Eligible Inpatients Are Referred to Cardiac Rehabilitation Within 3 Calendar Days of Hospital Discharge

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
Timeliness
Domain
Access

Defining Attributes

Definition

Percentage of eligible inpatients who are referred to a cardiac rehabilitation (CR) program within 3 calendar days of hospital discharge.

Numerator

The total number of patients who were referred to a CR program within 3 calendar days of hospital discharge.

Denominator

The total number of CR eligible patients in the reference period as per eligibility definition. Eligible patients include patients hospitalised with any of the following procedures/conditions or interventions: • Acute myocardial infarction (STEMI, non-STEMI) • Percutaneous coronary intervention • Coronary artery bypass surgery • Valve surgery • Atrial fibrillation, heart failure, unstable angina, arrhythmia, angina pectoralis, congenital heart disease, automatic implantable cardioverter defibrillator.

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 12: Hospital discharge date • Ref 13: CR referral date. This variable will be reported as a percentage. Step 1. CR referral date (Ref 13) – Hospital discharge date (Ref 12) Step 2. (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:[25 p.]. Available from: www.acra.net.au/wp-content/uploads/2021/06/National-Cardiac-Rehabilitation-Quality-Indicators-Data-Dictionary_June-2021.pdf.

Queensland Health, Australia. Queensland Cardiac Outcomes Reigstry. Accessed August 3, 2023. Available from: clinicalexcellence.qld.gov.au/improvement-exchange/cardiac-outcomes-registry.

Australian Cardiovascular Health and Rehabilitation Association (ACRA), Health Translation SA, National Heart Foundation of Australia. National Cardiac Rehabilitation Quality Indicators. Accessed August 3, 2023. Available from: web.archive.org/web/20230109134749/https://www.heartfoundation.org.au/getmedia/a9f48aaa-48be-4c2e-a602-1a3de34329de/National-Cardiac-Quality-Indicators.pdf

Australian Cardiovascular Health and Rehabilitation Association (ACRA). National Cardiac Rehabilitation Quality Indicators. Accessed August 3, 2023. Available from: www.acra.net.au/quality-indicators/.

Zecchin R, Candelaria D, Ferry C, Ladak LA, McIvor D, Wilcox K, et al. Development of Quality Indicators for Cardiac Rehabilitation in Australia: A Modified Delphi Method and Pilot Test. Heart, Lung and Circulation. 2019;28(11):1622-30.

Solve CHD, Australian Cardiovascular Health and Rehabilitation Association (ACRA), National Heart Foundation of Australia. National Cardiac Rehabilitation Quality Indicators. Accessed August 3, 2023. Available from: solvechd.org.au/qualityindicators/.

Gallagher R, Thomas E, Astley C, Foreman R, Ferry C, Zecchin R, et al. Cardiac Rehabilitation Quality in Australia: Proposed National Indicators for Field-Testing. Heart, Lung and Circulation. 2020;29(9):1273-7.

Zecchin R, Candelaria D, Ferry C, Ladak LA, McIvor D, Wilcox K, et al. Development of Quality Indicators for Cardiac Rehabilitation in Australia: A Modified Delphi Method and Pilot Test. Heart, Lung and Circulation. 2019;28(11):1622-30.

Country Heart Attack Prevention (CHAP). Country Heart Attack Prevention (CHAP) Education Program. Accessed August 3, 2023. Available from: www.chapproject.com.au/media/gipou530/slides-session-3-unpacking-the-qis.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)
Yes
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025