Somanader, DeborahChessex, CarolineGinsburg, LianeGrace, Sherry2021-02-012021-02-012017-11J Cardiopulm Rehabil Prev. 2017 Nov;37(6):412-420.1932-7501https://doi.org/10.1097/HCR.0000000000000223http://hdl.handle.net/10315/38081Purpose: 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.enLWW 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=636519775710000000Attribution-NoDerivatives 4.0 InternationalArticlehttps://journals.lww.com/jcrjournal/pages/default.aspxhttps://www.wolterskluwer.com/en-cahttps://pubmed.ncbi.nlm.nih.gov/29077669/