What 5 core measures must be determined for all patients with heart failure prior to discharge from hospitals accredited by the Joint Commission?

There are 5 mandatory measures: high-intensity statin, aldosterone antagonist, beta-blockers, post-discharge appointment and post-discharge evaluation that all certified organizations must abstract.

What are the CMS core measures?

Adult Recommended Core Measures

• Controlling High Blood Pressure.
• Use of High-Risk Medications in the Elderly.
• Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention.
• Use of Imaging Studies for Low Back Pain.
• Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan.

Is asthma a core measure?

These measures form a core measure set that promotes asthma care in line with elements of EXHALE. However, significant gaps remain in asthma measurement. Although a number of tobacco measures exist, none are specific to people with asthma.

Is pneumonia A core measure?

The most recent Specifications Manual for National Hospital Inpatient Quality Measures contains categories of Core Measures including Acute Myocardial Infarction (AMI), Heart Failure, Pneumonia, Surgical Care Improvement, Immunization, Prevention and other categories.

What are CHF core measures?

Currently, core measures for HF include: use of an angiotensin-converting enzyme inhibitor (ACEI) or an angiotensin II receptor blocker (ARB) for left ventricular systolic dysfunction (LVSD) left ventricular function (LVF) assessment. smoking cessation counseling. HF discharge instructions.

What is asthma medication ratio?

Measure Description. This measure captures the percentage of members 5–64 years of age who were identified as having persistent asthma and had a ratio of controller medications to total asthma medications of 0.50 or greater during the measurement year.

How do you measure the effectiveness of asthma treatment?

Asthma-specific quality-of-life questionnaires have been used as primary outcome measures in major clinical trials evaluating asthma therapy. Biomarkers that reflect eosinophilic inflammation of the airways are used as intermediate outcome measures to reflect the biological basis of asthma control.

Is CHF a core measure?

The most recent Specifications Manual for National Hospital Inpatient Quality Measures contains categories of Core Measures including acute myocardial infarction (AMI), heart failure, pneumonia, surgical care improvement, immunization, prevention, and other categories.

What are core measures for heart failure treatment?

Standardized and renamed National Hospital Quality Measures, these core measure sets are expected to improve the quality of care for hospital patients while promoting examination of results of the care provided. Currently, core measures for HF include:

Where does Florida rank on heart failure core measures?

Florida falls below the national average for each heart failure core measure in the lowest percentage. However, compliance with core measures is a problem in many states—one that nurses can help improve Even with core measures for HF in place, re-admissions continue to remain high, calling for tighter control of HF patients.

What are new ACC / AHA heart failure performance measures?

Additional changes made with the goal of increasing use of guideline-directed medical therapy at maximally tolerated doses include new measures examining the proportion of HF patients with LVEF ≤40% who are treated with a guideline-recommended beta-blocker at a dose that is ≥50% of target dose. A similar measure is included for ACEI/ARB/ARNI.

What are the measures of LV in heart failure?

Currently, proof of LV assessment must be documented on every hospital admission. Two-dimensional echocardiography with Doppler is used to assess left ventricular ejection fraction (EF), left ventricular size, wall thickness, and valve function. EF indicates HF severity, guides treatment, and correlates mortality and morbidity risks.