Percentage of patients admitted to a hospital with a primary diagnosis of an acute myocardial infarction or chronic stable angina or who during hospitalization have undergone coronary artery bypass (CABG) surgery, a percutaneous coronary intervention (PCI), cardiac valve surgery (CVS), or cardiac transplantation who are referred to an early outpatient cardiac rehabilitation/secondary prevention program.
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1.5 Measure Type1.7 Electronic Clinical Quality Measure (eCQM)1.8 Level Of Analysis1.20 Testing Data Sources
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1.14 Numerator
Number of eligible patients with a qualifying event/diagnosis who have been referred to an outpatient Cardiac Rehabilitation/Secondary Prevention (CR/SP) program prior to hospital discharge or have a documented medical or system reason why such a referral was not made.
(Note: The program may include a traditional CR/SP program based on face-to-face interactions and training sessions or may include other options such as home-based approaches. If alternative CR/SP approaches are used, they should be designed to meet appropriate safety standards and deliver effective, evidence-based services.)
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1.15 Denominator
Number of hospitalized patients in the reporting period hospitalized with a qualifying cardiovascular disease event/diagnosis who do not meet any of the criteria listed in the denominator exclusion section below.
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Exclusions
Exceptions criteria require documentation of one or more of the following factors that may prohibit cardiac rehabilitation participation:
-Medical factors (e.g., patient deemed by provider to have a medically unstable, life-threatening condition).
-Health care system factors (e.g., no cardiac rehabilitation/secondary prevention (CR/SP) program available within 60 min of travel time from the patient’s home).
The only exclusion criterion for this measure is noted below:
-Patients who expired before discharge.
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1.13a Data dictionary not attachedNoOLD 1.12 MAT output not attachedAttached
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Most Recent Endorsement ActivityEndorsed Cardiovascular Fall Cycle 2017Initial EndorsementLast Updated
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StewardSteward Organization EmailSteward Organization Copyright
Copyright 2010, American Association for Cardiovascular and Pulmonary Rehabilitation, American College of Cardiology Foundation and the American Heart Association
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Risk AdjustmentRisk adjustment approachOffRisk adjustment approachOffConceptual model for risk adjustmentOffConceptual model for risk adjustmentOff
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6.1.2 Current or Planned Use(s)
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Planned Use
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