This performance measure is provided in a format that is meant to allow easy and flexible inclusion into such performance measurement sets. Effective referral of appropriate inpatients to an outpatient CR program is the responsibility of the healthcare team within a healthcare system that is primarily responsible for providing cardiovascular care to the patient during the hospitalization. Clinical Recommendation(s) ACC/AHA 2004 Guideline Update for Coronary Artery Bypass Graft Surgery108 1. Cardiac rehabilitation should be offered to all eligible patients after CABG. (Class I, Level of Evidence: B). ACC/AHA 2007 Update of the Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction109 1. Advising medically supervised programs (cardiac rehabilitation) for high-risk patients (eg, recent acute coronary syndrome or revascularization, HF) is recommended (Class I, Level of Evidence: B). ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina and Non ST-Segment Elevation Myocardial Infarction110 1. Cardiac rehabilitation/secondary prevention programs are recommended for patients with UA/NSTEMI, particularly those with multiple modifiable risk factors and/or those moderate- to high-risk patients in whom supervised exercise training is particularly warranted. (Class I, Level of Evidence: B) 2. Cardiac rehabilitation/secondary prevention programs, when available, are recommended for patients with UA/NSTEMI, particularly those with multiple modifiable risk factors and those moderate- to high-risk patients in whom supervised or monitored exercise training is warranted. (Class I, Level of Evidence: B) ACC/AHA 2007 Chronic Angina Focused Update of the Guidelines for the Management of Patients With Chronic Stable Angina111 1. Medically supervised programs (cardiac rehabilitation) are recommended for at-risk patients (eg, recent acute coronary syndrome or revascularization, heart failure). (Class I, Level of Evidence: B) ACC/AHA Guidelines for the Evaluation and Management of Chronic Heart Failure in the Adult112 1. 