Cardiac Rehabilitation Enrolment From an Inpatient Setting

Identifying Attributes

Care Settings
Rehabilitation Care
Country
United States of America
Publishing Organisation
Joint Commisson Comprehensive Cardiac Center-Inpatient (CCCIP)
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Access

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
No
Risk Adjustments

None

Stratifications

None

Data Attributes

Type of Data Collection
Administrative data
Data Collection Methods

Retrospective data sources for required data elements include administrative data and medical records.

Frequency of Data Collection
Monthly
Frequency of Data Collection in Days
30
Reporting Methods

Reporting for Comprehensive Cardiac Centre (CCC) certification.

Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

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
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