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National Healthcare Disparities Report, 2004

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Treatment of Acute Heart Failure

Heart failure patients having evaluation of left ventricular ejection fraction

Measure Source

Centers for Medicare and Medicaid Services, Health Care Quality Improvement Program (HCQIP) Quality Indicator.

Tables

Data source does not support detailed tables.

Data Source

Centers for Medicare and Medicaid Services, Medicare Quality Improvement Organization Program. Data are from a systematic random sample of up to 800 inpatient records per state.

Denominator

Medicare live discharges with a principal diagnosis of heart failure (ICD-9 codes 402.01, 402.11, 402.91, 404.01, 404.11, 404.13, 404.91, 404.93, 428.0, 428.1, 428.20 - 428.23, 428.30 - 428.33, 428.40 - 428.43, 428.9).

Numerator

Heart failure patients with documentation in the hospital record that left ventricular ejection fraction was assessed before arrival, during hospitalization, or is planned for after discharge.

Comments

Excludes patients less than 18 years of age, patient transferred to another acute care hospital, patients who expired, and patients who left against medical advice, patients discharge to hospice, patients with reasons documented by a physician, nurse practitioner, or physician assistant for no LVF assessment.

This measure is also a Joint Commission on Accreditation of Healthcare Organizations core measure.

 

 

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