Specifications Manual for Joint Commission National Quality Measures (v2018A1)
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Release Notes:
Data Element
Version 2018A1

Data Element Name: New York Heart Association (NYHA) Classification
Collected For: ACHFOP-04
Definition:The New York Heart Association (NYHA) Classification provides a simple way of classifying the extent of heart failure. It classifies patients in one of four categories based on their limitations during physical activity; the limitations/symptoms are in regards to normal breathing and varying degrees in shortness of breath and or angina pain.
Suggested Data Collection Question:Is there documentation of the use of the NYHA Classification as an assessment tool to measure the functional status for this patient?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

Y (Yes) There is documentation of the use of the NYHA Classification as an assessment tool to measure the functional status for this patient.

N (No) There is no documentation of the use of the NYHA Classification as an assessment tool to measure the functional status for this patient or unable to determine from medical record documentation.
Notes for Abstraction:NYHA Classification - The Stages of Heart Failure:

  1. Class I - No symptoms and no limitation in ordinary physical activity, e.g. shortness of breath when walking, climbing stairs etc.
  2. Class II - Mild symptoms (mild shortness of breath and/or angina) and slight limitation during ordinary activity.
  3. Class III - Marked limitation in activity due to symptoms, even during less-than-ordinary activity, e.g. walking short distances (20—100 m).Comfortable only at rest.
  4. Class IV - Severe limitations. Experiences symptoms even while at rest. Mostly bedbound patients.
  5. No NYHA class listed or unable to determine.
Suggested Data Sources:

  • Discharge summary
  • Outpatient medical record
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
None None

New York Heart Association (NYHA) Classification
Specifications Manual for Joint Commission National Quality Measures (v2018A1)
Discharges 07-01-18 (3Q18) through 12-31-18 (4Q18)
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