Referral to Cardiac Rehabilitation
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of patients with acute myocardial infarction (AMI) who are referred to cardiac rehabilitation during hospital stay or at discharge.
Numerator
Patients with AMI who are referred to cardiac rehabilitation during hospital stay or at discharge
Denominator
Patients with confirmed AMI excluding documented reason for no referral to cardiac rehabilitation (e.g. patient-associated factors [e.g. patient refusal], provider-associated factors [e.g. patient with a high-risk condition or a contraindication to exercise], health care system-associated factors [e.g. financial obstacles or absence of a cardiac rehabilitation program near patient's home])
Exclusions
Documented reason for no referral to cardiac rehabilitation (e.g. patient-associated factors [e.g. patient refusal], provider-associated factors [e.g. patient with a high-risk condition or a contraindication to exercise], health care system-associated factors [e.g. financial obstacles or absence of a cardiac rehabilitation program near patient's home])
Use of Risk Adjustment
Risk Adjustments
Stratifications
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
The Michigan Structural Heart Consortium (MISHC) 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
Aragam KG, Moscucci M, Smith DE, Riba AL, Zainea M, Chambers JL, et al. Trends and disparities in referral to cardiac rehabilitation after percutaneous coronary intervention. American Heart Journal. 2011;161(3):544-51.e2. The Michigan Cardiac Rehab Network. A Cardiac Rehab Best Practices Toolkit - Strategies to Improve Enrollment and Attendance. Accessed August 3, 2023. Available from: michiganvalue.org/wp-content/uploads/2022/04/CR-Best-Practices-Toolkit_03.29.2022-compressed.pdf.