Increase in Exercise Capacity

Identifying Attributes

Care Settings
Rehabilitation Care
Country
Canada
Publishing Organisation
The Canadian Cardiovascular Society: Quality Indicators for Cardiac Rehabilitation and Secondary Prevention
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Functional Change

Defining Attributes

Definition

The percentage of Cardiac Rehabilitation (CR) patients who achieved a half metabolic equivalent (MET) increase in their exercise capacity from the initial to the final exercise session.

Numerator

A subset of the denominator representing a number of patients who achieved a half MET increase in their exercise capacity from the initial to the final exercise session.

Denominator

The total number of patients who completed the CR Program in the reference period. To complete the CR program a patient must have attended at least some of the CR intervention components and have had a formal re-assessment by the CR team at the conclusion of the CR intervention. See definition of CR intervention components in preamble.

Exclusions

Denominator exclusions: • Patients who cannot walk on a treadmill unaided, or who cannot cycle on a bike ergometer. • Patients who do not meet the ACSM safety recommendations for undertaking a stress test.

Use of Risk Adjustment
No
Risk Adjustments
Stratifications

Collection and Reporting Attributes

Type of Data Collection
Standardised clinical data
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
No

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:[8 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 8. 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) (Not publically available and likely used via pay wall. )

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
02 December 2025