Transcript Check patient chart to see if received education

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 list
Beta 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 List
ACE 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