Reduce risk of denial for CHF admissions using the Framingham Criteria for CHF diagnosis. Document these each and every time along with the following:
• Acute or Chronic or Acute on Chronic
• Systolic/HFrEF or Diastolic/HFpEF
*Must have both the acuity and etiology descriptors to accurately describe heart failure and receive full credit for the work you do.
| Major | Minor |
| Acute pulmonary edema | Ankle edema |
| Cardiomegaly | Dyspnea on exertion (DOE) |
| Hepatojugular reflex | Hepatomegaly |
| Neck vein distension (JVD) | Nocturnal cough |
| Paroxysmal nocturnal dyspnea or orthopnea | Pleural effusion |
| Rales | Tachycardia (>120bpm) |
| Third heart sound gallop |
*Heart failure exacerbation is diagnosed when two major criteria or one major and two minor criteria are met.
Download the complete tip, Heart Failure: Framingham Criteria.