CMS144v8 – Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
| Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) | CMS144v8 | Percentage of patients aged 18 years and older with a diagnosis of heart failure (HF) with a current or prior left ventricular ejection fraction (LVEF) < 40% who were prescribed beta-blocker therapy either within a 12-month period when seen in the outpatient setting OR at each hospital discharge |
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| – INITIAL POPULATION
All patients aged 18 years and older with a diagnosis of heart failure |
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| – DENOMINATOR
All patients aged 18 years and older with a diagnosis of heart failure with a current or prior LVEF <40% |
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| – NUMERATOR
Patients who were prescribed beta-blocker therapy either within a 12-month period when seen in the outpatient setting OR at each hospital discharge |
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| – DENOMINATOR EXCEPTIONS
Documentation of medical reason(s) for not prescribing beta-blocker therapy (e.g., low blood pressure, fluid overload, asthma, patients recently treated with an intravenous positive inotropic agent, allergy, intolerance, other medical reasons). Documentation of patient reason(s) for not prescribing beta-blocker therapy (e.g., patient declined, other patient reasons). Documentation of system reason(s) for not prescribing beta-blocker therapy (e.g., other reasons attributable to the healthcare system). |
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| – APPLICATION WORKFLOW
For Denominator: All patients aged 18 years and older with a diagnosis of heart failure, had multiple visits during the measurement period, a current or prior LVEF < 40%. To document encounter, navigate to Patient > Provider Notes > Create eSuperbill
For Numerator : Patients who were prescribed beta-blocker therapy within a 12-month period when seen in the outpatient setting or at each hospital discharge. To document medications, navigate to Patient > Provider Notes > Medications
Denominator Exceptions: Documentation of medical reason(s) for not prescribing beta-blocker therapy (e.g. low blood pressure, fluid overload, asthma, patients recently treated with an intravenous positive inotropic agent, allergy, intolerance, other medical reasons). To document diagnosis, navigate to Patient > Provider Notes > Diagnosis
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