Increase in Exercise Capacity
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
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
Risk Adjustments
Stratifications
Collection and Reporting 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:[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. )