SOAPware Learning CenterClinical Quality Measures User Guide (for 2011) Additional Measures (Choose 3 Additional Measures)NQF 0084 (Additional): Heart Failure: Warfarin Therapy Patients with Atrial Fibrillation

NQF 0084 (Additional): Heart Failure: Warfarin Therapy Patients with Atrial Fibrillation

Measure: NQF 0084 (Additional Measurement)

Measure Title: Heart Failure (HF) : Warfarin Therapy Patients with Atrial Fibrillation

Measure Description:  Percentage of all patients aged 18 and older with a diagnosis of heart failure and paroxysmal or chronic atrial fibrillation who were prescribed warfarin therapy.

*REQUIRED FOR MEANINGFUL USE (MU): Click here to view the Meaningful Use Criteria

Quality Measure Documentation Workflow

In Order for the Clinical Quality Measure report to generate, the following must be documented in the relevant patient's chart:

1.  The patient must be 18 years of age or older and have at least one face-to-face encounter with the provider during the reporting period.

2.  Patients must have a diagnosis of Heart Failure (HF) and paroxysmal or chronic atrial fibrillation documented in the Summary Active Problems or the Assessment field of the encounter using one of the following ICD codes:

427.31,402.01, 402.11, 402.91, 404.01, 404.03, 404.11, 404.13, 404.91, 404.93, 428.0, 428.1, 428.20, 428.21, 428.22, 428.23, 428.30, 428.31, 428.32, 428.33, 428.40, 428.41,428.42, 428.43, 428.9.

3.  Two documentation options:

(a)  Documentation that warfarin therapy was prescribed by entering the following SMARText code into the Summary Interventions or encounter Plan field using "PQRIhfWAR": 4300F.

OR

(b)  Documentation that warfarin therapy was prescribed by entering the following medication into the encounter Medications or Summary Medications field: Coumadin.

Measure Calculation Details

Numerator Calculation:

The numerator for this measure is calculated based on the following:

1.  The number of patients in the denominator who have one of the following documented during the reporting period:

(a)  The following SMARText code documented in the Summary Interventions for or the encounter Plan field using "PQRIhfWAR" to document that warfarin therapy was prescribed:

  • 4300F: Patient receiving warfarin

OR

(b) Documentation that warfarin therapy was prescribed by entering the following medication into the encounter Medications or Summary Medications field:

  • Coumadin

Denominator Calculation:

The denominator for this measure is calculated based on the following:

1.  The number of patients who are 18 years of age or older and have at least one face-to-face encounter with the provider during the reporting period.

2.  And have a diagnosis of Heart Failure (HF) and paroxysmal or chronic atrial fibrillation in the Summary Active Problems field or encounter Assessment field documented using one of the following ICD9 codes:

  • 427.31,402.01, 402.11, 402.91, 404.01, 404.03, 404.11, 404.13, 404.91, 404.93, 428.0, 428.1, 428.20, 428.21, 428.22, 428.23, 428.30, 428.31, 428.32, 428.33, 428.40, 428.41, 428.42, 428.43, 428.9

Report Clinical Quality Measures to CMS/Status

All of the items listed in the above steps need to be documented as structured data (as detailed above) in order to allow the user to capture the numerator, denominator and percentage for this quality measure.

For information on how to export the numerator, denominator and percentage for each Clinical Quality Measure, click here.

For more information on reporting clinical quality measures, click here.