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
Rehabilitation Care
Country
Australia
Publishing Organisation
Australian Cardiovascular and Health and Rehabilitation Association: National Cardiac Rehabilitation Quality Indicators
Type of Quality Indicator
Process
IOM Quality Dimension
Effectiveness
Domain
Person-Centred Care

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
No
Risk Adjustments

None

Stratifications

None

Data Attributes

Type of Data Collection
Standardised clinical data
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
Continuous
Frequency of Data Collection in Days
1
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
Internal system, at each initial assessment.
Reporting Frequency in Days
Indicator Has Recommended Targets
Yes

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.

Link to Measurement Tools
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
12 March 2025