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Measure: CMS90

Functional Status Assessments for Heart Failure

Measure Versions

eMeasure Code Measure Year Full Version Number Title
CMS90v13 2024 13.0.000 Functional Status Assessments for Heart Failure
CMS90v12 2023 12 Functional Status Assessments for Heart Failure
CMS90v11 2022 11.1.000 Functional Status Assessments for Heart Failure
CMS90v10 2021 10.2.000 Functional Status Assessments for Congestive Heart Failure
CMS90v9 2020 9.1.000 Functional Status Assessments for Congestive Heart Failure
CMS90v8 2019 8.3.000 Functional Status Assessments for Congestive Heart Failure
CMS90v7 2018 7.1.000 Functional Status Assessments for Congestive Heart Failure
CMS90v6 2017 6.2.000 Functional Status Assessments for Congestive Heart Failure

Description

Percentage of patients 18 years of age and older with heart failure who completed initial and follow-up patient-reported functional status assessments.

Guidance

Patient Group Definitions

Group Description Instructions Links
Initial PopulationPatients 18 years of age and older who had two outpatient encounters during the measurement period and a diagnosis of heart failure that starts any time before and continues into the measurement period.Webchart Instructions
DenominatorEquals Initial PopulationWebchart Instructions
Denominator ExclusionsExclude patients with severe cognitive impairment in any part of the measurement period. Exclude patients who are in hospice care for any part of the measurement period.Webchart Instructions
NumeratorPatients with patient-reported functional status assessment results (i.e., Veterans RAND 12-item health survey [VR-12]; VR-36; Kansas City Cardiomyopathy Questionnaire [KCCQ]; KCCQ-12; Minnesota Living with Heart Failure Questionnaire [MLHFQ]; Patient-Reported Outcomes Measurement Information System [PROMIS]-10 Global Health, PROMIS-29) present in the EHR within two weeks before or during the initial FSA encounter and results for the follow-up FSA at least 30 days but no more than 180 days after the initial FSAWebchart Instructions
Numerator ExclusionsNot ApplicableWebchart Instructions
Denominator ExceptionsNone

Details

Full eMeasure Code eMeasure Identifier Measure Year Version NQF # GUID
CMS90v12 90 2023 12 N/A bb9b8ef7-0354-40e0-bec7-d6891b7df519
Steward Developer Endorsed By
Centers for Medicare & Medicaid Services (CMS) National Committee for Quality Assurance None
Scoring Method Measure Type Stratification Risk Adjustment
Proportion Process None None

Rate Aggregation

None

Improvement Notation

Higher score indicates better quality

Rationale

Clinical Recommendation Statement


Definition

Transmission Format

Applicable Value Sets

Category Value Set OID
Diagnosis Heart Failure 2.16.840.1.113883.3.526.3.376
Encounter, Performed Encounter Inpatient 2.16.840.1.113883.3.666.5.307
Encounter, Performed Hospice Encounter 2.16.840.1.113883.3.464.1003.1003
Encounter, Performed Office Visit 2.16.840.1.113883.3.464.1003.101.12.1001
Encounter, Performed Online Assessments 2.16.840.1.113883.3.464.1003.101.12.1089
Encounter, Performed Telephone Visits 2.16.840.1.113883.3.464.1003.101.12.1080
Intervention, Order Hospice Care Ambulatory 2.16.840.1.113883.3.526.3.1584
Intervention, Performed Hospice Care Ambulatory 2.16.840.1.113883.3.526.3.1584
Patient Characteristic Ethnicity Ethnicity 2.16.840.1.114222.4.11.837
Patient Characteristic Payer Payer 2.16.840.1.114222.4.11.3591
Patient Characteristic Race Race 2.16.840.1.114222.4.11.836
Patient Characteristic Sex ONC Administrative Sex 2.16.840.1.113762.1.4.1

References


Disclaimer

Copyright


Source: https://ecqi.healthit.gov/ecqm/measures/cms90v1