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

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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

 

Denominator:    All patients aged 18 years and older with a diagnosis of heart failure with a current or prior LVEF <40%.

  • Patient’s age is calculated based on the patient’s Date of Birth, which is entered when you created the patient’s account.
  • The diagnosis of Heart Failure or Moderately or Severely Depressed Left Ventricular Systolic Function is entered in the patient’s Problem List.  See Add Problem to Patient’s Chart.
  • Make sure to add a Start Date to the problem.
  • LVEF results are indicated in Labs/Studies.

 

Numerator:  Patients who were beta-blocker therapy either within a 12 month period when seen in the outpatient setting or at each hospital discharge

  • Beta Blocker Therapy is either prescribed at the time of the visit or within the twelve months prior to the visit and included in Medications.  See See Prescribe/ePrescribe a Medication.

 

Numerator Exclusions:

  • If Arrhythmia, Hypotension, Asthma, Bradycardia, Atrioventricular Block, and/or Cardiac Pacer in Situ are documented in the Problem List, each with a Start Date, these patients will be excluded from the numerator.
  • If Allergy to Beta Blocker Therapy is documented in the Allergies, with a Start Date, these patients will be excluded from the numerator.
  • If there was a Medical, Patient or System Reason for not prescribing Beta Blocker Therapy, please indicate on the Exclusion Section.  See How to document an exclusion.

 

Office Visit Documentation:

  • Create a Note detailing the patient’s office visit.  See Create a Note.
  • Make sure to include an E&M code under “Procedure Codes” on the Superbill.  See Create a Superbill.
  • Sign the Note.  See Sign Notes.  Once the note is signed, the measure will be added to the Quality Report.