Cardiac Rehabilitation Enrolment 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 with one of the qualifying events/diagnoses who attend at least one (1) cardiac rehabilitation session, within 90 calendar days of hospital discharge. 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 patients who attend at least one (1) cardiac rehabilitation session within 90 calendar days of hospital discharge.
Denominator
Number of patients with a qualifying event/diagnosis who received a referral to outpatient cardiac rehabilitation.
Exclusions
Excluded Populations: Patients less than 18 years of age Patients who expired Patients who have a Length of Stay greater than 120 days 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
Retrospective data sources for required data elements include administrative data and medical records.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting for Comprehensive Cardiac Centre (CCC) certification.
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
American Medical Association (AMA).Cardiac Rehabilitation Enrollment from an Inpatient Setting. Accessed August 3, 2023. Available from: manual.jointcommission.org/releases/TJC2023A1/MIF0406.html.
Technical Specifications
Technical specifications: manual.jointcommission.org/releases/TJC2023A1/MIF0406.html