Percentage of patients 18 years of age and older with heart failure who completed initial and follow-up patient-reported functional status assessments
Patients 18 years of age and older who had two outpatient encounters during the measurement period and a diagnosis of heart failure that starts before and continues into the measurement period.
Equals Initial Population
Exclude patients with severe cognitive impairment in any part of the measurement period.
Exclude patients who are in hospice care for any part of the measurement period.
Patients with patient-reported functional status assessment results (i.e., Veterans RAND 12-item health survey [VR-12]; VR-36; Kansas City Cardiomyopathy Questionnaire [KCCQ]; KCCQ-12; Minnesota Living with Heart Failure Questionnaire [MLHFQ]; Patient-Reported Outcomes Measurement Information System [PROMIS]-10 Global Health, PROMIS-29) present in the EHR two weeks before or during the initial FSA encounter and results for the follow-up FSA at least 30 days but no more than 180 days after the initial FSA
Not Applicable
None
A higher score indicates better quality
Initial functional status assessment (FSA) and encounter: The initial FSA is an FSA that occurs two weeks before or during an encounter, in the 180 days or more before the end of the measurement period.
Follow-up FSA: The follow-up FSA must be completed at least 30 days but no more than 180 days after the initial FSA.
The same FSA instrument must be used for the initial and follow-up assessment.
This eCQM is a patient-based measure.
This version of the eCQM uses QDM version 5.5. Please refer to the eCQI resource center for more information on the QDM.
The Compare function compares two years of the measure specifications found in the header of the measure's HTML. It does not include a comparison of any information in the body of the HTML, e.g., population criteria, Clinical Quality Language, or value sets.
Strikethrough text highlighted in red indicates information changed from the previous version. Text highlighted in green indicates information updated in the new eCQM version.
Percentage of patients 18 years of age and older with congestive heart failure who completed initial and follow-up patient-reported functional status assessments
Patients 18 years of age and older who had two outpatient encounters during the measurement year and a diagnosis of congestive heart failure
Patients 18 years of age and older who had two outpatient encounters during the measurement period and a diagnosis of heart failure that starts any time before and continues into the measurement period.
Patients with patient-reported functional status assessment results (i.e., Veterans RAND 12-item health survey [VR-12]; VR-36; Kansas City Cardiomyopathy Questionnaire [KCCQ]; KCCQ-12; Minnesota Living with Heart Failure Questionnaire [MLHFQ]; Patient-Reported Outcomes Measurement Information System [PROMIS]-10 Global Health, PROMIS-29) present in the EHR within two weeks before or during the initial FSA encounter and results for the follow-up FSA at least 30 days but no more than 180 days after the initial FSA
Initial functional status assessment (FSA) and encounter: The initial FSA is the first FSA that occurs two weeks before or during the first encounter in the first 185 days of the measurement year.
Initial functional status assessment (FSA) and encounter: The initial FSA is an FSA that occurs within two weeks before or during an encounter, in the 180 days or more before the end of the measurement period.
This version of the eCQM uses QDM version 5.6. Please refer to the QDM page for more information on the QDM.
*Note: There is a known issue on CMS90v11. See issue EKI-16 on the ONC eCQM Known Issues Dashboard for details.
Removed 'congestive' from the measure title to align with the measure intent.
Measure Section: eCQM Title
Source of Change: Measure Lead
Updated the eCQM version number.
Measure Section: eCQM Version Number
Source of Change: Annual Update
Revised the measure description to align with the measure intent and guidance.
Measure Section: Description
Updated copyright.
Measure Section: Copyright
Updated the rationale to align with current evidence.
Measure Section: Rationale
Updated the guidance language to clarify encounter timing and align with the measure intent.
Measure Section: Guidance
Revised the initial population timing language to align with the logic.
Measure Section: Initial Population
Replaced 'overlaps' or 'overlapping' in the denominator exclusions with plain language to clarify the measure intent.
Measure Section: Denominator Exclusions
Revised the 'KCCQ Total Assessment Completed' definition name to reflect a similar format in other definitions in the measure.
Measure Section: Definitions
Added online assessments and telephone visits as appropriate encounters based on the increased use of telehealth services.
Measure Section: Multiple Sections
Replaced the 'Follow Up Encounter' definition in the initial population with a new definition 'Two Outpatient Encounters during Measurement Period' to align the encounter timing with the measure intent.
Updated the names of Clinical Quality Language (CQL) definitions, functions, and/or aliases for clarification and to align with the CQL Style Guide.
Source of Change: Standards Update
Updated the version number of the Measure Authoring Tool (MAT) Global Common Functions Library (MATGlobalCommonFunctions-6.2.000). Updated the 'Inpatient Encounter' definition to include a 'day of' timing clarification. Added the following timing functions: Normalize Interval, Has Start, Has End, Latest, Latest Of, Earliest, and Earliest Of. Please see individual measure details for application of specific timing functions.
Added new NormalizeInterval function to timing attributes to decrease implementation burden due to variable use of timing attributes for select QDM data types. The NormalizeInterval function was applied, where applicable, for the following data elements: Assessment, Performed; Device, Applied; Diagnostic Study, Performed; Intervention, Performed; Laboratory Test, Performed; Medication, Administered; Medication, Dispensed; Physical Exam, Performed; Procedure, Performed; Substance, Administered.
Updated Hospice CQL Library to version 3.0.000.
Revised the measure CQL library name from FunctionalStatusAssessmentsforCongestiveHeartFailure to FunctionalStatusAssessmentsforHeartFailureto align with the revised measure title. This change will be seen in the measure package and not the human readable specification.
Measure Section: eCQM Identifier (Measure Authoring Tool)
The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets.
Value set Heart Failure (2.16.840.1.113883.3.526.3.376): Added 1 SNOMED CT code (871617000) based on terminology update.
Measure Section: Terminology
Added value set Online Assessments (2.16.840.1.113883.3.464.1003.101.12.1089) based on change in measure requirements/measure specification.
Added value set Telephone Visits (2.16.840.1.113883.3.464.1003.101.12.1080) based on review by technical experts, SMEs, and/or public feedback.