Eligible Inpatients Are Referred to Cardiac Rehabilitation Within 3 Calendar Days of Hospital Discharge
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
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
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 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
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:[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.
Technical Specifications
Technical specifications: Page 25. www.acra.net.au/wp-content/uploads/2021/06/National-Cardiac-Rehabilitation-Quality-Indicators-Data-Dictionary_June-2021.pdf
Queensland Cardiac Outcomes Registry: clinicalexcellence.qld.gov.au/improvement-exchange/cardiac-outcomes-registry Associated records: • www.acra.net.au/quality-indicators/ • web.archive.org/web/20230109134749/https://www.heartfoundation.org.au/getmedia/a9f48aaa-48be-4c2e-a602-1a3de34329de/National-Cardiac-Quality-Indicators.pdf • pubmed.ncbi.nlm.nih.gov/30220480/ • solvechd.org.au/qualityindicators/ • www.sciencedirect.com/science/article/abs/pii/S1443950620301098#! • www.sciencedirect.com/science/article/abs/pii/S1443950618318572 • www.chapproject.com.au/media/gipou530/slides-session-3-unpacking-the-qis.pdf