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 LVSD documented in the Summary Active Problems or the Assessment field of the encounter using one of the following ICD codes:

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 an ACE inhibitor or ARB therapy was prescribed by entering the following SMARText code into the Summary Interventions or encounter Plan field using "PQRIhfACE": 4010F. *Note: Legacy CPT code 4009F will also count towards this measure.

OR

(b) Documentation that an ACE inhibitor or ARB therapy was prescribed by entering one of the following medications into the encounter Medications or Summary Medications field:

Micardis - d04364, Cozaar/Losartan - d03821, Diovan - d04113, Accuretic - d04509, Accupril - d00365, Altace - d00728, Captopril - d00006, Captozide - d03566, Lisinopril - d00732, Lotensin/Benzepril - d00730, Lotensin-HCT - d03265, Monopril/Fosinopril - d00242, Monopril-HCT - d04539, Zestoretic - d03266.

If the PQRIhfACE pick list you are using does not contain code 4010F, please redownload the pick list from the SOAPware Cloud Library.

To do this:

1. Type "pqrihface" into the SOAPnote Plan field.
2. With your cursor direclty behing the word, hit the Shift + F11 keys.
3. Double-click on the item that has a shortcut code of PQRIhfACE and a downward facing green arrow. *Note: If you do not see this item, make sure the "Show Unused" box is checked.

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 CPT code documented in the Summary Interventions for or the encounter Plan field using "PQRIhfACE" to document that an ACE inhibitor or ARB therapy was prescribed:

• 4010F
• *Note: Legacy CPT code 4009F will also increase the numerator for this measure.

OR

(b) Documentation that an ACE inhibitor or ARB therapy was prescribed by entering one of the following medications into the encounter Medications or Summary Medications field:

• Micardis: d04364
• Cozaar/Losartan: d03821
• Diovan: d0411
• Accuretic: d04509
• Accupril: d00365
• Altace: d00728
• Captopril: d00006
• Captozide: d03566
• Lisinopril: d00732
• Lotensin/Benzepril: d00730
• Lotensin-HCT: d03265
• Monopril/Fosinopril: d00242
• Monopril-HCT: d04539
• Zestoretic: d03266

Denominator Calculation:

The denominator for this measurement 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 in the Summary Active Problems field or encounter Assessment field documented using one of the following ICD9 codes:

• 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

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.