Patient Self-Management Education
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
The percentage of patients in the Cardiac Rehabilitation (CR) Program who received patient self-management education either individually or within a group prior to program discharge.
Numerator
A subset of the denominator representing a number of patients for whom there is documentation of receiving patient self-management education as defined by the CACR Guidelines (see below) before program discharge. Based on the CACR 3rd Edition Guidelines patient self-management education: • Includes an informational component which: 1. Discusses specific health goals; 2. Is personalized; 3. Explains the risks of not changing, the benefits of changing, and seeks to influence outcome beliefs regarding the outcome efficacy of interventions or behavioural changes; 4. Often emphasizes proximal risks and benefits over distal ones; 5. Seeks to heighten self-efficacy concerning possible effective self-regulation of specific behaviours; and, 6. May seek to elicit positive emotions, to increase optimism about the possibility of change, and to heighten the salience of personal experience or other evidence supporting self-efficacy • Is led by professional staff, and not by lay persons, with regular contact between staff and patients. • Can be delivered as stand-alone sessions (which is preferred) or incorporated into other activities. Where the delivery is incorporated into other activities the goals of the education must be clearly defined and delivered. • Education can be delivered in individual or group settings.
Denominator
The number of patients discharged from the CR program in the reference period.
Exclusions
Use of Risk Adjustment
Risk Adjustments
Stratifications
Data Attributes
Type of Data Collection
Data Collection Methods
Method of Calculation Numerator / Denominator * 100. Sources of Data Program databases and/or Canadian Cardiac Rehabilitation Registry.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Canadian Cardiovascular Society. The Canadian Cardiovascular Society Quality Indicators E-Catalogue, Quality Indicators for Cardiac Rehabilitation and Secondary Prevention, A CSS Consensus Document. 2013 Accessed May 2023:[7 p.]. Available from: ccs.ca/app/uploads/2020/12/Indicator_CR.pdf. Grace SL, Poirier P, Norris CM, Oakes GH, Somanader DS, Suskin N. Pan-Canadian development of cardiac rehabilitation and secondary prevention quality indicators. Can J Cardiol. 2014;30(8):945-8.
Technical Specifications
The Canadian Cardiovascular Society Quality Indicators E-Catalogue Page 7. ccs.ca/app/uploads/2020/12/Indicator_CR.pdf Modified from. www.sciencedirect.com/science/article/pii/S0828282X14002335?via%3Dihub#sec1 Supplemental Material in the original paper. ars.els-cdn.com/content/image/1-s2.0-S0828282X14002335-mmc1.pdf
Link to Measurement Tools
Canadian Association of Cardiovascular Prevention and Rehabilitation Registry (Cardiologica)