Referral to Cardiac Rehabilitation

Identifying Attributes

Care Settings
Rehabilitation Care
Country
United States of America
Publishing Organisation
Aragam et al. (2011)
Type of Quality Indicator
Process
IOM Quality Dimension
Efficiency
Domain
Accessibility

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
No
Risk Adjustments
Stratifications

Collection and Reporting Attributes

Type of Data Collection
Standardised clinical data
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
No

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.

Link to Measurement Tools
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
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025