Cardiac Rehabilitation Wait Time From Referral to Enrolment

Identifying Attributes

Care Settings
Rehabilitation Care
Country
Canada
Publishing Organisation
The Canadian Cardiovascular Society: Quality Indicators for Cardiac Rehabilitation and Secondary Prevention
Type of Quality Indicator
Process
IOM Quality Dimension
Timeliness
Domain
Access

Defining Attributes

Definition

The median number of days between receipt of referral at the cardiac rehabilitation (CR) program to patient enrolment.

Numerator

The median number of calendar days from receipt of referral at the CR program to patient enrolment.

Denominator

This is a continuous variable measure. The target population is all patients enrolled in the CR program in the reference period.

Exclusions

Denominator exclusions: Patient experienced a new clinical event, which is documented. • Patient delayed initial appointment date due to non-clinical factors, which are documented (e.g. personal travel).

Use of Risk Adjustment
No
Risk Adjustments
Stratifications

Data Attributes

Type of Data Collection
Standardised clinical data
Data Collection Methods

Method of Calculation: Median number of days, calculated for the population of reference as described in the denominator section. Source of data: Program databases and/or Canadian Cardiac Rehabilitation Registry.

Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

Canadian Cardiovascular Society. The Canadian Cardiovascular Society Quality Indicators E-Catalogue, Quality Indicators for Cardiac Rehabilitation and Secondary Prevention, A CSS Consensus Document. 2013 Accessed May 2023:[6 p.]. Available from: ccs.ca/app/uploads/2020/12/Indicator_CR.pdf. Grace SL, Poirier P, Norris CM, Oakes GH, Somanader DS, Suskin N. Pan-Canadian development of cardiac rehabilitation and secondary prevention quality indicators. Can J Cardiol. 2014;30(8):945-8.

Technical Specifications

The Canadian Cardiovascular Society Quality Indicators E-Catalogue Page 6. ccs.ca/app/uploads/2020/12/Indicator_CR.pdf Modified from. www.sciencedirect.com/science/article/pii/S0828282X14002335?via%3Dihub#sec1 Supplemental Material in the original paper. ars.els-cdn.com/content/image/1-s2.0-S0828282X14002335-mmc1.pdf Target based on: Dafoe, W., Arthur, H., Stokes, H., Morrin, L., & Beaton, L. (2006). Canadian Cardiovascular Society Access to Care Working Group on Cardiac Rehabilitation. Universal access: but when? Treating the right patient at the right time: access to cardiac rehabilitation. Can J Cardiol, 22(11), 905-911 (Strong Recommendation, Low Quality Evidence)

Link to Measurement Tools

Canadian Association of Cardiovascular Prevention and Rehabilitation Registry (Cardiologica)

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)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025