eCQM Title | Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD) |
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eCQM Identifier (Measure Authoring Tool) | 135 | eCQM Version number | 7.1.000 |
NQF Number | 0081 | 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 | |||
Copyright | |||
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"] 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 "ACE Inhibitor or ARB Ordered Outpatient" or exists "Currently Taking ACE Inhibitor or ARB Outpatient"
exists "Medical Patient or System Reason for Not Ordering ACE Inhibitor or ARB Outpatient" or exists "Patient Declined ACE Inhibitor or ARB Outpatient" or exists "Allergy or Intolerance to ACE Inhibitor or ARB Ingredient Outpatient" or exists "Diagnosis of Allergy to ACE Inhibitor or ARB Outpatient" or exists "Diagnosis of Intolerance to ACE Inhibitor or ARB Outpatient" or exists "Diagnosis of Pregnancy Outpatient" or exists "Diagnosis of Renal Failure Due to ACE Inhibitor Outpatient"
exists ( ["Patient Characteristic Birthdate"] 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 "ACE Inhibitor or ARB Ordered Inpatient" or exists "Currently Taking ACE Inhibitor or ARB Inpatient"
exists "Medical Patient or System Reason for Not Ordering ACE Inhibitor or ARB Inpatient" or exists "Patient Declined ACE Inhibitor or ARB Inpatient" or exists "Allergy or Intolerance to ACE Inhibitor or ARB Ingredient Inpatient" or exists "Diagnosis of Allergy to ACE Inhibitor or ARB Inpatient" or exists "Diagnosis of Intolerance to ACE Inhibitor or ARB Inpatient" or exists "Diagnosis of Pregnancy Inpatient" or exists "Diagnosis of Renal Failure Due to ACE Inhibitor Inpatient"
["Medication, Order": "ACE Inhibitor or ARB"] ACEInhibitorOrARBOrdered with "Heart Failure Inpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFInpatientEncounter such that ACEInhibitorOrARBOrdered.authorDatetime during ModerateOrSevereLVSDHFInpatientEncounter.relevantPeriod
["Medication, Order": "ACE Inhibitor or ARB"] ACEInhibitorOrARBOrdered with "Heart Failure Outpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFOutpatientEncounter such that ACEInhibitorOrARBOrdered.authorDatetime during ModerateOrSevereLVSDHFOutpatientEncounter.relevantPeriod
["Allergy/Intolerance": "ACE Inhibitor or ARB Ingredient"] ACEInhibitorOrARBAllergyIntolerance with "Heart Failure Inpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFInpatientEncounter such that ACEInhibitorOrARBAllergyIntolerance.prevalencePeriod overlaps after ModerateOrSevereLVSDHFInpatientEncounter.relevantPeriod
["Allergy/Intolerance": "ACE Inhibitor or ARB Ingredient"] ACEInhibitorOrARBAllergyIntolerance with "Heart Failure Outpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFOutpatientEncounter such that ACEInhibitorOrARBAllergyIntolerance.prevalencePeriod overlaps after ModerateOrSevereLVSDHFOutpatientEncounter.relevantPeriod
["Medication, Active": "ACE Inhibitor or ARB"] ActiveACEInhibitorOrARB with "Heart Failure Inpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFInpatientEncounter such that ActiveACEInhibitorOrARB.relevantPeriod overlaps after ModerateOrSevereLVSDHFInpatientEncounter.relevantPeriod
["Medication, Active": "ACE Inhibitor or ARB"] ActiveACEInhibitorOrARB with "Heart Failure Outpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFOutpatientEncounter such that ActiveACEInhibitorOrARB.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 ACE Inhibitor or ARB Outpatient" or exists "Patient Declined ACE Inhibitor or ARB Outpatient" or exists "Allergy or Intolerance to ACE Inhibitor or ARB Ingredient Outpatient" or exists "Diagnosis of Allergy to ACE Inhibitor or ARB Outpatient" or exists "Diagnosis of Intolerance to ACE Inhibitor or ARB Outpatient" or exists "Diagnosis of Pregnancy Outpatient" or exists "Diagnosis of Renal Failure Due to ACE Inhibitor Outpatient"
exists "Medical Patient or System Reason for Not Ordering ACE Inhibitor or ARB Inpatient" or exists "Patient Declined ACE Inhibitor or ARB Inpatient" or exists "Allergy or Intolerance to ACE Inhibitor or ARB Ingredient Inpatient" or exists "Diagnosis of Allergy to ACE Inhibitor or ARB Inpatient" or exists "Diagnosis of Intolerance to ACE Inhibitor or ARB Inpatient" or exists "Diagnosis of Pregnancy Inpatient" or exists "Diagnosis of Renal Failure Due to ACE Inhibitor Inpatient"
["Diagnosis": "Allergy to ACE Inhibitor or ARB"] ACEInhibitorOrARBAllergyDiagnosis with "Heart Failure Inpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFInpatientEncounter such that ACEInhibitorOrARBAllergyDiagnosis.prevalencePeriod overlaps after ModerateOrSevereLVSDHFInpatientEncounter.relevantPeriod
["Diagnosis": "Allergy to ACE Inhibitor or ARB"] ACEInhibitorOrARBAllergyDiagnosis with "Heart Failure Outpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFOutpatientEncounter such that ACEInhibitorOrARBAllergyDiagnosis.prevalencePeriod overlaps after ModerateOrSevereLVSDHFOutpatientEncounter.relevantPeriod
["Diagnosis": "Intolerance to ACE Inhibitor or ARB"] ACEInhibitorOrARBIntoleranceDiagnosis with "Heart Failure Inpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFInpatientEncounter such that ACEInhibitorOrARBIntoleranceDiagnosis.prevalencePeriod overlaps after ModerateOrSevereLVSDHFInpatientEncounter.relevantPeriod
["Diagnosis": "Intolerance to ACE Inhibitor or ARB"] ACEInhibitorOrARBIntoleranceDiagnosis with "Heart Failure Outpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFOutpatientEncounter such that ACEInhibitorOrARBIntoleranceDiagnosis.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"] RenalFailureDueToACEInhibitor with "Heart Failure Inpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFInpatientEncounter such that RenalFailureDueToACEInhibitor.prevalencePeriod overlaps ModerateOrSevereLVSDHFInpatientEncounter.relevantPeriod
["Diagnosis": "Renal Failure Due to ACE Inhibitor"] RenalFailureDueToACEInhibitor with "Heart Failure Outpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFOutpatientEncounter such that RenalFailureDueToACEInhibitor.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" FaceToFaceEncounter with ["Diagnosis": "Heart Failure"] HeartFailure such that HeartFailure.prevalencePeriod overlaps FaceToFaceEncounter.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"] 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"] 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 Ordered": "ACE Inhibitor or ARB"] NoACEInhibitorOrdered with "Heart Failure Inpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFInpatientEncounter such that NoACEInhibitorOrdered.authorDatetime during ModerateOrSevereLVSDHFInpatientEncounter.relevantPeriod and ( NoACEInhibitorOrdered.negationRationale in "Medical Reason" or NoACEInhibitorOrdered.negationRationale in "Patient Reason" or NoACEInhibitorOrdered.negationRationale in "System Reason" )
["Medication, Not Ordered": "ACE Inhibitor or ARB"] NoACEInhibitorOrdered with "Heart Failure Outpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFOutpatientEncounter such that NoACEInhibitorOrdered.authorDatetime during ModerateOrSevereLVSDHFOutpatientEncounter.relevantPeriod and ( NoACEInhibitorOrdered.negationRationale in "Medical Reason" or NoACEInhibitorOrdered.negationRationale in "Patient Reason" or NoACEInhibitorOrdered.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 "ACE Inhibitor or ARB Ordered Outpatient" or exists "Currently Taking ACE Inhibitor or ARB Outpatient"
exists "ACE Inhibitor or ARB Ordered Inpatient" or exists "Currently Taking ACE Inhibitor or ARB Inpatient"
["Communication: From Patient To Provider": "Patient Reason for ACE Inhibitor or ARB Decline"] CommunicatePatientDeclinedACEInhibitorOrARB with "Heart Failure Inpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFInpatientEncounter such that CommunicatePatientDeclinedACEInhibitorOrARB.authorDatetime during ModerateOrSevereLVSDHFInpatientEncounter.relevantPeriod
["Communication: From Patient To Provider": "Patient Reason for ACE Inhibitor or ARB Decline"] CommunicatePatientDeclinedACEInhibitorOrARB with "Heart Failure Outpatient Encounter with Moderate or Severe LVSD" ModerateOrSevereLVSDHFOutpatientEncounter such that CommunicatePatientDeclinedACEInhibitorOrARB.authorDatetime during ModerateOrSevereLVSDHFOutpatientEncounter.relevantPeriod
( ["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 |