Specifications Manual for Joint Commission National Quality Measures (v2021A1)
Posted: 9/25/2020
Home » Reason for No Referral to Outpatient Cardiac Rehabilitation Program

Release Notes:
Data Element
Version 2021A1

Name:Reason for No Referral to Outpatient Cardiac Rehabilitation Program
Collected For: CCCIP-03, CCCIP-04, CCCOP-01, CCCOP-02, CCCOP-03
Definition:Reason for not referring a patient to an outpatient cardiac rehabilitation program.
Question:Is there a documented reason for not referring the patient to an outpatient cardiac rehabilitation program?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

Y   (Yes)   There is documentation of a reason for not referring the patient to an outpatient cardiac rehabilitation program.

N   (No)   There is no documentation of a reason for not referring the patient to an outpatient cardiac rehabilitation program or unable to determine from medical record documentation.
Notes for Abstraction:
  • Reasons that preclude a referral to an outpatient cardiac rehabilitation program may be must be documented by a physician/APN/PA/physical therapist/occupational therapist/case manager/RN. Examples:
      • Patient lacks medical coverage for cardiac rehabilitation
      • There is no traditional cardiac rehabilitation program (health care facility-based program) close to the patient’s home or the patient does not have access to an alternative model of cardiac rehabilitation (e.g. virtual or home health model).
      • The patient was already participating in a cardiac rehabilitation prior to the current hospitalization or has completed an outpatient cardiac rehabilitation program within the last 12 months
      • The patient has a lack of transportation
      • Patients deemed by a medical provider to have a medically unstable, life-threatening condition or has other cognitive or physical impairments that preclude participation in cardiac rehabilitation
      • Physical therapy documents in their assessment note that they recommend acute rehab for the patient
      • Patient refuses referral to cardiac rehabilitation
Suggested Data Sources:
  • Medical Record
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion

Reason for No Referral to Outpatient Cardiac Rehabilitation Program
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Specifications Manual for Joint Commission National Quality Measures (v2021A1)
Discharges 01-01-21 (1Q21) through 06-30-21 (2Q21)

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