Performance Measurement Network
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Question: EF on admission 15%. Day of discahrge EF 50-55% per ECHO. Do we answer Y for LVSD<40 .

The Guidelines indicate to use the lowest calculated EF. It doesn't indicate to use EF closest to discharge. This would impact the BB question. The patient was discharged on BB but not Bisprolol,Carvedilol, Sustained Released Metoprolol Succinate.


Use the lowest EF documented in the record, i.e, 15%, and select "Yes" for LVSD<40%. If the patient was dishcarged on a beta-blocker other than bisoprolol, carvedilol, or sustained-release metoprolol, select "No" for this data element. The measure is constructed based on clinical practice guidelines which recommend only these three beta-blockers.

Question Details
Focus area(s): Chart Abstracted Measure Specifications – Clinical
Related documents: ACHF,

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