Continued 27 Short Title: PM-12: Cardiac Rehabilitation Referral PM-12: AMI: CR Patient Referral From an Inpatient Setting Measure Description: Percentage of patients, age 18 y, hospitalized with AMI who are referred to an outpatient CR/secondary prevention program during their AMI hospital stay. Numerator AMI patients who are referred to outpatient CR/secondary prevention program prior to hospital discharge Denominator Number of hospitalized patients in the reporting period hospitalized with qualifying event/diagnosis Denominator Exclusions None Denominator Exceptions Provider-oriented criteria (patient deemed to have a high-risk condition or a contraindication to exercise, for example) Healthcare system barriers (eg, financial barriers or lack of CR programs near a patient s home) Measurement Period Encounter Sources of Data Medical record or other database (eg, administrative, clinical, registry) Attribution Measure reportable at the facility or provider level Care Setting Inpatient Rationale A key component to outpatient CR program utilization is the appropriate and timely referral of patients. Generally, the most important time for this referral to take place is while the patient is hospitalized for a qualifying event/diagnosis (eg, MI, chronic stable angina, CABG, PCI, cardiac valve surgery, or cardiac transplantation). This performance measure has been developed to help healthcare systems implement effective steps in their systems of care that will optimize the appropriate referral of a patient to an outpatient CR program. This measure is designed to serve as a stand-alone measure or, preferably, to be included within other performance measurement sets that involve disease states or other conditions for which CR services have been found to be appropriate and beneficial (eg, following MI, CABG surgery). This performance measure is provided in a format that is meant to allow easy and flexible inclusion into such performance measurement sets. 