Quality and Variability of Cardiovascular Rehabilitation Delivery: Applying the Canadian Quality Indicators
| dc.contributor.author | Somanader, Deborah | |
| dc.contributor.author | Chessex, Caroline | |
| dc.contributor.author | Ginsburg, Liane | |
| dc.contributor.author | Grace, Sherry | |
| dc.date.accessioned | 2021-02-01T16:35:58Z | |
| dc.date.available | 2021-02-01T16:35:58Z | |
| dc.date.issued | 2017-11 | |
| dc.description.abstract | Purpose: Cardiac care, including cardiac rehabilitation (CR), is most effective if it is high-quality. The aim of this study was to describe CR quality, using the recently-developed Canadian Cardiovascular Society CR quality indicators (QIs). CR site differences in quality were also assessed. Methods: Secondary analysis was conducted on an observational, prospective, multi-site CR program evaluation cohort. A convenience sample of patients from one of 3 CR programs was approached at their first CR visit, and consenting participants completed a survey. Clinical data were extracted from charts pre and post-program. Of the 30 CR QIs, 21 (70.0%) were assessable: 10 process, 9 outcome and 2 structure QIs. Results: Of 411consenting patients, 209(53.0%)completed CR. The greatest quality was observed for assessment of blood pressure (98.1%), communication with primary healthcare at CR discharge(94.2%), and patient enrollment(94.0%). The lowest quality was observed for wait time from hospital discharge (9.2%), assessments of blood glucose (42.1%), and lipid control (53.0%). Of the 7 QI s that had an established benchmark, quality for 2 (28.6%) was above the benchmark (particularly assessment of blood pressure). Significant site differences were observed in 11(64.7%) QIs. The magnitude of quality differences between sites was largest for assessment of lipid control (72.6%), assessment of blood glucose control (69.0%), and wait time in median days from referral to enrollment(30.6 days).Conclusion: There is wide variability in CR program quality, both overall and between CR sites. Quality improvement in particular aspects of CR care is required. | en_US |
| dc.identifier.citation | J Cardiopulm Rehabil Prev. 2017 Nov;37(6):412-420. | en_US |
| dc.identifier.issn | 1932-7501 | |
| dc.identifier.uri | https://doi.org/10.1097/HCR.0000000000000223 | en_US |
| dc.identifier.uri | http://hdl.handle.net/10315/38081 | |
| dc.language.iso | en | en_US |
| dc.publisher | Wolters Kluwer | en_US |
| dc.rights | LWW This is a non-final version of an article published in final form in (J Cardiopulm Rehabil Prev . 2017 Nov;37(6):412-420.) . https://cdn-tp2.mozu.com/16833-m1/cms/files/Author-Document.pdf?_mzts=636519775710000000 | en_US |
| dc.rights | Attribution-NoDerivatives 4.0 International | * |
| dc.rights.article | https://pubmed.ncbi.nlm.nih.gov/29077669/ | en_US |
| dc.rights.journal | https://journals.lww.com/jcrjournal/pages/default.aspx | en_US |
| dc.rights.publisher | https://www.wolterskluwer.com/en-ca | en_US |
| dc.rights.uri | http://creativecommons.org/licenses/by-nd/4.0/ | * |
| dc.title | Quality and Variability of Cardiovascular Rehabilitation Delivery: Applying the Canadian Quality Indicators | en_US |
| dc.type | Article | en_US |
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