Improvement in Dyspnoea at Completion of PR

Identifying Attributes

Care Settings
Rehabilitation Care
Country
United States of America
Publishing Organisation
American Association of Cardiovascular and Pulmonary Rehabilitation Quality of Care Committee: American Association of Cardiovascular and Pulmonary Rehabilitation Performance Measures
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Setting-Specific Domain
Other Outcomes of Care

Defining Attributes

Definition
Numerator

Number of patients with a primary, clinician diagnosed, COPD or ILD, regardless of other diagnoses, who have participated in PR and have been found to improve their dyspnoea score by the MCID (AACVPR PR Outcomes Toolkit) as measured by the mMRC (1 unit), the USCD SOBQ (5 points), or the BDI/TDI (1 unit) from the beginning to the end of PR.

Denominator

All patients with a primary, clinician diagnosis of COPD or ILD, regardless of other diagnoses, who are able to complete a mMRC, UCSD SOBQ, or BDI/TDI to assess dyspnoea at PR program entry and PR program completion, who have completed at least 10 PR sessions within a 3-month period. However, the PR program can run longer than 3 months.

Exclusions

Denominator Exclusions • Inability to complete the dyspnoea instruments with reasonable accommodations • Presence of comprehension limitation that precludes completion of the instrument • Lack of availability of the tool used by the PR program in a language understood by the patient

Use of Risk Adjustment
No
Risk Adjustments
Stratifications

Collection and Reporting Attributes

Type of Data Collection
Administrative data
Data Collection Methods

Data Sources: Medical record or another database (e.g., administrative, clinical, registry).

Frequency of Data Collection
Period of Assessment: Up to 12 months.
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

Pack QR, Bauldoff G, Lichtman SW, Buckley M, Eichenauer K, Gavic A, Garvey C, King ML; American Association of Cardiovascular and Pulmonary Rehabilitation Quality of Care Committee. Prioritization, Development, and Validation of American Association of Cardiovascular and Pulmonary Rehabilitation Performance Measures. J Cardiopulm Rehabil Prev. 2018 Jul;38(4):208-214. doi: 10.1097/HCR.0000000000000358

Technical Specifications
Link to Measurement Tools
Domain
Not Assigned
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
No
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
Can the Quality Indicator be Readily Implemented at a Population Level in Australia Given its Current Data Landscape?
Implementation of this quality indicator was not assessed.
Identified by PHARMA-Care Project
No
Upload Date
23 July 2025