHA]

Heart Failure

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Table 30. ACCF/AHA/AMA-PCPI 2011 HF Measurement Set (continued) Care Setting Level of Measurement Outpatient •  Individual practitioner Measure Descriptiona •  Patient self-care educationb,c Percentage of patients aged ≥18 y with a diagnosis of HF who were provided with self-care education on ≥3 elements of education during ≥1 visit(s) within a 12-mo period •  Beta-blocker therapy for LVSD (outpatient and inpatient setting) Percentage of patients aged ≥18 y Inpatient with a diagnosis of HF with a current and or prior LVEF <40% who were outpatient prescribed beta-blocker therapy with bisoprolol, carvedilol, or sustainedrelease metoprolol succinate either within a 12-mo period when seen in the outpatient setting or at hospital discharge •  Individual practitioner •  Facility •  ACE inhibitor or ARB therapy for LVSD (outpatient and inpatient setting) Percentage of patients aged ≥18 y Inpatient with a diagnosis of HF with a current and or prior LVEF <40% who were outpatient prescribed ACE inhibitor or ARB therapy either within a 12-mo period when seen in the outpatient setting or at hospital discharge •  Individual practitioner •  Facility •  Counseling about ICD implantation for patients with LVSD on combination medical therapyb,c Percentage of patients aged ≥18 y   with a diagnosis of HF with current LVEF ≤35% despite ACE inhibitor/ ARB and beta-blocker therapy for at least 3 mo who were counseled about ICD implantation as a treatment option for the prophylaxis of sudden death •  Individual practitioner •  Postdischarge appointment for HF patients Percentage of patients, regardless of Inpatient age, discharged from an inpatient facility to ambulatory care or home health care with a principal discharge diagnosis of HF for whom a followup appointment was scheduled and documented including location, date and time for a follow-up office visit, or home health visit (as specified) Outpatient •  Facility Refer to the complete measures for comprehensive information, including measure exception. Test measure designated for use in internal quality improvement programs only. These measures are not appropriate for any other purpose (eg, pay for performance, physician ranking, or public reporting programs). c New measure. Adapted from Bonow RO, et al. Circulation. 2012;125:2382-2401. a b 53

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