Cardiac Rehabilitation Referral for Heart Failure Patients With Reduced Ejection Fraction From an Inpatient Setting

Identifying Attributes

Care Settings
Care Transitions
Country
United States of America
Publishing Organisation
Joint Commission National Quality Measures: Comprehensive Cardiac Center-Inpatient
Type of Quality Indicator
Process
IOM Quality Dimension
Effectiveness
Setting-Specific Domain
Access / Waiting Times

Defining Attributes

Definition

Percentage of patients with a diagnosis of heart failure with a reduced ejection fraction (HFrEF)of ≤40% who are referred to outpatient cardiac rehabilitation.

Numerator

Number of inpatients who have been referred to an outpatient cardiac rehabilitation program, which includes the following: Communication between the healthcare provider and the patient of the recommendation to attend an outpatient cardiac rehabilitation program AND referral sent to outpatient cardiac rehabilitation program

Denominator

Patients who are discharged from the hospital with a diagnosis of heart failure with a reduced ejection fraction (HFrEF) ≤40%.

Exclusions

Patients less than 18 years of age Patients with a documented Reason for No Referral to Outpatient Cardiac Rehabilitation Program Patients who have participated in or who have completed an outpatient cardiac rehabilitation program within the last 12 months Patients who expired Patients who left against medical advice (AMA) Patients discharged to another hospital Patients discharged to another Health Care Facility Patients discharged to home for hospice care Patients discharged to a healthcare facility for hospice care Patients who have a Length of Stay greater than 120 days Patients enrolled in a Clinical Trial Patients with Comfort Measures Only documented Patients who had a left ventricular assist device (LVAD) or heart transplant procedure (ICD-10-PCS Procedure Code for LVAD or heart transplant as defined in Appendix A, Table 2.2 or Table 2.13)

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

Collection and Reporting Attributes

Type of Data Collection
Administrative data, Electronic/paper chart records
Data Collection Methods

Retrospective data sources for required data elements include administrative data and medical records.

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

For accreditation purposes

Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Technical Specifications
Link to Measurement Tools
Domain
Not Assigned
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
Can the Quality Indicator be Readily Implemented at a Population Level in Australia Given its Current Data Landscape?
Implementation of this quality indicator was not assessed.
Identified by PHARMA-Care Project
No
Upload Date
23 July 2025