Measure Source

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

Tables

1.48a Percent of Medicare heart failure patients with left ventricular systolic dysfunction prescribed ACE inhibitor at discharge, United States, 2002 and 2003.

1.48b Percent of Medicare heart failure patients with left ventricular systolic dysfunction prescribed ACE inhibitor at discharge, by State, 2002 and 2003.

1.48c Percent of heart failure patients with left ventricular systolic dysfunction prescribed ACE inhibitor at discharge, by State, 2004

Data Source

CMS, Medicare Quality Improvement Organization Program.

CMS, Hospital Compare.

Denominator

Medicare hospital live discharges with a principal diagnosis of heart failure and with left ventricular systolic dysfunction and without angiotensin converting enzyme (ACE) inhibitor contraindications.

Numerator

Subset of the denominator heart failure patients who are prescribed an ACE inhibitor at hospital discharge.

Comments

ICD-9-CM codes for heart failure include 402.01, 402.11, 402.91, 404.01, 404.03, 404.11, 404.13, 404.91, 404.93, 428.0, 428.1, 428.20, 428.21, 428.22, 428.23, 428.30, 428.31, 428.32, 428.33, 428.40, 428.41, 428.42, 428.43, and 428.9.

Effective November 2004, CMS revised this measure to incorporate newly recognized treatment. NHQR 2005 tables and discussion refer to the prior version of the measure.

Further information on this and other heart disease measures is available at http://www.cms.hhs.gov/QualityInitiativesGenInfo/.

In the 2004 table, the State average percent was pre-calculated and supplied as part of the Hospital Compare database.