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), heart valve repair/replacement, heart transplantation, or heart failure with reduced ejection fraction (HFrEF), who have enrolled in CR and have participated in ≥36 sessions.

Patients with a qualifying event/diagnosis who have enrolled in CR and have participated in ≥36 CR sessions by the end of the reporting period

All patients with a qualifying event/diagnosis including: MI, PCI, CABG, CSA, valve repair/replacement, heart transplantation, or HFrEF and who were enrolled in CR at least 9 months before the start of the reporting period Note: The denominator includes a cohort/sample of patients enrolled in CR. The reporting period represents when the performance of the denominator population is assessed. The measurement period represents the time-frame from which the sample in the denominator population completes the recommended number of CR sessions (e.g., adherence to ≥36 sessions). For this measure, the measurement period needs to be at least 9 months.

Denominator Exclusions: Patients age <18 years Patients who leave against medical advice. Denominator Exceptions: Documentation of a patient-oriented reason that precludes CR participation after the patient has enrolled (e.g., patient moves to a new location that requires >60 minutes travel time to arrive at the enrolling CR program) Documentation of a medical reason that precludes CR participation after the patient has enrolled (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 CR participation after the patient has enrolled (e.g., patient is admitted to a nursing care or long-term care facility, or patient loses medical coverage for CR).

Data Sources: Claims databases, medical record, or other database (e.g., administrative, clinical, registry).

Measurement Period: Quarterly

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