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This protocol outlines a structured approach for assessing and managing patients diagnosed with heart failure. Key steps include verifying documentation of left ventricular function (LVF) assessment, evaluating left ventricular ejection fraction (LVEF), educating patients about their condition and its management, and ensuring appropriate medications, such as beta-blockers and ACE inhibitors/ARBs, are prescribed and documented. Continuous education efforts are emphasized to empower patients in managing their heart health effectively.
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PQRS reporting Heart Failure Group Start
Patient with diagnosis of Heart Failure • Check if LVF assessment documented in chart • Yes • No
LVF assessment not documented • Schedule test for evaluation of LVF • Home
LVF assessment documented • What is LVEF? • >40% • <40%
LVEF >40% • Check patient chart to see if received education about the condition and its management
LVEF<40% • See if patient medications list has following medications; • Beta blocker • ACE/ARB
Patient Medication listBeta blocker • Medication list include beta blocker • Yes • No
Beta blocker listed • Beta blocker is listed in patient medication list • Check for ACE inhibitor/ARB if not already done • Check patient chart to see if received education about the condition and its management
Beta blocker not listed • Beta blocker is not listed in patient medication list • Prescribe a Beta blocker • Yes • No
Beta blocker Prescribed • Check for ACE inhibitor/ARB if not already done so • Check patient chart to see if received education about the condition and its management
Beta blocker not prescribed • Document a reason in patient chart why it can not be prescribed? • Check for ACE inhibitor/ARB if not already done so • Check patient chart to see if received education about the condition and its management
Patient Medication ListACE inhibitor/ARB • Medication list include ACE inhibitor/ARB • Yes • No
ACE inhibitor/ARB Listed • Check for Beta blocker if not already done • Check patient chart to see if received education about the condition and its management
ACE inhibitor/ARB not Listed • Prescribe ACE inhibitor/ARB • Yes • No
ACE inhibitor/ARB Prescribed • Check for Beta blocker if not already done • Check patient chart to see if received education about the condition and its management
ACE inhibitor/ARB not Prescribed • Document a reason why it can not be prescribed • Check for Beta blocker if not already done • Check patient chart to see if received education about the condition and its management
Health education • Is it documented that patient received education about the condition and its management • Yes • No
Health education documented • No further action required for PQRS • Home
Health Education not documented • Provide patient with education about the condition and its management • No further action required for PQRS • Home