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Left Ventricular Ejection Fraction Test Rates for Medicare Heart Failure Patients

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
Bei Wu, Associate Professor (Creator)
Institution
The University of North Carolina at Greensboro (UNCG )
Web Site: http://library.uncg.edu/

Abstract: The left ventricular ejection fraction (LVEF) test rate is increasingly used as a quality of care indicator for pa-tients with heart failure. Our study produced benchmark LVEF test rates in a Medicare fee-for-service population for consideration by a clinical panel assembled by the Health Care Financing Administration. Our sample consisted of 46,583 beneficiaries admitted to the hospital for heart failure and with a complete set of Medicare fee-for- service bills dated 1996 or 1997. The national 2-year LVEF test rate was 79% for Medicare fee-for-service beneficiaries hospitalized for heart failure. Except for 1 state, the test rate ranged from 61% to 89% across states. Our analysis demonstrates the feasibility of using billing data to compute LVEF test rates. Using a 2-year time window and measuring tests performed in outpatient as well as inpatient settings, we find a higher LVEF test rate than has been reported by most previous studies.

Additional Information

Publication
American Journal of Medical Quality,17(2), 61-66
Language: English
Date: 2002
Keywords
Heart failure, Left ventricular ejection fraction, Medicare + Choice, Medicare fee-for-service, Quality of care