TAVR and acute on chronic heart failure

What criteria does your facility use to report acute heart failure for TAVR encounters?

Our facility implemented a TAVR program 1 year ago. The device rep recently presented our data to the executive team and it appears we do not capture acute on chronic HF as much as the national average. The cohort is all hospitals in the US including academic medical centers which we are not. I am not seeing objective clinical evidence of acute on chronic diastolic or systolic heart failure in all of these patient's electively undergoing a TAVR procedure. Objective date meaning, elevated BNP, exacerbation of sx, CXR with edema/effusions, no recent hospital admissions... as well these are 1-2 day LOS encounters. I want to check in with my professional peers to learn your practices. Thank you.

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