Heart Failure

Heart Failure - Update with 2017 Recommendations

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57 Table 37. ACCF/AHA/AMA-PCPI 2011 HF Measurement Set (continued) Measure Description a Care Setting Level of Measurement • Beta-blocker therapy for LVSD (outpatient and inpatient setting ) Percentage of patients aged ≥18 y with a diagnosis of HF with a current or prior LVEF <40% who were prescribed beta-blocker therapy with bisoprolol, carvedilol, or sustained- release metoprolol succinate either within a 12-mo period when seen in the outpatient setting or at hospital discharge Inpatient and outpatient • Individual practitioner • Facility • ACE inhibitor or ARB therapy for LVSD (outpatient and inpatient setting ) Percentage of patients aged ≥18 y with a diagnosis of HF with a current or prior LVEF <40% who were prescribed ACE inhibitor or ARB therapy either within a 12-mo period when seen in the outpatient setting or at hospital discharge Inpatient and outpatient • Individual practitioner • Facility • Counseling about ICD implantation for patients with LVSD on combination medical therapy b,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 Outpatient • Individual practitioner • Postdischarge appointment for HF patients Percentage of patients, regardless of age, discharged from an inpatient facility to ambulatory care or home health care with a principal discharge diagnosis of HF 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) Inpatient • Facility a Refer to the complete measures for comprehensive information, including measure exception. b Test measure designated for use in internal quality improvement programs only. ese 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.

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