CMS90v14: Functional Status Assessments for Heart Failure

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

Numerator      

Patients with patient-reported functional status assessment results 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 FSA

To complete this measure, a PROMIS10 Assessment needs to be completed on each the initial and follow up visit

To complete the PROMIS10, the following method:

  • Tracked Data: enter both the ” Global Physical Health Raw Score” and the ” Global Mental Health Raw Score” in the Tracked Data section of Amazing Charts (located on the Summary Sheet). The Tracked Data Entry Names must be:
    • GPH
    • GMH

Denominator


Patients 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.

  • 2 eligible encounters during the measurement period
  • Active Diagnosis of Heart Failure in the patient’s problem list

Exclusions

Exclude patients with severe cognitive impairment in any part of the measurement period:

  • Exists a diagnosis code of: Severe cognitive impairment (R41.9):

Exclude patients whose hospice or palliative care overlaps the measurement period:

  • Identified in the patient's Alerts and Directives, located in the demographic screen or the Summary Sheet, in the name, text or comments saved with that alert/directive. The Alert/Directive should include either of the following phrases:
    • palliative
    • hospice