Release Notes:
Measure Information Form
Version 2010A1
Heart Failure (HF)
Set Measures
Set Measure ID 
Measure Short Name 
HF1 
Discharge Instructions 
HF2 
Evaluation of LVS Function 
HF3 
ACEI or ARB for LVSD 
HF4 
Adult Smoking Cessation Advice/Counseling 
General Data Elements
Element Name 
Collected For 
Birthdate 
All Records, 
Discharge Date 
All Records, (used in algorithm for AMI1, AMI6, PN1, PN3a, PN3b, PN5, PN5b, PN5c, PN6, PN6a, PN6b, PN7, PR2, SCIPInf4, SCIPVTE1, SCIPVTE2) 
Discharge Status 
All Records, (used in algorithm for AMI1, AMI2, AMI3, AMI4, AMI5, AMI6, AMI9, AMIT1a and AMIT2 [CMS Optional Test Measures], CAC3 [Joint Commission Test Measure], All HF Measures, All PN Measures, PR2) 
First Name 
All Records, CMS Only, 
Hispanic Ethnicity 
All Records, CMS Only, 
Hospital Patient Identifier 
All Records, CMS Only, NOTE: Refer to the Hospital Clinical Data XML File Layout in the Transmission section of this manual. 
Last Name 
All Records, CMS Only, 
Patient HIC# 
All Records, CMS Only, Collected by CMS for patients with a Payment Source  Medicare who have a standard HIC number. 
Physician 1 
All Records, Optional for All Records, (CMS Optional Element) 
Physician 2 
All Records, Optional for All Records, (CMS Optional Element) 
Point of Origin for Admission or Visit 
All Records, (used in algorithm for AMI1, AMI6, AMI7, AMI7a, AMI8, AMI8a, AMI9, PN1, PN3a, PN5, PN5b, PN5c, PN6, PN6a, PN6b 
Postal Code 
All Records, CMS Only, 
Race 
All Records, CMS Only, 
Algorithm Output Data Elements
Measure Set Specific Data Elements
Element Name 
Collected For 
ACEI Prescribed at Discharge 
HF3, 
ARB Prescribed at Discharge 
HF3, 
Adult Smoking Counseling 
HF4, 
Adult Smoking History 
HF4, 
Comfort Measures Only 
HF1, HF2, HF3, HF4, 
Contraindication to Both ACEI and ARB at Discharge 
HF3, 
Discharge Instructions Address Activity 
HF1, 
Discharge Instructions Address Diet 
HF1, 
Discharge Instructions Address Followup 
HF1, 
Discharge Instructions Address Medications 
HF1, 
Discharge Instructions Address Symptoms Worsening 
HF1, 
Discharge Instructions Address Weight Monitoring 
HF1, 
LVF Assessment 
HF2, 
LVSD 
HF3, 
Related Materials
Heart Failure (HF) Initial Patient Population
Testing the release process with this temporary change.
The population of the HF measure set is identified using 4 data elements:
 ICD9CM Principal Diagnosis Code
 ICD9CM Principal Procedure Code
 ICD9CM Other Procedure Codes
 Admission Date
 Birthdate
 Discharge Date
Patients admitted to the hospital for inpatient acute care with an ICD9CM Principal Diagnosis Code for HF as defined in Appendix A, Table 2.1, no ICD9CM Principal or Other Procedure Code of Left Ventricular Assistive Device (LVAD) or Heart Transplant as defined in Appendix A, Table 2.2, a Patient Age (Admission Date – Birthdate) >= 18 years , and a Length of Stay (Discharge Date  Admission Date) <= 120 days are included in the HF Initial Patient Population and are eligible to be sampled.
Sample Size Requirements
Hospitals that choose to sample have the option of sampling quarterly or sampling monthly. A hospital may choose to use a larger sample size than is required. Hospitals whose Initial Patient Population size is less than the minimum number of cases per quarter for the measure set cannot sample.
Regardless of the option used, hospital samples must be monitored to ensure that sampling procedures consistently produce statistically valid and useful data. Because the sample for a measure set will rarely be equal to the effective sample due to exclusions and contraindications, hospitals selecting sample cases MUST submit AT LEAST the minimum required sample size.
The following sample size tables for each option automatically build in the number of cases needed to obtain the required sample sizes. For information concerning how to perform sampling, refer to the Population and Sampling Specifications section in this manual.
Quarterly Sampling
Hospitals performing quarterly sampling for HF must ensure that its Initial Patient Population and effective sample size meet the following conditions:
 The effective sample size for HF is at least 35 cases per quarter; and
 The required sample size is at least 20% of the Initial Patient Population for the quarter.
Quarterly Sample Size
Based on Initial Patient Population for the HF Measure Set
Monthly Sampling
Hospitals performing monthly sampling for HF must ensure that its Initial Patient Population and effective sample size meet the following conditions:
 The effective sample size for HF is at least 12 cases per month; and
 The required sample size is at least 20% of the Initial Patient Population for the month.
Monthly Sample Size
Based on Initial Patient Population for the HF Measure Set
Sample Size Examples
 Quarterly sampling:
 The HF Initial Patient Population size for a hospital has been 500 patients per quarter during the past year. The required quarterly sample size would be 100 (twenty percent of 500) heart failure patients per quarter  as this number is smaller than the maximum condition (i.e., 304 cases) and larger than the minimum condition (i.e., 76 cases).
 A hospital’s HF Initial Patient Population size is 1,482 patients during the third quarter. The required sample size is 20% of the patient population or 297 cases for the quarter (twenty percent of 1,482 equals 296.4 rounded to the next highest whole number = 297).
 Monthly sampling
 A hospital’s HF Initial Patient Population size is 25 patients during March. Since this is less than the minimum condition (i.e., 26 cases), no sampling is allowed or 100% of the patient population of 25 cases is required.
 A hospital’s HF Initial Patient Population size is 503 patients during July. The required sample size is 20% of the patient population or 101 cases for the month (twenty percent of 503 equals 100.6 rounded to the next highest whole number = 101).

Measure Information Form HF
Specifications Manual for Joint Commission National Quality Core Measures (2010A1)
Discharges 040110 (2Q10) through 093010 (3Q10)


