Heart Failure Admission
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Setting-Specific Domain
Defining Attributes
Definition
Hospitalisations with a principal diagnosis of heart failure per 100,000 population, ages 18 years and older.
Numerator
Hospital discharges for patients ages 18 years and older with a principal ICD-10-CM diagnosis code for heart failure (MRTCHFD* ).
Denominator
Population ages 18 years and older in metropolitan area1 or county. Discharges in the numerator are assigned to the denominator based on the metropolitan area or county of the patient residence, not the metropolitan area or county of the hospital where the discharge occurred.
Exclusions
Exclude discharges: with any listed ICD-10-PCS procedure codes for cardiac procedure (Appendix B : ACSCARP ), with admission source for transferred from a different hospital or other health care facility (Appendix A ) (UB04 Admission source - 2, 3), with a point of origin code for transfer from a hospital, skilled nursing facility (SNF) or intermediate care facility (ICF), or other healthcare facility (Appendix A ) (UB04 Point of Origin -4, 5, 6), with an ungroupable DRG (DRG=999), with missing gender (SEX=missing), age (AGE=missing), quarter (DQTR=missing), year (YEAR=missing), principal diagnosis (DX1=missing), or county (PSTCO=missing)