AACVPR/ACC/AHA 2007 Performance Measures on Cardiac Rehabilitation for Referral to and Delivery of Cardiac Rehabilitation/Secondary Prevention Services

Thomas, Randal J.; King, Marjorie L.; Lui, Karen; Oldridge, Neil; Piña, Ileana L.; Spertus, John A.; Bonow, Robert O.; Estes, N.A. Mark; Goff, David C.; Grady, Kathleen L.; Hiniker, Ann R.; Masoudi, Frederick A.; Radford, Martha J.; Rumsfeld, John S.; Whitman, Gayle R.

doi:10.1016/j.jacc.2007.04.033

Cited by 268 publications

(92 citation statements)

References 64 publications

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“…Meta‐analyses suggested that CR participation can reduce all‐cause mortality by 15% to 28% for patients with MI4, 37, 38, 39 and 45% to 47% for patients with percutaneous coronary intervention 40. The effect was estimated to be comparable to improvements associated with aspirin, β‐blocker, angiotensin‐converting enzyme inhibitor, statin, and anticoagulant therapy 5, 41, 42, 43. However, the generalizability of these results was limited because the majority of trial participants were highly selected low‐risk white males, with few females, minorities, or elderly patients, and with short duration of follow‐up 4.…”

Section: Discussionmentioning

confidence: 99%

Sex and Racial Disparities in Cardiac Rehabilitation Referral at Hospital Discharge and Gaps in Long‐Term Mortality

Fonarow

Mukamal

et al. 2018

JAHA

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BackgroundCardiac rehabilitation (CR) referral is recommended for eligible patients, regardless of sex or race. It is unclear whether inequality in CR referral practices was associated with patients’ long‐term survival.Methods and ResultsWe linked the American Heart Association Get With The Guidelines Coronary Artery Disease registry with Medicare claims data for 48 993 coronary artery disease patients from 365 hospitals across the United States between 2003 and 2009. We used generalized estimation equations to estimate the association between CR referral and mortality accounting for clustering within hospitals. Between 2003 and 2009, only 40% of eligible patients received CR referrals. Females were 12% less likely to receive CR referral compared with males. Black, Hispanic, and Asian patients were 20%, 36%, and 50% less likely, respectively, to receive CR referral than white patients. CR referral was associated with 40% lower 3‐year all‐cause mortality. Women and minorities who received CR referral at hospital discharge had significantly lower mortality compared with those who did not (odds ratios=0.61 [95% confidence interval, 0.56–0.66] for women, 0.75 [95% confidence interval, 0.63–0.88] for black, 0.62 [95% confidence interval, 0.50–0.79] for Hispanic, and 0.63 [95% confidence interval, 0.46–0.85] for Asian patients). Seven percent of the black versus white mortality gap could potentially be reduced by equitable CR referral.Conclusions CR referral rates at hospital discharge remained low. Gaps in receiving CR referral at hospital discharge were large for women and minorities, and the mortality gap could potentially be reduced through elimination of inequality in CR referral.

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Section: Discussionmentioning

confidence: 99%

Sex and Racial Disparities in Cardiac Rehabilitation Referral at Hospital Discharge and Gaps in Long‐Term Mortality

Fonarow

Mukamal

et al. 2018

JAHA

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“…It is our hope that application of these performance measures will provide a mechanism through which the quality of medical care can be measured and improved. (7). This document updates the 2 measures that articulate the opportunities to improve referrals to outpatient Cardiac Rehabilitation that were embodied in Measure Set A from that 2007 paper (Appendix A in [7]).…”

Section: Preamblementioning

confidence: 97%

“…(7). This document updates the 2 measures that articulate the opportunities to improve referrals to outpatient Cardiac Rehabilitation that were embodied in Measure Set A from that 2007 paper (Appendix A in [7]). Measure A-1 (Cardiac Rehabilitation Patient Referral From an Inpatient Setting) and measure A-2 (Cardiac Rehabilitation Patient Referral From an Outpatient Setting) have been revised to clarify several aspects of the measures and to facilitate their implementation.…”

Section: Preamblementioning

confidence: 97%

AACVPR/ACCF/AHA 2010 Update: Performance Measures on Cardiac Rehabilitation for Referral to Cardiac Rehabilitation/Secondary Prevention Services

Thomas¹,

King²,

Lui³

et al. 2010

Journal of the American College of Cardiology

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111

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These measures and specifications are provided "as is" without warranty of any kind. Neither the AACVPR, the ACCF, nor the AHA shall be responsible for any use of these performance measures.Limited proprietary coding is contained in the measure specifications (online data supplement) for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. The AACVPR, the ACCF, and the AHA disclaim all liability for use or accuracy of any Current Procedural Terminology (CPT™) or other coding contained in the specifications.CPT™ contained in the online data supplement is

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“…2,3 We recommend that these ACC/AHA performance measures be used whenever the Million Hearts measures are translated to the practitioner or group level. The ACC/AHA and its partner organizations including the AMA-convened Physician Consortium for Performance Improvement (PCPI) have carefully crafted these measures with knowledge that they would be used for accountability purposes at the individual practitioner level.…”

Section: The General Approachmentioning

confidence: 99%

Performance Measures in Million Hearts

Drozda

Holmes²

2012

Circ: Cardiovascular Quality and Outcomes

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AACVPR/ACC/AHA 2007 Performance Measures on Cardiac Rehabilitation for Referral to and Delivery of Cardiac Rehabilitation/Secondary Prevention Services

Cited by 268 publications

References 64 publications

Sex and Racial Disparities in Cardiac Rehabilitation Referral at Hospital Discharge and Gaps in Long‐Term Mortality

Sex and Racial Disparities in Cardiac Rehabilitation Referral at Hospital Discharge and Gaps in Long‐Term Mortality

AACVPR/ACCF/AHA 2010 Update: Performance Measures on Cardiac Rehabilitation for Referral to Cardiac Rehabilitation/Secondary Prevention Services

Performance Measures in Million Hearts

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