Post-Discharge Evaluation for Heart Failure Patients
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of patients who receive a re-evaluation for symptoms worsening and treatment compliance by a program team member within 72 hours after inpatient discharge. The Joint Commission's Disease-Specific Care Advanced Certification Heart Failure standards require: Assessment and reassessment are completed and that the patient is reevaluated within 72 hours after inpatient discharge.
Numerator
Patients who have a documented re-evaluation conducted via phone call or home visit within 72 hours after discharge.
Denominator
All heart failure patients discharged from a hospital inpatient setting to home or home care AND patients leaving against medical advice (AMA).
Exclusions
Patients who had a left ventricular assistive device (LVAD) or heart transplant procedure during the hospital stay or a past medical history of an LVAD or heart transplant. Patients less than 18 years of age Patient who have a Length of Stay greater than 120 days Patients with Comfort Measures Only documented Patients enrolled in a Clinical Trial Patients discharged to locations other than home, home care or law enforcement
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Retrospective data sources for required data elements include administrative data and medical records.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
For accreditation purposes