Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)

eCQM / NQF #: CMS144v7 /0083
Measure: 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.
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.
Denominator: All patients aged 18 years and older with a diagnosis of heart failure with a current or prior LVEF < 40%.
Denominator Exceptions: Documentation of medical reason(s) for not prescribing beta-blocker therapy (eg, 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 (eg, patient declined, other patient reasons). Documentation of system reason(s) for not prescribing beta-blocker therapy (eg, other reasons attributable to the healthcare system).
Domain: Effective Clinical Care

 

In ChartMaker Clinical:

In order to qualify for this measure, the provider must have seen the patient, age 18 years or older and have the appropriate information documented in the chart:

Required Data Elements for the Denominator*: 

AND at least one of the following:

and at least one of the following:  

Required Data Elements for the Numerator*: 

EXCEPTION DETAILS: 

This measure makes an exception for patients who were not prescribed Beta Blocker Therapy due to Medical, Patient or System reasons.  In order to meet the requirements for this exception, the appropriate information must be documented in the chart (at least one of the following):

*ADDITIONAL INFORMATION:

•  The appropriate LOINC code for the LVEF result can be linked to the matching condition created from an electronic lab interface, to a numeric template field or to a procedure code.

•  Whenever documenting a result using a procedure code, be sure to enter it in the Result field.

•  The patient must be at least 18 years of age prior to the start of the measurement period

•  A "Medication Not Ordered" may be undone using the "Undo Medication Not Ordered" option in the Medication button.  It must be done in the same note in which it was originally indicated.

•  The only data used to determine the denominator is data from the ChartMaker Clinical Module. If a patient encounter was not entered into the ChartMaker Clinical Module, that encounter is not included in the denominator for the statistical calculations on the Meaningful Use Dashboard. Please add these additional patients to the denominator and recalculate the percentage for Attestation purposes.