Cardiac Rehabilitation Patient Referral From an Inpatient Setting
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of patients who patients who have had one of the following qualifying events/diagnosis during their current inpatient encounter that are 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.
Numerator
Number of eligible patients with a qualifying event/diagnosis who have been referred to an outpatient Cardiac Rehabilitation/Secondary Prevention (CR/SP) program prior to hospital discharge or have a documented medical or patient centred reason why such a referral was not made.
Denominator
Number of patients who are discharged from the hospital with a qualifying event/diagnosis (i.e. MI, PCI, CABG, valve repair/replacement).
Exclusions
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).
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
None
Data Attributes
Type of Data Collection
Data Collection Methods
Not Applicable.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Hospital Outpatient Quality Program (Inactive) Million Hearts (Active).
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Centers for Medicare & Medicaid Services (CMS), United States. Cardiac Rehabilitation Patient Referral From an Inpatient Setting (Hospital Outpatient Quality Reporting Program). Accessed August 3, 2023. Available from: cmit.cms.gov/cmit/#/MeasureView?variantId=3800§ionNumber=7.
Centers for Medicare & Medicaid Services (CMS), United States. Cardiac Rehabilitation Patient Referral From an Inpatient Setting (Million Harts). Accessed August 3, 2023. Available from: cmit.cms.gov/cmit/#/MeasureView?variantId=3801§ionNumber=7.
Centers for Medicare & Medicaid Services (CMS), United States. Cardiac Rehabilitation Patient Referral From an Inpatient Setting (Bundled Payment for Care Improvement Advanced Model). Accessed August 3, 2023. Available from: cmit.cms.gov/cmit/#/MeasureView?variantId=12570§ionNumber=1.
Technical Specifications
Data reporting (Hospital Outpatient Quality Program): cmit.cms.gov/cmit/#/MeasureView?variantId=3800§ionNumber=7
Data reporting (Million Hearts): cmit.cms.gov/cmit/#/MeasureView?variantId=3801§ionNumber=7
Data reporting (Bundled Payment for Care Improvement Advanced Model): cmit.cms.gov/cmit/#/MeasureView?variantId=12570§ionNumber=7
Technical specifications: cmit.cms.gov/cmit/#/MeasureView?variantId=12570§ionNumber=1