Measure Source

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

Table

Data source does not support detailed tables.

Data Source

CMS, Medicare Quality Improvement Organization Program.

Denominator

Opportunities to provide recommended care (evaluate left ventricular ejection fraction and prescribe ACE inhibitor at discharge) to Medicare patients hospitalized with a principal diagnosis of acute heart failure.

Numerator

Subset of opportunities to provide recommended care for heart failure in which recommended care was provided.

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 the LVSD measure to incorporate newly recognized treatment. Discussion refers 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/.