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.

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.

The number of patients discharged from the CR program in the reference period.

Method of Calculation Numerator / Denominator * 100. Sources of Data Program databases and/or Canadian Cardiac Rehabilitation Registry.

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.

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

Canadian Association of Cardiovascular Prevention and Rehabilitation Registry (Cardiologica)