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Cardiac Rehabilitation Patient Referral From an Inpatient Setting

CBE ID
0642
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
Next Maintenance Cycle
Spring 2025
1.3 Measure Description

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.

        • 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.)

        • 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.

        • 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.

        • OLD 1.12 MAT output not attached
          Attached
          1.13a Data dictionary not attached
          No
        • Most Recent Endorsement Activity
          Endorsed Cardiovascular Fall Cycle 2017
          Initial Endorsement
          Last Updated
        • Steward
          American Heart Association
          Steward Organization POC Email
          Steward Organization Copyright

          Copyright 2010, American Association for Cardiovascular and Pulmonary Rehabilitation, American College of Cardiology Foundation and the American Heart Association

              • Risk adjustment approach
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                Risk adjustment approach
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                Conceptual model for risk adjustment
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                Conceptual model for risk adjustment
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