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Friday 1:17 CST, December 19, 2014

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Performance measurement

May 15, 2013
 

Additional performance measures for Advanced Certification in Heart Failure

Advanced Certification in Heart Failure

The Joint Commission has approved a set of standardized performance measures for Disease-Specific Care Advanced Certification in Heart Failure (ACHF). These measures have been developed to better evaluate the care provided to heart failure (HF) patients with an emphasis on the transition of care (specifically, from inpatient to outpatient). The ACHF measure set comprises six mandatory inpatient measures and seven optional outpatient measures. For the six mandatory inpatient measures, ACHF organizations will be required to implement specifications and collect data beginning with discharges on and after January 1, 2014, in addition to the three HF core measures currently required for certification. The ACHF set is comprised of the following six measures:

ACHF-01 Beta-Blocker Therapy (i.e., Bisoprolol, Carvedilol, or Sustained- Release Metoprolol Succinate) for LVSD Prescribed at Discharge
ACHF-02 Post-Discharge Appointment for Heart Failure Patients
ACHF-03 Care Transition Record Transmitted
ACHF-04 Discussion of Advance Directives/Advance Care Planning
ACHF-05 Advance Directive Executed
ACHF-06 Post-Discharge Evaluation for Heart Failure Patients

ACHF programs with a hospital-based outpatient heart failure clinic or access to outpatient data are encouraged to also collect data for these seven optional measures that address HF care in the outpatient setting:

ACHFOP-01 Hospital Outpatient Beta-Blocker Therapy (i.e., Bisoprolol, Carvedilol, or Sustained-Release Metoprolol Succinate) Prescribed for LVSD
ACHFOP-02 Hospital Outpatient ACEI (ACE inhibitors) or ARB (angiotensin receptor blocker) Prescribed for LVSD
ACHFOP-03 Hospital Outpatient Aldosterone Receptor Antagonists Prescribed for LVSD
ACHFOP-04 Hospital Outpatient New York Heart Association Classification Assessment
ACHFOP-05 Hospital Outpatient Activity Recommendations
ACHFOP-06 Hospital Outpatient Discussion of Advance Directives/Advance Care Planning
ACHFOP-07 Hospital Outpatient Advance Directive Executed

Measure specifications for the six mandatory inpatient ACHF measures and seven optional outpatient ACHF measures are detailed in two separate implementation guides. The Advanced Certification in Heart Failure Performance Measurement Implementation Guide and the Advanced Certification in Heart Failure Outpatient Implementation Guide may be accessed via The Joint Commission website. (Contact: Millie Perich, mperich@jointcommission.org)
 

 

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