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HDS-22 Data Details

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HDS-22 Increase the proportion of adult heart attack survivors who are referred to a cardiac rehabilitation program at discharge

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Data Source: 
Acute Coronary Treatment and Intervention Outcomes Network Registry
Changed Since the Healthy People 2020 Launch: 
Yes
Measure: 
percent
Baseline (Year): 
77.1 (2009)
Target: 
84.8
Target-Setting Method: 
10 percent improvement
Numerator: 

Number of adult heart attack survivors who are referred to a cardiac rehabilitation program at discharge

Denominator: 

Number of adult heart attack survivors

Comparable Healthy People 2010 Objective: 
Not applicable
Data Collection Frequency: 
Periodic
Methodology Notes: 

    Cohort included eligible patients discharged with a primary diagnosis of ST-segment or non–ST-segment myocardial infarction who were referred to cardiac rehabilitation. Cardiac rehabilitation referral was defined as “an official communication between the health care provider and the patient to recommend and carry out a referral order to an early outpatient cardiac rehabilitation program. This includes the provision of all necessary information to the patient that will allow the patient to enroll in an early outpatient cardiac rehabilitation program. This also includes a communication between the health care provider or health care system and the cardiac rehabilitation program that includes the patient’s referral information for the program.

    Patients excluded were those with incomplete MI information, in-hospital death, transferred, cardiac rehabilitation referral missing or those discharged to nursing home, hospice or who left against medical advice. Patient ineligible were also not included. Ineligibility was defined as documented patient-based barriers, patient based criteria, or healthcare system barriers.

Caveats and Limitations: 
The ACTION Registry is a voluntary registry and may not be representative of hospitals lacking the resources or desire to contribute. Results may overestimate referral to cardiac rehab (CR) and may not be fully generalizable. Data are drawn solely from inpatient medical records abstracted for the registry. Misclassification of CR eligibility could have occurred. The registry’s liberal definition of referral may overestimate meaningful referral. Finally, interhospital variation in what constitutes CR referral and eligibility may be present.
Trend Issues: 
The ACTION Registry is a voluntary registry and the number and specific participating hospitals may differ over time.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch: 
In 2016, this objective became measurable. In 2018, the data source name was changed from Acute Coronary Treatment and Intervention Outcomes Network-Get With the Guidelines to Acute Coronary Treatment and Intervention Outcomes Network Registry.