Patients Who Commence Cardiac Rehabilitation Are Screened for Depression at Initial and Re-Assessment and Offered Counselling (Or Referral to Counselling) if Symptoms Are Identified
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of patients who commence cardiac rehabilitation (CR) that are screened for depression at initial and reassessment using a valid and reliable screening tool and referred for counselling if symptoms are identified: Step 1. Percentage of patients assessed/reassessed. Step 2. Percentage of patients screened positive referred.
Numerator
Initial assessment: Step 1. The total number of patients who were screened for depression at initial assessment. Step 2. The total number of patients who screened positive and were referred. Re-assessment: Step 1. The total number of patients who screened for depression at reassessment. Step 2. The total number of patients screened positive who were referred.
Denominator
Step 1. The total number of patients enrolled in a CR program Step 2. The total number of patients that screened positive for depression.
Exclusions
None
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
None
Data Attributes
Type of Data Collection
Data Collection Methods
To collect this information a number of data elements need to be collected at two time points – pre and post-CR. Individual data elements required to be collected • Ref 16. Depression screening • Ref 17. Depression referral • Ref 24. Re-assessment depression screening • Ref 25. Re-assessment depression referral. Both variables will be reported as a percentage. Step 1. Percentage of patients assessed/reassessed: (Numerator/Denominator) * 100 Step 2. Percentage of patients screened positive referred (Numerator/Denominator) * 100.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Via National Cardiac Rehabilitation Quality Indicator spreadsheet June 2021 but The National Cardiac Rehabilitation Measurement Taskforce is NOT collecting or collating this information. Services are required to collect and securely save their own data.
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Australian Cardiovascular Health and Rehabilitation Association (ACRA), National Heart Foundation of Australia. National Cardiac Rehabilitation Quality Indicators: Data Dictionary. Accessed August 3, 2023:[28 p.]. Available from: www.acra.net.au/wp-content/uploads/2021/06/National-Cardiac-Rehabilitation-Quality-Indicators-Data-Dictionary_June-2021.pdf.