Percentage of patients, age ≥18 years, with a qualifying event/diagnosis for cardiac rehabilitation (CR) including: myocardial infarction (MI), percutaneous coronary intervention (PCI), coronary artery bypass graft (CABG), chronic stable angina (CSA), valve repair/replacement, or heart transplantation, who attend at least 1 session in a CR program.

Number of patients with a qualifying event/diagnosis for CR who attend at least 1 CR session within 90 calendar days of hospital discharge after a qualifying event, or within 90 calendar days of the date of a qualifying outpatient procedure or office visit Note: Documentation should be provided for a patient attending at least 1 CR session occurring within 90 d of hospital discharge for at least 1 qualifying event.

Number of patients who have been hospitalised for a qualifying event/diagnosis in the previous 12 months including: MI, PCI, CABG, CSA, valve repair/replacement, or heart transplantation

Denominator Exclusions: Patients age <18 years Patients who die during hospitalisation Patients who are already participating in a CR program before hospitalisation Patients who leave against medical advice Patients who have a qualifying event <90 days before the measurement period. Denominator Exceptions: Documentation of a patient-oriented reason that precludes enrolment in CR (e.g., no traditional CR program available to the patient, within 60 minutes [travel time] from the patient's home, or patient does not have access to an alternative model of CR delivery that meets all criteria for a CR program) Documentation of a medical reason that precludes enrolment in CR (e.g., patient deemed by a medical provider to have a medically unstable, life-threatening condition or has other cognitive or physical impairments that preclude CR participation Documentation of a healthcare system reason that precludes enrolment in CR (e.g., patient is discharged to a nursing care or long-term care facility, or patient lacks medical coverage for CR).

Data Sources: Medical record or other database (e.g., clinical or registry)

Measurement Period: Encounter

Thomas RJ, Balady G, Banka G, Beckie TM, Chiu J, Gokak S, et al. 2018 ACC/AHA Clinical Performance and Quality Measures for Cardiac Rehabilitation: A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures. Circulation: Cardiovascular Quality and Outcomes. 2018;11(4):e000037.

Appendix A. www.ahajournals.org/doi/10.1161/hcq.0000000000000037