Reason for No Referral to Outpatient Cardiac Rehabilitation Program (v2023A)

Specifications Manual for Joint Commission National Quality Measures (v2023A)

Posted: 08/12/2022

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Release Notes:
Data Element
Version 2023A

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

Specifications Manual for Joint Commission National Quality Measures (v2023A)
Discharges 01-01-23 (1Q23) through 06-30-23 (2Q23)

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