Cardiac Rehabilitation Patient Referral From an Inpatient Setting

Identifying Attributes

Care Settings
Care Transitions
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Bundled Payment for Care Improvement Advanced Model
Type of Quality Indicator
Process
IOM Quality Dimension
Effectiveness
Domain
Access / Waiting Times

Defining Attributes

Definition

Percentage of eligible patients with a qualifying event/diagnosis who have been referred to an outpatient CR program prior to hospital discharge

Numerator

Individuals in the denominator who qualified health care professionals refer to an outpatient CR program prior to hospital discharge. Note: A referral is an official communication between the health care provider and the patient to recommend and carry out a referral order to an early outpatient CR program. This includes the provision of all necessary information to the patient that will allow the patient to enrol in an early outpatient CR program.

Denominator

All patients 18 or older who are hospitalised in the US regardless of payer status, with a qualifying cardiovascular diagnosis. Qualifying events include all patients hospitalised with primary diagnosis of myocardial infarction (MI), chronic stable angina, or who during hospitalisation have undergone CABG, PCI, cardiac valve surgery, and/or heart transplantation. T

Exclusions

The exclusions for this measure include patients: • on comfort measures only • discharged against medical advice (AMA) • who die during hospitalisation • transferred to another acute care facility • discharged to hospice • with a medical reason for not providing a cardiac rehabilitation referral

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

Data Attributes

Type of Data Collection
Standardised clinical data
Data Collection Methods

Registries

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

Not reported on CMS Provider Data Catalogue or care compare

Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Technical Specifications
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
No
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
23 July 2025