Heart Failure

Indicator Documentation requirements
Evaluation of LVS function Some reference to past echo, recent cardiac catheterization (if EF evaluated during that procedure) or narrative description of LV function must be documented in current record on every admission
ACEI/ARB at discharge if EF is less than 40% MUST have a clear documentation for not prescribing ACEI/ARB at discharge. Allergy must be to both ACEI/ARB. Documentation of the following 5 conditions are exclusions for both medications at discharge: angioedema, hyperkalemia, hypotension, renal artery stenosis or worsening renal disease.
Medication reconciliation All discharge medications (from discharge summary and medication reconciliation) Must march with written instructions given to the patient. In your discharge dictation please add “Please see medication reconciliation for all final home medications”