Improvement in Dyspnoea at Completion of PR
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Setting-Specific Domain
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
Risk Adjustments
Stratifications
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Data Sources: Medical record or another database (e.g., administrative, clinical, registry).
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
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