Referral to Cardiac Rehabilitation
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Proportion of patients who were referred to a cardiac rehabilitation programme.
Numerator
All patients who are referred to cardiac rehabilitation programme at the time of discharge from hospital to home.
Denominator
All ST segment elevation myocardial infarction and NSTEMI patients who survived to discharge home (i.e. did not die during index admission, and were not transferred to another hospital).
Exclusions
Patients who refused referral or had reasons that would make cardiac rehabilitation 'not indicated'.
Use of Risk Adjustment
Risk Adjustments
Stratifications
Data Attributes
Type of Data Collection
Data Collection Methods
Myocardial Ischaemia National Audit Project (MINAP) - collects data from admissions in England, Wales, and Northern Ireland with Type 1 myocardial infarction. MINAP collects data spanning 130 data fields covering the course of patient care, from the moment the patient calls for professional help through to hospital discharge and rehabilitation. Data are entered by clinicians and clerical staff within hospitals, and pseudonymized records are uploaded centrally to the National Institute for Cardiovascular Outcomes Research (NICOR), hosted by Barts Health NHS Trust, London, UK. Vital status following hospital discharge is obtained via linkage to data from the United Kingdom Office for National Statistics.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
MINAP Annual Summary report and Individual QI data is reported on web.archive.org/web/20231204103124/https://www.nicor.org.uk/myocardial-ischaemia-minap-heart-attack-audit/
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Technical Specifications
Chris Wilkinson, Clive Weston, Adam Timmis, Tom Quinn, Alan Keys, Chris P Gale, The Myocardial Ischaemia National Audit Project (MINAP), European Heart Journal - Quality of Care and Clinical Outcomes, Volume 6, Issue 1, January 2020, Pages 19–22, doi.org/10.1093/ehjqcco/qcz052 academic.oup.com/ehjqcco/article/6/1/19/5567511