Referral of Patients Screening Positive for Possible Depression

Identifying Attributes

Care Settings
Rehabilitation Care
Country
Canada
Publishing Organisation
Grace et al. (2014)
Type of Quality Indicator
Process
IOM Quality Dimension
Person-Centredness
Domain
Person-Centred Care

Defining Attributes

Definition

Percentage of cardiac rehabilitation (CR) patients with suspected clinical depression who were referred for mental health management.

Numerator

The total number of enrolled patients who screened positively for possible depression at any point during CR who were offered referral to an appropriately-qualified mental health professional or family physician (either within or outside the program). Enrolment is defined as patient attendance at a first CR program visit. 'Suspected clinical depression' is defined as either (i) a score on a self-report measure of depression that exceeds a specified threshold (or 'caseness score') (e.g., ≥8 on the Depression subscale of the Hospital Anxiety and Depression Scale), or (ii) diagnosis of clinical depression following the administration of a structured clinical interview (e.g., Structured Clinical Interview for DSM-IV-TR or MINI International Neuropsychiatric Interview). An internal referral is defined as a referral to a member of the interdisciplinary CR team (e.g., psychologist, counsellor, social worker). An external referral is defined as a referral to a mental health professional who is not part of the CR program.

Denominator

The total number of patients who screened positive for possible depression at any point during CR. Program discharge is defined as patient participated in at least some of the program and the file was closed out by the CR team.

Exclusions

Denominators, Exclusions: • Patients who have already accessed care from a mental health professional before CR initiation.

Use of Risk Adjustment
No
Risk Adjustments
Stratifications

Data Attributes

Type of Data Collection
Standardised clinical data
Data Collection Methods

Program databases and/or Canadian Cardiac Rehabilitation Registry.

Frequency of Data Collection
At least annually
Frequency of Data Collection in Days
365
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

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.

Link to Measurement Tools

Canadian Association of Cardiovascular Prevention and Rehabilitation Registry (Cardiologica)

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