Question: Data Element Bisoprolol, Carvedilol, or Sustained-Release Metoprolol Prescribed for LVSD at Discharge has an incomplete sentence

Data Element Name: Bisoprolol, Carvedilol, or Sustained-Release Metoprolol Prescribed for LVSD at Discharge

From the Notes for Abstraction: 2nd Bullet, 2nd sub-bullet - top of page 36-37 in the Advanced Certification Heart Failure Performance Measurement Implementation Guide:

If documentation is contradictory (e.g., physician noted “d/c carvedilol” in the discharge orders, but carvedilol is listed in the discharge summary’s discharge medication list), or after careful examination of circumstances, context, timing, etc, documentation raises enough questions, the case should be deemed "

Please help us understand how the sentence should be finished. Thanks.

Answer:

Thank you for reporting that defect. We will correct. The complete sentence is below:

"If documentation is contradictory (e.g., physician noted “d/c carvedilol” in the discharge orders, but carvedilol is listed in the discharge summary’s discharge medication list), or after careful examination of circumstances, context, timing, etc, documentation raises enough questions, the case should be deemed "unable to determine" (select "No")".