Cardiac Rehabilitation Patient Referral From an Outpatient Setting

Identifying Attributes

Care Settings
Care Transitions
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Merit-Based Incentive Payment System Program
Type of Quality Indicator
Process
IOM Quality Dimension
Effectiveness
Domain
Access / Waiting Times

Defining Attributes

Definition

Percentage of patients evaluated in an outpatient setting who within the previous 12 months have experienced an acute myocardial infarction, coronary artery bypass graft surgery, a percutaneous coronary intervention, cardiac valve surgery, or cardiac transplantation, or who have chronic stable angina and have not already participated in an early outpatient cardiac rehabilitation/secondary prevention (CR) program for the qualifying event/diagnosis who were referred to a CR program.

Numerator

Patients who have had a qualifying event/diagnosis within the previous 12 months, who have been referred to an outpatient cardiac rehabilitation/secondary prevention program.

Denominator

All patients age greater than or equal to 18 years evaluated in the outpatient setting during the reporting period who have a qualifying event/diagnosis.

Exclusions

Medical factors, health care system factors, previous cardiac rehabilitation for qualifying cardiac event completed.

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

Data Attributes

Type of Data Collection
Administrative data
Data Collection Methods

Electronic Clinical Data (non-EHR) Electronic Health Record Registries.

Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods

Merit-Based Incentive Payment System Program (CMS and Providers) CMS Provider Compare (Publicly reported).

Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

Source and Reference Attributes

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025