PQRS reporting

1. PQRS reporting Heart Failure Group Start

2. Patient with diagnosis of Heart Failure • Check if LVF assessment documented in chart • Yes • No

3. LVF assessment not documented • Schedule test for evaluation of LVF • Home

4. LVF assessment documented • What is LVEF? • >40% • <40%

5. LVEF >40% • Check patient chart to see if received education about the condition and its management

6. LVEF<40% • See if patient medications list has following medications; • Beta blocker • ACE/ARB

7. Patient Medication listBeta blocker • Medication list include beta blocker • Yes • No

8. Beta blocker listed • Beta blocker is listed in patient medication list • Check for ACE inhibitor/ARB if not already done • Check patient chart to see if received education about the condition and its management

9. Beta blocker not listed • Beta blocker is not listed in patient medication list • Prescribe a Beta blocker • Yes • No

10. Beta blocker Prescribed • Check for ACE inhibitor/ARB if not already done so • Check patient chart to see if received education about the condition and its management

11. Beta blocker not prescribed • Document a reason in patient chart why it can not be prescribed? • Check for ACE inhibitor/ARB if not already done so • Check patient chart to see if received education about the condition and its management

12. Patient Medication ListACE inhibitor/ARB • Medication list include ACE inhibitor/ARB • Yes • No

13. ACE inhibitor/ARB Listed • Check for Beta blocker if not already done • Check patient chart to see if received education about the condition and its management

14. ACE inhibitor/ARB not Listed • Prescribe ACE inhibitor/ARB • Yes • No

15. ACE inhibitor/ARB Prescribed • Check for Beta blocker if not already done • Check patient chart to see if received education about the condition and its management

16. ACE inhibitor/ARB not Prescribed • Document a reason why it can not be prescribed • Check for Beta blocker if not already done • Check patient chart to see if received education about the condition and its management

17. Health education • Is it documented that patient received education about the condition and its management • Yes • No

18. Health education documented • No further action required for PQRS • Home

19. Health Education not documented • Provide patient with education about the condition and its management • No further action required for PQRS • Home