AACVPR/ACC/AHA 2007 Performance Measures on Cardiac Rehabilitation for Referral to and Delivery of Cardiac Rehabilitation/Secondary Prevention Services

Abstract

Check each therapy prescribed or check contraindication reason. Aspirin: next dose due (date/time)____________/____________ No aspirin, reason documented in discharge summary. Clopidogrel: next dose due (date/time)____________/____________ No clopidogrel, reason documented in discharge summary. Beta blocker: next dose due (date/time)____________/____________ No beta blocker, reason in discharge summary. ACE inhibitor: next dose due (date/time)____________/____________ No ACE inhibitor, reason documented in discharge summary. Statin or other lipid-lowering agent (LLA): next dose due (date/time)_________/__________ No statin or other LLA, reason documented in discharge summary. Cardiac rehabilitation referral made, patient information communicated to program, and program information/appointment communicated to patient No exercise prescription and/or cardiac rehabilitation referral with reason in discharge summary. Smoking cessation teaching and pharmacological therapy given (patient is a current smoker or former smoker of less than 1 year) or Smoking cessation teaching and pharmacological therapy not required (patient is nonsmoker or former smoker of greater than 1 year). Education on warning signs of MI and what to do if symptoms given. Education not given, reason documented in discharge summary. Diet: low-fat, low-cholesterol, no added salt ______________________________________ Follow-up appointment documented in medical record.