Improvement in Depression at Completion of Cardiac Rehabilitation
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Numerator
The number of patients whose depression screening score is at least in the mild range at intake to CR who reduce symptom severity by at least 1 level by the time they complete the CR program.
Denominator
The total number of patients who complete a depression screening instrument upon intake and completion of CR, and whose depression screening score is at least in the mild range at intake to CR.
Exclusions
Denominator Exclusions • Inability to complete the depression instruments with reasonable accommodations o Examples of Reasonable Accommodations: Staff member reads instrument instructions and questions to the patient Staff member enters patient's responses to test items to the instrument • Presence of comprehension limitation that precludes completion of the instrument • Lack of availability of the tool used by the CR 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