CMS 144 - Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)

• Patient’s age is calculated based on the patient’s Date of Birth, which is entered when you created the patient’s account.
• Create a note detailing the patient’s office visit.
• The diagnosis of "Heart Failure or Moderately" is entered in the patient’s Problems with a Start Date.
• LVEF results are manually entered in Labs/Studies.

• “History of Heart Transplant” is documented in Hospitalizations/Procedures.
• “Left Ventricular Assist Device (LVAD) is documented under Problems with a Start Date.
• “Moderate or Severe LVSD” is documented under Problems with a Start Date.

• Beta Blocker Therapy is prescribed in Medications.

1. Documentation of medical reason(s) for not prescribing beta-blocker therapy (e.g., arrhythmia, asthma, bradycardia, hypotension, patients with atrioventricular block without cardiac pacer, observation of consecutive heart rates <50, allergy, intolerance, other medical reasons).
2. Documentation of patient reason(s) for not prescribing beta-blocker therapy (e.g. patient declined, other patient reason).

• If  “Arrhythmia”, “Asthma” “Bradycardia”, “Hypotension”, “Atrioventricular Block”, and/or "Allergy to Beta-Blocker Therapy", are documented under Problems, each with a Start Date, these patients will be excluded from the numerator.
• If "Allergy to Beta Blocker Therapy" is documented under Allergies with a Start Date, these patients will be excluded from the numerator.
• If “Cardiac Pacer” is documented in Hospitalizations/Procedures and “Atrioventricular Block” is documented under Problems, these patients will be excluded from the numerator.
• If there was a Medical or Patient Reason for not prescribing ACE inhibitor or ARB therapy, add the medication as Not Administered and select a reason (Medical Contraindication or Refusal of Treatment by Patient) for non administration.

• Enter Procedure Codes including E/M Codes, HCPCS, or CPT Codes as applicable on the Charge Capture
• Complete and sign the note

Once all steps have been completed, the measure will be added to the Quality Measures Report.