Measure Source

Centers for Medicare and Medicaid Services (CMS), Health Care Quality Improvement Program Quality Indicator.

Tables

1.47a Percent of Medicare heart failure patients having evaluation of left ventricular ejection fraction, United States, 2002 and 2003.

1.47b Percent of Medicare heart failure patients having evaluation of left ventricular ejection fraction, by State, 2002 and 2003.

1.47c Percent of heart failure patients having evaluation of left ventricular ejection fraction, by State, 2004

Data Source

CMS, Medicare Quality Improvement Organization Program.

CMS, Hospital Compare.

Denominator

Medicare hospital live discharges with a principal diagnosis of heart failure.

Numerator

Subset of heart failure patients with documentation in the hospital record that left ventricular ejection fraction was assessed before arrival, during hospitalization, or was planned for after discharge.

Comments

ICD-9-CM codes for heart failure include 402.01, 402.11, 402.91, 404.01, 404.03, 404.11, 404.13, 404.91, 404.93, 428.0, 428.1, 428.20, 428.21, 428.22, 428.23, 428.30, 428.31, 428.32, 428.33, 428.40, 428.41, 428.42, 428.43, and 428.9.

Further information on this and other heart disease measures is available at http://www.cms.hhs.gov/QualityInitiativesGenInfo/.

In the 2004 table, the State average percent was pre-calculated and supplied as part of the Hospital Compare database.