-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/transfer.html
September 01, 2017 - Diagnoses Associated With Transfer Risk
Age
DNR,DNH, MOLST, or POLST Order in Place
Congestive … Heart Failure
Myocardial Infarction
Angina
Pneumonia or Bronchitis
Asthma or COPD
Urinary
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/sampleransferandintakenotes.pdf
June 02, 2025 - Chest pain/angina
Dizzy/lightheaded
Hypertension/uncontrolled HTN
Hypotension
Rule out congestive … heart failure
Rule out DVT
Respiratory
Abnormalities of breathing
COPD
Cough or wheezing
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-trans-intakenotes.pdf
June 02, 2025 - Chest pain/angina
Dizzy/lightheaded
Hypertension/uncontrolled HTN
Hypotension
Rule out congestive … heart failure
Rule out DVT
Respiratory
Abnormalities of breathing
COPD
Cough or wheezing
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter2.html
June 01, 2014 - Andrews is a 70-year-old man with congestive heart failure and diabetes. … There he was diagnosed with a congestive heart failure exacerbation and was admitted.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-handouts.html
June 01, 2017 - lightheaded
|___| Hypertension/uncontrolled hypertension
|___| Hypotension
|___| Rule out congestive … heart failure
|___| Rule out deep vein thrombosis
Respiratory
|___| Abnormalities of breathing
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/teledx-2.html
August 01, 2020 - telehealth improves health outcomes, utilization, and cost of care for a host of chronic diseases, including heart … failure, diabetes, depression, obesity, asthma, and mental health conditions. 1-4 For nonurgent complaints
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/effectivetreatment-slides.html
April 01, 2018 - Deaths per 1,000 hospital admissions with congestive heart failure, age 18 and over. … Treatment of Congestive Heart Failure:
Outcome: Adult admissions for congestive heart failure per … -2013
Image: Chart shows adult admissions with congestive heart failure per 100,000 population: … Trends: From 2000 to 2013, the rate of admission for congestive heart failure among adults decreased … Importance: Racial disparities in care for congestive heart failure have been observed.
-
www.ahrq.gov/sites/default/files/2024-01/arbaje-report.pdf
January 01, 2024 - A multidisciplinary
intervention to prevent the readmission of elderly patients with congestive heart … Discharge education improves clinical
outcomes in patients with chronic heart failure. … Comprehensive
discharge planning with postdischarge support for older patients with congestive heart … Comprehensive
Discharge Planning With Postdischarge Support for Older Patients With Congestive
Heart … Rehospitalization
in a national population of home health care patients with heart failure.
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/event-summary-details-maximizing-physician-buy-in.pdf
June 16, 2022 - Bryant, BSN, RN- Cardiac Rehabilitation/Heart Failure Nurse
Manager, Prairie Heart Institute at HSHS … value of CR
for eligible patients, its particular value for frail, elderly patients or those with heart … failure, and
the underrepresentation of women, minorities, and low-income patients all can be shared … share with
their physicians have also been influential; this is especially true for patients with heart … failure
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/trends.html
June 01, 2018 - Deaths per 1,000 hospital admissions with congestive heart failure, age 18 and over.
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-10-slides.pdf
February 24, 2022 - (see resource slides, entry 3)
Among patients with
stable heart failure, CR
is NOT associated with … failure
(see resource slides, entry 12)
Odds Ratios Reflecting Current Gaps in CR Participation
0 … failure
patients treated outside the hospital, etc.) … High readmission rates for AMI or heart failure
can impact Medicare payments
If your hospital or health … Efficacy and safety of exercise training in patients with chronic heart failure: HF-ACTION randomized
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13.html
December 01, 2012 - Obstructive Pulmonary Disease
5,029
4,037
3,180
4,196
3,954
3,070
3,401
4,560
Congestive … Heart Failure
5,931
5,724
4,236
5,807
5,514
4,275
4,408
6,215
Composite: Potentially
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13c.html
December 01, 2012 - Obstructive Pulmonary Disease
4,020
3,143
2,971
3,070
3,003
2,848
2,922
3,696
Congestive … Heart Failure
3,103
2,960
2,759
3,142
2,828
2,849
2,478
3,563
Composite: Potentially
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13d.html
December 01, 2012 - Asthma or Chronic Obstructive Pulmonary Disease
767
752
674
989
670
669
762
686
Congestive … Heart Failure
779
643
603
912
579
660
667
643
Composite: Potentially Preventable
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13f.html
December 01, 2012 - Obstructive Pulmonary Disease
6,088
4,755
4,425
5,268
4,706
3,868
4,255
5,928
Congestive … Heart Failure
5,445
5,372
4,663
5,842
5,103
4,405
4,341
6,316
Composite: Potentially
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13g.html
December 01, 2012 - Obstructive Pulmonary Disease
6,648
5,474
3,596
5,270
5,576
3,280
4,002
6,249
Congestive … Heart Failure
9,587
9,531
6,045
9,070
9,568
5,569
6,504
10,408
Composite: Potentially
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13b.html
December 01, 2012 - Obstructive Pulmonary Disease
5,334
4,324
3,261
4,552
4,259
3,156
3,574
4,841
Congestive … Heart Failure
6,786
6,610
4,812
6,648
6,377
4,821
5,103
7,074
Composite: Potentially
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13e.html
December 01, 2012 - Obstructive Pulmonary Disease
5,994
5,285
4,259
4,724
4,897
4,975
4,530
5,703
Congestive … Heart Failure
4,359
3,531
2,829
3,346
3,399
3,725
2,948
4,100
Composite: Potentially
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-5-slides.pdf
December 31, 2022 - or heart/lung
transplant
DIAGNOSIS
(ICD-10 codes)
• MI
• Chronic stable angina
• Chronic stable heart … failure
• EF=<35%
• Outpatient referral
• Medicare guidelines:
6 weeks post hospital
WHO: Eliminate … during
the care encounter
Require providers to act for patients
with qualifying diagnoses, e.g., heart … failure
Target appropriate outpatient
providers
WHERE: Which CR Programs Will You Refer To?
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-5-implementation-guide.pdf
June 02, 2025 - failure
Important Discussions
• Dedicate time to discuss coding combinations with the billing/ … failure (LVEF ≤35% and
NYHA class II to IV)
I50.22, I50.42, I50.82
* “Stable” defined as
no … failure. … Chronic heart failure patients with a major
cardiovascular hospitalization or procedure 5
weeks ago … So this patient would not yet meet the
criteria for stable chronic heart failure.