Percentage patients referred to outpatient clinic within the previous 12 months due to a qualifying event who have not yet participated in the clinic or program.

Patients who have had a qualifying event/diagnosis within the previous 12 months, who have been referred to an outpatient cardiac rehabilitation/secondary prevention (CR) program.

All patients age 18 years evaluated in the outpatient setting during the reporting period who have a qualifying event/diagnosis [who within the previous 12 months have had a chronic stable angina, an acute myocardial infarction (AMI) or have undergone coronary artery bypass graft (CABG) surgery, a percutaneous coronary intervention (PCI), cardiac valve surgery, or cardiac transplantation] who do not meet any of the denominator exceptions (medical factors, health care system factors, previous cardiac rehabilitation for qualifying cardiac event completed).

Denominator exception: - Documentation of medical reason(s) for not referring to an outpatient CR program (4500F with 1P) - Documentation of patient reason(s) for not referring to an outpatient CR program (4500F with 2P) - Documentation of system reason(s) for not referring to an outpatient CR program (4500F with 3P) - Previous cardiac rehabilitation for qualifying cardiac event completed (4510F).

None

None

Not Applicable.

Million Hearts (Active) Merit-Based Incentive Payment System Program (Active) Hospital Outpatient Quality Program (Inactive) Physician Value-Based Payment Modifier (Inactive) Physician Feedback/Quality Resource Use Report (Inactive) Medicare Physician Quality Reporting System (Inactive).

Centers for Medicare & Medicaid Services (CMS), United States. Cardiac Rehabilitation Patient Referral from an Outpatient Setting (Hospital Outpatient Quality Reporting Program). Accessed August 3, 2023. Available from: cmit.cms.gov/cmit/#/MeasureView?variantId=804&sectionNumber=7.

Centers for Medicare & Medicaid Services (CMS), United States. Cardiac Rehabilitation Patient Referral from an Outpatient Setting (Million Harts). Accessed August 3, 2023. Available from: cmit.cms.gov/cmit/#/MeasureView?variantId=809&sectionNumber=7.

Centers for Medicare & Medicaid Services (CMS), United States. Cardiac Rehabilitation Patient Referral from an Outpatient Setting (Merit-Based Incentive Payment System Program). Accessed August 3, 2023. Available from: cmit.cms.gov/cmit/#/MeasureView?variantId=810&sectionNumber=1.

Data reporting (Hospital Outpatient Quality Program): cmit.cms.gov/cmit/#/MeasureView?variantId=804&sectionNumber=7

Data reporting (Million Hearts): cmit.cms.gov/cmit/#/MeasureView?variantId=809&sectionNumber=7

Data reporting (Merit-Based Incentive Payment System Program):

Technical specifications: cmit.cms.gov/cmit/#/MeasureView?variantId=810&sectionNumber=1