Percentage of patients who have had one of the following qualifying events/diagnosis during their current inpatient encounter who referred to an outpatient cardiac rehabilitation program. Qualifying events: • Diagnosis of a myocardial infarction (MI) • Coronary artery bypass graft (CABG) surgery • Percutaneous coronary intervention (PCI) • Cardiac valve repair/replacement.

Number of inpatients who have been referred to an outpatient cardiac rehabilitation program, which includes the following: Communication between the healthcare provider and the patient of the recommendation to attend an outpatient cardiac rehabilitation program AND referral sent to outpatient cardiac rehabilitation program.

Patients who are discharged from the hospital with a qualifying event/diagnosis (i.e. MI, PCI, CABG, valve repair/replacement).

Excluded Populations: Patients less than 18 years of age Patients with a documented Reason for No Referral to Outpatient Cardiac Rehabilitation Program Patients who expired Patients who left against medical advice (AMA) Patients discharged to another hospital Patients discharged to another healthcare facility Patients discharged to home for hospice care Patients discharged to a healthcare facility for hospice care Patients who have a Length of Stay greater than 120 days Patients enrolled in a Clinical Trial Patients with Comfort Measures Only documented Patients who had a left ventricular assist device (LVAD) or heart transplant procedure (ICD-10-PCS Procedure Code for LVAD or heart transplant as defined in Appendix A, Table 2.2 or Table 2.13).

None

None

Retrospective data sources for required data elements include administrative data and medical records.

Reporting for Comprehensive Cardiac Centre (CCC) certification.

American Medical Association (AMA). Cardiac Rehabilitation Referral from an Inpatient Setting. Accessed August 3, 2023. Available from: manual.jointcommission.org/releases/TJC2023A1/MIF0404.html.

Technical specifications: manual.jointcommission.org/releases/TJC2023A1/MIF0404.html