Improvement in Functional Capacity at Completion of Cardiac Rehabilitation
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Numerator
Number of patients who increase their functional capacity by the percent specified in the measure description from the beginning to the completion of their CR program, as measured by either symptom-limited graded exercise testing, estimated exercise peak METs, or 6MWT distance.
Denominator
Number of patients who completed CR during the measurement period. A patient is defined as having completed CR if he/she has completed a minimum of 4 week of the CR program and has undergone a final, formal discharge assessment session and updated treatment plan.
Exclusions
Denominator Exclusions • Patients for whom a 6MWT would be contraindicated due to acute or unstable medical conditions (see detailed list in reference 3 for a complete list). • Patients who are unable to perform a 6MWT due to orthopaedic, neurological, cognitive or psychiatric impairments and/or safety reasons. • Patients who have not completed at least 10 PR sessions within 3 months of program entry • Patients with diagnosed pulmonary vascular disease (ie, pulmonary hypertension) or other primary lung disease process (ie, lung cancer).
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