TABLE 7.

New Heart Failure Measures

Measure No.	Care Setting	Measure Title	Rationale for Creating New Measure	Rationale for Designating as a Quality Measure Versus a Performance Measure
PM-6	Outpatient, Inpatient	ARNI therapy for HFrEF	Important outcome benefit with large existing gap in care	N/A
PM-7	Outpatient	Dose of beta-blocker therapy for HFrEF	Important outcome benefit and large existing gap in care	N/A
PM-8	Outpatient	Dose of ACE inhibitor, ARB, or ARNI therapy for HFrEF	Important outcome benefit and large existing gap in care	N/A
PM-9	Outpatient, Inpatient	MRA therapy for HFrEF	Important outcome benefit and large existing gap in care	N/A
PM-10	Outpatient, Inpatient	Laboratory monitoring in new MRA therapy	Important outcome benefit and large existing gap in care	N/A
PM-11	Outpatient, Inpatient	Hydralazine/isosorbide dinitrate therapy for HFrEF in those self-identified as Black or African American	Important outcome benefit and large existing gap in care	N/A
PM-13	Outpatient	CRT implantation for patients with HFrEF on guideline-directed medical therapy	Important outcome benefit and large existing gap in care	N/A
QM-2	Outpatient	Measurement of patient-reported, outcome-health status	Important outcome that is rarely measured	Best method of implementation is unclear
QM-3	Outpatient	Sustained or improved health status in heart failure	Important outcome that is rarely measured	Needs validated risk-adjustment
SM-1	Outpatient, Inpatient	Heart failure registry participation	Registries are a useful structure for measuring performance	Additional data needed to determine the impact of registry participation on quality

ACE indicates angiotensin–converting enzyme; ARB, angiotensin receptor blocker; ARNI, angiotensin receptor–neprilysin inhibitor; CRT, cardiac resynchronization therapy; HFrEF, heart failure with reduced ejection fraction; MRA, mineralocorticoid receptor antagonists; N/A, not applicable; PM, performance measure; QM, quality measure; and SM, structural measure.