Heart Failure Cohort

The Heart Failure cohort targets patients with a Principal Diagnosis of Heart Failure and is aligned with the CMS (Centers for Medicare and Medicaid Services) Heart Failure Readmission measure. All encounters with a procedure code for LVAD implementation or heart transplantation in any position are excluded.

To leverage this cohort:

  • Profile filters: In the Profile Editor, add the cohort as a profile filter. With this option, you can further customize the profile with additional filters.
  • Statistical Process Control: Add a Statistical Process Control section to a scorecard and select the cohort from the dropdown. Within this section, the cohort is not customizable and must be used as-is. When drilling into a chart in the SPC section, you can select to create a profile of the encounters you're drilling into so you can analyze and customize further.

Cohort inclusions

To be eligible for the Heart Failure Cohort, the encounter must have an ICD-10 Principal Diagnosis Code of Heart Failure; must be one of the following: I110, I130, I132, I501, I5020, I5021, I5022, I5023, I5030, I5031, I5032, I5033, I5040, I5041, I5042, I5043, I50810, I50811, I50812, I50813, I50814, I5082, I5083, I5084, I5089, I509.

Cohort exclusions

Encounters with any ICD-10 procedure code for an LVAD (Left Ventricular Assist Device) implementation, a heart transplant, a PCI, or a CABG are excluded from the cohort; must be one of the following: 0210093, 0210098, 0210099, 021009C, 021009F, 021009W, 02100A3, 02100A8, 02100A9, 02100AC, 02100AF, 02100AW, 02100J3, 02100J8, 02100J9, 02100JC, 02100JF, 02100JW, 02100K3, 02100K8, 02100K9, 02100KC, 02100KF, 02100KW, 02100Z3, 02100Z8, 02100Z9, 02100ZC, 02100ZF, 0210493, 0210498, 0210499, 021049C, 021049F, 021049W, 02104A3, 02104A8, 02104A9, 02104AC, 02104AF, 02104AW, 02104J3, 02104J8, 02104J9, 02104JC, 02104JF, 02104JW, 02104K3, 02104K8, 02104K9, 02104KC, 02104KF, 02104KW, 02104Z3, 02104Z8, 02104Z9, 02104ZC, 02104ZF, 0211093, 0211098, 0211099, 021109C, 021109F, 021109W, 02110A3, 02110A8, 02110A9, 02110AC, 02110AF, 02110AW, 02110J3, 02110J8, 02110J9, 02110JC, 02110JF, 02110JW, 02110K3, 02110K8, 02110K9, 02110KC, 02110KF, 02110KW, 02110Z3, 02110Z8, 02110Z9, 02110ZC, 02110ZF, 0211493, 0211498, 0211499, 021149C, 021149F, 021149W, 02114A3, 02114A8, 02114A9, 02114AC, 02114AF, 02114AW, 02114J3, 02114J8, 02114J9, 02114JC, 02114JF, 02114JW, 02114K3, 02114K8, 02114K9, 02114KC, 02114KF, 02114KW, 02114Z3, 02114Z8, 02114Z9, 02114ZC, 02114ZF, 0212093, 0212098, 0212099, 021209C, 021209F, 021209W, 02120A3, 02120A8, 02120A9, 02120AC, 02120AF, 02120AW, 02120J3, 02120J8, 02120J9, 02120JC, 02120JF, 02120JW, 02120K3, 02120K8, 02120K9, 02120KC, 02120KF, 02120KW, 02120Z3, 02120Z8, 02120Z9, 02120ZC, 02120ZF, 0212493, 0212498, 0212499, 021249C, 021249F, 021249W, 02124A3, 02124A8, 02124A9, 02124AC, 02124AF, 02124AW, 02124J3, 02124J8, 02124J9, 02124JC, 02124JF, 02124JW, 02124K3, 02124K8, 02124K9, 02124KC, 02124KF, 02124KW, 02124Z3, 02124Z8, 02124Z9, 02124ZC, 02124ZF, 0213093, 0213098, 0213099, 021309C, 021309F, 021309W, 02130A3, 02130A8, 02130A9, 02130AC, 02130AF, 02130AW, 02130J3, 02130J8, 02130J9, 02130JC, 02130JF, 02130JW, 02130K3, 02130K8, 02130K9, 02130KC, 02130KF, 02130KW, 02130Z3, 02130Z8, 02130Z9, 02130ZC, 02130ZF, 0213493, 0213498, 0213499, 021349C, 021349F, 021349W, 02134A3, 02134A8, 02134A9, 02134AC, 02134AF, 02134AW, 02134J3, 02134J8, 02134J9, 02134JC, 02134JF, 02134JW, 02134K3, 02134K8, 02134K9, 02134KC, 02134KF, 02134KW, 02134Z3, 02134Z8, 02134Z9, 02134ZC, 02134ZF, 0270346, 027034Z, 02703D6, 02703DZ, 02703Z6, 02703ZZ, 0270446, 027044Z, 02704D6, 02704DZ, 02704Z6, 02704ZZ, 0271346, 027134Z, 02713D6, 02713DZ, 02713Z6, 02713ZZ, 0271446, 027144Z, 02714D6, 02714DZ, 02714Z6, 02714ZZ, 0272346, 027234Z, 02723D6, 02723DZ, 02723Z6, 02723ZZ, 0272446, 027244Z, 02724D6, 02724DZ, 02724Z6, 02724ZZ, 0273346, 027334Z, 02733D6, 02733DZ, 02733Z6, 02733ZZ, 0273446, 027344Z, 02734D6, 02734DZ, 02734Z6, 02734ZZ, 02HA0QZ, 02HA0RS, 02HA0RZ, 02HA3QZ, 02HA3RS, 02HA3RZ, 02HA4QZ, 02HA4RS, 02HA4RZ, 02YA0Z0, 02YA0Z1, 02YA0Z2.

Encounters discharged Against Medical Advice (AMA) are also excluded from this cohort.

Statistical Process Control (SPC) measures

The following measures pertain to this cohort in the Statistical Process Control section of scorecards.

Key measures

  • Length of Stay (LOS)
  • 1 to 30 Day Readmission Rate Forward
  • Mortality Rate

Adverse events

These measures flag the encounter if the condition is present. The adverse events are aggregated in the Adverse Event bar chart.

  • Any PSI
  • Any HAC
  • Dysglycemia
  • Postoperative Atrial Fibrillation
  • Postoperative Respiratory Failure
  • Myocardial rupture
  • Reaction to Anesthesia