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CMS 144 - Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)

Updated: 08/24/2021
Views: 567

CMS 144 / Quality ID# 008

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 at the start of the measurement period with a diagnosis of heart failure with a current or prior LVEF <40% and had two qualifying encounters.
  • Patient’s age is calculated based on the patient’s Date of Birth, which is entered when you created the patient’s account.
  • Create a note detailing the patient’s office visit.
  • The diagnosis of "Heart Failure or Moderately" or "Severely Depressed Left Ventricular Systolic Function" is entered in the patient’s Problem List with a Start Date.
  • LVEF results are manually entered in Labs/Studies.
Numerator: Patients who were beta-blocker therapy either within a 12-month period when seen in the outpatient setting.
  • 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.
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, intolerance, other medical reasons). Include a Start Date when adding any of these diagnosis in Problems, these patients will be excluded from the denominator.
  • 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 ACE inhibitor or ARB therapy, add the medication as Not Administered and select a reason (Medical Contraindication, Refusal of Treatment by Patient, Treatment not Available) for non administration.
Office Visit Documentation:

Once all steps have been completed, the measure will be added to the Quality Measures Report.

Measure type: Process
High Priority Measure: No
Telehealth Eligible: Yes