Measure Information Form

Measure Set: Comprehensive Cardiac Center-Inpatient (CCCIP)

Set Measure ID: CCCIP-03

Performance Measure Name: Cardiac Rehabilitation Referral from an Inpatient Setting

Description: Patients who have had one of the following qualifying events/diagnosis during their current inpatient encounter are to be referred to an outpatient cardiac rehabilitation program. Qualifying events:

Diagnosis of a myocardial infarction (MI)
Coronary artery bypass graft (CABG) surgery
Percutaneous coronary intervention (PCI)
Cardiac valve repair/replacement

Rationale: Studies have shown that cardiac rehabilitation reduces mortality, disease recurrence, and hospital readmission after a cardiovascular event (Thomas et al., 2018). Cardiac rehabilitation consists of exercise, education, and counseling (American Heart Association, 2018). Guidelines recommend referral to cardiac rehabilitation for certain qualifying cardiovascular conditions (Amsterdam et al., 2014), however, despite these benefits and recommendations, cardiac rehabilitation participation rates are low and range from 20-30% (Ades et al., 2017). In addition, referral to cardiac rehabilitation for patients undergoing PCI has been shown to be as low as 48% (Beatty et al., 2017). Hospitals can increase referral rates by discussing the importance of cardiac rehabilitation with their patients and ensuring outpatient facilities receive the necessary referral (Thomas et al., 2018).

Type Of Measure: Process

Improvement Noted As: Increase in the rate

Numerator Statement: Number of inpatients who have been referred to an outpatient cardiac rehabilitation program, which includes the following:

Communication between the healthcare provider and the patient of the recommendation to attend an outpatient cardiac rehabilitation program AND referral sent to outpatient cardiac rehabilitation program

Included Populations: Not applicable
Excluded Populations: Not applicable
Data Elements:

Communication of Outpatient Referral to Patient

Referral to Outpatient Cardiac Rehabilitation

Denominator Statement: Patients who are discharged from the hospital with a qualifying event/diagnosis (i.e. MI, PCI, CABG, valve repair/replacement).

Included Populations:

Patients with a ICD-10-CM Principal Diagnosis Code for MI as defined in Appendix A, Table 2.3.

Patients with an ICD-10-PCS Principal or Other Procedure Code for PCI as defined in Appendix A, Table 2.4.

Patients with an ICD-10-PCS Principal or Other Procedure Code for CABG as defined in Appendix A, Table 2.5.

Patients with an ICD-10-PCS Principal or Other Procedure Code for valve repair/replacement as defined in Appendix A, Table 2.6.

Excluded Populations:

Patients less than 18 years of age

Patients with a documented Reason for No Referral to Outpatient Cardiac Rehabilitation Program

Patients who expired

Patients who left against medical advice (AMA)

Patients discharged to another hospital

Patients discharged to another healthcare facility

Patients discharged to home for hospice care

Patients discharged to a healthcare facility for hospice care

Patients who have a Length of Stay greater than 120 days

Patients enrolled in a Clinical Trial

Patients with Comfort Measures Only documented

Patients who had a left ventricular assist device (LVAD) or heart transplant procedure (ICD-10-PCS Procedure Code for LVAD or heart transplant as defined in Appendix A, Table 2.2 or Table 2.13)

Data Elements:

Admission Date

Birthdate

Clinical Trial

Comfort Measures Only

Discharge Date

Discharge Disposition

ICD-10-CM Other Diagnosis Codes

ICD-10-CM Principal Diagnosis Code

ICD-10-PCS Other Procedure Codes

ICD-10-PCS Other Procedure Dates

ICD-10-PCS Principal Procedure Code

ICD-10-PCS Principal Procedure Date

Reason for No Referral to Outpatient Cardiac Rehabilitation Program

Risk Adjustment: No.

Data Collection Approach: Retrospective data sources for required data elements include administrative data and medical records.

Data Accuracy: Variation may exist in the assignment of ICD-10 codes; therefore, coding practices may require evaluation to ensure consistency.

Measure Analysis Suggestions: None

Sampling: Yes. Please refer to the measure set specific sampling requirements and for additional information see the Population and Sampling Specifications section.

Data Reported As: Aggregate rate generated from count data reported as a proportion.

Selected References:

Ades, P., Keteyian, S., Wright, J., Hamm, L., Lui, K., Newlin, K., et al. (2017). Increasing Cardiac Rehabilitation Participation From 20% to 70%: A Road Map From the Million Hearts Cardiac Rehabilitation Collaborative. Mayo Clin Proc. Feb; 92(2): 234-242.
American Heart Association. (2018). Cardiac Rehab 101. Retrieved April 27, 2018 at: http://www.heart.org/HEARTORG/Conditions/More/CardiacRehab/What-is-Cardiac-Rehabilitation_UCM_307049_Article.jsp#.WuNs0C7waUl
Amsterdam EA, Wenger NK, Brindis RG, et al. (2014). AHA/ACC guideline for the management of patients with non-ST-elevation acute coronary syndromes: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 64:e139–228.
Beatty, A., Bradley, S., Maynard, C., McCabe, J., (2017). Referral to Cardiac Rehabilitation After Percutaneous Coronary Intervention, Coronary Artery Bypass Surgery, and Valve Surgery Data From the Clinical Outcomes Assessment Program. Circ Cardiovasc Qual Outcomes. 10:e003364.
Hillis LD, Smith PK, Anderson JL, et al. (2011). 2011 ACCF/AHA guideline for coronary artery bypass graft surgery. a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Developed in collaboration with the American Association for Thoracic Surgery, Society of Cardiovascular Anesthesiologists, and Society of Thoracic Surgeons. J Am Coll Cardiol. 58:e123–210.
Levine GN, Bates ER, Blankenship JC, et al. (2011). 2011 ACCF/AHA/SCAI guideline for percutaneous coronary intervention: a report of the American College of CardiologyFoundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions. J Am Coll Cardiol. 58:e44–122.
O’Gara PT, Kushner FG, Ascheim DD, et al. (2013). ACCF/AHA guideline for the management of ST elevation myocardial infarction: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2013;61:e78–140.
Smith SC Jr., Benjamin EJ, Bonow RO, et al. (2011). AHA/ACCF secondary prevention and risk reduction therapy for patients with coronary and other atherosclerotic vascular disease: 2011 update: a guideline from the American Heart Association and American College of Cardiology Foundation. J Am Coll Cardiol. 58:2432–46.
Thomas, R., Balady, G., Banka, G., Beckie, T., Chiu, J., Gokak, S. (2018). 2018 ACC/AHA Clinical Performance and Quality Measures for Cardiac Rehabiliation. Circ Cardiovasc Qual Outcomes. 2018 Apr;11(4):e000037.

Original Performance Measure Source / Developer: Thomas, R., Balady, G., Banka, G., Beckie, T., Chiu, J., Gokak, S. (2018).2018 ACC/AHA Clinical Performance and Quality Measures for Cardiac Rehabiliation. Circ Cardiovasc Qual Outcomes. 2018 Apr;11(4):e000037.

Measure Algorithm:

Specifications Manual for Joint Commission National Quality Measures (v2021A)
Discharges 01-01-21 (1Q21) through 06-30-21 (2Q21)

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