eCQM Title | Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD) |
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eCQM Identifier (Measure Authoring Tool) | 135 | eCQM Version number | 8.2.000 |
NQF Number | 0081e | GUID | 430ffc53-4122-4421-88cc-2edd8117bb3c |
Measurement Period | January 1, 20XX through December 31, 20XX | ||
Measure Steward | PCPI(R) Foundation (PCPI[R]) | ||
Measure Developer | American Medical Association (AMA) | ||
Measure Developer | PCPI(R) Foundation (PCPI[R]) | ||
Endorsed By | National Quality Forum | ||
Description | |||
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Disclaimer | |||
Measure Scoring | Proportion | ||
Measure Type | Process | ||
Stratification | |||
Risk Adjustment | |||
Rate Aggregation | |||
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Definition | |||
Guidance | |||
Transmission Format | |||
Initial Population | |||
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Supplemental Data Elements |
exists ( ["Patient Characteristic Birthdate": "Birth date"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 18 ) and Count("Qualifying Encounter")>= 2 and exists "Heart Failure Outpatient Encounter"
"Initial Population 1" and exists "Heart Failure Outpatient Encounter with Moderate or Severe LVSD"
exists "ACEI or ARB or ARNI Ordered Outpatient" or exists "Currently Taking ACEI or ARB or ARNI Outpatient"
exists "Medical Patient or System Reason for Not Ordering ACEI or ARB or ARNI Outpatient" or exists "Allergy or Intolerance to ACEI or ARB or ARNI Ingredient Outpatient" or exists "Diagnosis of Allergy to ACEI or ARB Outpatient" or exists "Diagnosis of Intolerance to ACEI or ARB Outpatient" or exists "Diagnosis of Pregnancy Outpatient" or exists "Diagnosis of Renal Failure Due to ACEI Outpatient"
exists ( ["Patient Characteristic Birthdate": "Birth date"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 18 ) and exists "Heart Failure Inpatient Encounter"
"Initial Population 2" and exists "Heart Failure Inpatient Encounter with Moderate or Severe LVSD"
exists "ACEI or ARB or ARNI at Inpatient Discharge" or exists "Currently Taking ACEI or ARB or ARNI Inpatient"
exists "Medical Patient or System Reason for No ACEI or ARB or ARNI at Inpatient Discharge" or exists "Allergy or Intolerance to ACEI or ARB or ARNI Ingredient Inpatient" or exists "Diagnosis of Allergy to ACEI or ARB Inpatient" or exists "Diagnosis of Intolerance to ACEI or ARB Inpatient" or exists "Diagnosis of Pregnancy Inpatient" or exists "Diagnosis of Renal Failure Due to ACEI Inpatient"
["Medication, Discharge": "ACE Inhibitor or ARB"] ACEIOrARBOrARNIAtDischarge with "Heart Failure Inpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFInpatientEncounter such that ACEIOrARBOrARNIAtDischarge.authorDatetime during ModerateOrSevereLVSDHFInpatientEncounter.relevantPeriod
["Medication, Order": "ACE Inhibitor or ARB"] ACEIOrARBOrARNIOrdered with "Heart Failure Outpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFOutpatientEncounter such that ACEIOrARBOrARNIOrdered.authorDatetime during ModerateOrSevereLVSDHFOutpatientEncounter.relevantPeriod
["Allergy/Intolerance": "ACE Inhibitor or ARB Ingredient"] ACEIOrARBOrARNIAllergyIntolerance with "Heart Failure Inpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFInpatientEncounter such that ACEIOrARBOrARNIAllergyIntolerance.prevalencePeriod overlaps after ModerateOrSevereLVSDHFInpatientEncounter.relevantPeriod
["Allergy/Intolerance": "ACE Inhibitor or ARB Ingredient"] ACEIOrARBOrARNIAllergyIntolerance with "Heart Failure Outpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFOutpatientEncounter such that ACEIOrARBOrARNIAllergyIntolerance.prevalencePeriod overlaps after ModerateOrSevereLVSDHFOutpatientEncounter.relevantPeriod
["Medication, Active": "ACE Inhibitor or ARB"] ActiveACEIOrARBOrARNI with "Heart Failure Inpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFInpatientEncounter such that ActiveACEIOrARBOrARNI.relevantPeriod overlaps after ModerateOrSevereLVSDHFInpatientEncounter.relevantPeriod
["Medication, Active": "ACE Inhibitor or ARB"] ActiveACEIOrARBOrARNI with "Heart Failure Outpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFOutpatientEncounter such that ActiveACEIOrARBOrARNI.relevantPeriod overlaps after ModerateOrSevereLVSDHFOutpatientEncounter.relevantPeriod
"Initial Population 1" and exists "Heart Failure Outpatient Encounter with Moderate or Severe LVSD"
"Initial Population 2" and exists "Heart Failure Inpatient Encounter with Moderate or Severe LVSD"
exists "Medical Patient or System Reason for Not Ordering ACEI or ARB or ARNI Outpatient" or exists "Allergy or Intolerance to ACEI or ARB or ARNI Ingredient Outpatient" or exists "Diagnosis of Allergy to ACEI or ARB Outpatient" or exists "Diagnosis of Intolerance to ACEI or ARB Outpatient" or exists "Diagnosis of Pregnancy Outpatient" or exists "Diagnosis of Renal Failure Due to ACEI Outpatient"
exists "Medical Patient or System Reason for No ACEI or ARB or ARNI at Inpatient Discharge" or exists "Allergy or Intolerance to ACEI or ARB or ARNI Ingredient Inpatient" or exists "Diagnosis of Allergy to ACEI or ARB Inpatient" or exists "Diagnosis of Intolerance to ACEI or ARB Inpatient" or exists "Diagnosis of Pregnancy Inpatient" or exists "Diagnosis of Renal Failure Due to ACEI Inpatient"
["Diagnosis": "Allergy to ACE Inhibitor or ARB"] ACEIOrARBAllergyDiagnosis with "Heart Failure Inpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFInpatientEncounter such that ACEIOrARBAllergyDiagnosis.prevalencePeriod overlaps after ModerateOrSevereLVSDHFInpatientEncounter.relevantPeriod
["Diagnosis": "Allergy to ACE Inhibitor or ARB"] ACEIOrARBAllergyDiagnosis with "Heart Failure Outpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFOutpatientEncounter such that ACEIOrARBAllergyDiagnosis.prevalencePeriod overlaps after ModerateOrSevereLVSDHFOutpatientEncounter.relevantPeriod
["Diagnosis": "Intolerance to ACE Inhibitor or ARB"] ACEIOrARBIntoleranceDiagnosis with "Heart Failure Inpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFInpatientEncounter such that ACEIOrARBIntoleranceDiagnosis.prevalencePeriod overlaps after ModerateOrSevereLVSDHFInpatientEncounter.relevantPeriod
["Diagnosis": "Intolerance to ACE Inhibitor or ARB"] ACEIOrARBIntoleranceDiagnosis with "Heart Failure Outpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFOutpatientEncounter such that ACEIOrARBIntoleranceDiagnosis.prevalencePeriod overlaps after ModerateOrSevereLVSDHFOutpatientEncounter.relevantPeriod
["Diagnosis": "Pregnancy"] Pregnancy with "Heart Failure Inpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFInpatientEncounter such that Pregnancy.prevalencePeriod overlaps ModerateOrSevereLVSDHFInpatientEncounter.relevantPeriod
["Diagnosis": "Pregnancy"] Pregnancy with "Heart Failure Outpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFOutpatientEncounter such that Pregnancy.prevalencePeriod overlaps ModerateOrSevereLVSDHFOutpatientEncounter.relevantPeriod
["Diagnosis": "Renal Failure Due to ACE Inhibitor"] RenalFailureDueToACEI with "Heart Failure Inpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFInpatientEncounter such that RenalFailureDueToACEI.prevalencePeriod overlaps ModerateOrSevereLVSDHFInpatientEncounter.relevantPeriod
["Diagnosis": "Renal Failure Due to ACE Inhibitor"] RenalFailureDueToACEI with "Heart Failure Outpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFOutpatientEncounter such that RenalFailureDueToACEI.prevalencePeriod overlaps ModerateOrSevereLVSDHFOutpatientEncounter.relevantPeriod
( ["Encounter, Performed": "Care Services in Long-Term Residential Facility"] union ["Encounter, Performed": "Home Healthcare Services"] union ["Encounter, Performed": "Nursing Facility Visit"] union ["Encounter, Performed": "Office Visit"] union ["Encounter, Performed": "Outpatient Consultation"] ) FaceToFaceEncounter where FaceToFaceEncounter.relevantPeriod during "Measurement Period"
"Inpatient Discharge During Measurement Period" InpatientEncounter with ["Diagnosis": "Heart Failure"] HeartFailure such that HeartFailure.prevalencePeriod overlaps InpatientEncounter.relevantPeriod
"Heart Failure Inpatient Encounter" HFInpatientEncounter with "Moderate or Severe LVSD Findings" InpatientLVSDFindings such that InpatientLVSDFindings.prevalencePeriod starts before end of HFInpatientEncounter.relevantPeriod or InpatientLVSDFindings.relevantPeriod starts before end of HFInpatientEncounter.relevantPeriod
"Face to Face Encounter During Measurement Period" ValidFaceToFaceEncounter with ["Diagnosis": "Heart Failure"] HeartFailure such that HeartFailure.prevalencePeriod overlaps ValidFaceToFaceEncounter.relevantPeriod
"Heart Failure Outpatient Encounter" HFOutpatientEncounter with "Moderate or Severe LVSD Findings" OutpatientLVSDFindings such that OutpatientLVSDFindings.prevalencePeriod starts before end of HFOutpatientEncounter.relevantPeriod or OutpatientLVSDFindings.relevantPeriod starts before end of HFOutpatientEncounter.relevantPeriod
exists ( ["Patient Characteristic Birthdate": "Birth date"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 18 ) and Count("Qualifying Encounter")>= 2 and exists "Heart Failure Outpatient Encounter"
exists ( ["Patient Characteristic Birthdate": "Birth date"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 18 ) and exists "Heart Failure Inpatient Encounter"
["Encounter, Performed": "Discharge Services - Hospital Inpatient"] InpatientEncounter where InpatientEncounter.relevantPeriod during "Measurement Period"
["Medication, Not Discharged": "ACE Inhibitor or ARB"] NoACEIOrARBOrARNIAtDischarge with "Heart Failure Inpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFInpatientEncounter such that NoACEIOrARBOrARNIAtDischarge.authorDatetime during ModerateOrSevereLVSDHFInpatientEncounter.relevantPeriod where ( NoACEIOrARBOrARNIAtDischarge.negationRationale in "Medical Reason" or NoACEIOrARBOrARNIAtDischarge.negationRationale in "Patient Reason" or NoACEIOrARBOrARNIAtDischarge.negationRationale in "Patient Reason for ACE Inhibitor or ARB Decline" or NoACEIOrARBOrARNIAtDischarge.negationRationale in "System Reason" )
["Medication, Not Ordered": "ACE Inhibitor or ARB"] NoACEIOrARBOrARNIOrdered with "Heart Failure Outpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFOutpatientEncounter such that NoACEIOrARBOrARNIOrdered.authorDatetime during ModerateOrSevereLVSDHFOutpatientEncounter.relevantPeriod where ( NoACEIOrARBOrARNIOrdered.negationRationale in "Medical Reason" or NoACEIOrARBOrARNIOrdered.negationRationale in "Patient Reason" or NoACEIOrARBOrARNIOrdered.negationRationale in "Patient Reason for ACE Inhibitor or ARB Decline" or NoACEIOrARBOrARNIOrdered.negationRationale in "System Reason" )
( ["Diagnostic Study, Performed": "Ejection Fraction"] EjectionFraction where EjectionFraction.result < 40 '%' ) union ["Diagnosis": "Moderate or Severe LVSD"] union ( ["Diagnosis": "Left Ventricular Systolic Dysfunction"] LVSD where LVSD.severity in "Moderate or Severe" )
exists "ACEI or ARB or ARNI Ordered Outpatient" or exists "Currently Taking ACEI or ARB or ARNI Outpatient"
exists "ACEI or ARB or ARNI at Inpatient Discharge" or exists "Currently Taking ACEI or ARB or ARNI Inpatient"
( ["Encounter, Performed": "Office Visit"] union ["Encounter, Performed": "Outpatient Consultation"] union ["Encounter, Performed": "Nursing Facility Visit"] union ["Encounter, Performed": "Care Services in Long-Term Residential Facility"] union ["Encounter, Performed": "Home Healthcare Services"] union ["Encounter, Performed": "Patient Provider Interaction"] ) ValidEncounter where ValidEncounter.relevantPeriod during "Measurement Period"
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
years between ToDate(BirthDateTime)and ToDate(AsOf)
DateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezone from Value)
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
Measure Set |