• Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.

Does not apply to this measure

This measure is used to assess the percentage of patients discharged with any diagnosis of congestive heart failure who are referred for chronic disease management service that includes physical rehabilitation, during the 6 month time period.

Exercise-based cardiac rehabilitation in stable, chronic heart failure improves exercise capacity, (possibly) symptoms, myocardial perfusion, quality of life, and reduces total mortality and hospital admissions. Exercise improves skeletal muscle function and therefore overall functional capacity. Patients should be encouraged and advised on how to carry out daily physical and leisure time activities that do not induce symptoms. Exercise training programs are encouraged in stable patients in New York Heart Association (NYHA) class II–III.

Congestive heart failure (CHF); chronic disease management services; physical rehabilitation

Total number of patients discharged with any diagnosis of congestive heart failure (CHF), during the 6 month time period (see the related "Denominator Inclusions/Exclusions" field in the Complete Summary)

Total number of patients discharged with any diagnosis of congestive heart failure (CHF) who are referred for a chronic disease management service that includes physical rehabilitation, during the 6 month time period

• A clinical practice guideline or other peer-reviewed synthesis of the clinical evidence
• A formal consensus procedure involving experts in relevant clinical, methodological, and organizational sciences

Unspecified

Current routine use

Internal quality improvement

Hospitals

Physicians

Single Health Care Delivery Organizations

Unspecified

Either male or female

Unspecified

Unspecified

Unspecified

Unspecified

Unspecified

Unspecified

Getting Better
Living with Illness

Effectiveness

Users of care only

Patients discharged with any diagnosis of congestive heart failure (CHF), during the 6 month time period

Patients associated with provider

Inclusions
Total number of patients discharged with any diagnosis of congestive heart failure (CHF)*, during the 6 month time period

*Congestive heart failure (CHF) is any diagnosis of heart failure. Refer to Appendix 2 in the original measure documentation for relevant International Classification of Diseases, Tenth Revision, Australian Modification (ICD-10-AM) codes for CHF.

Exclusions
Patients with the following contraindications should be excluded:

• Previous attendance at a chronic disease management service
• Other contraindication (should be documented) - may include documentation that patient has advanced/end stage CHF

Deceased patients and patients who refuse therapy should also be excluded from this indicator.

All cases in the denominator are equally eligible to appear in the numerator

Clinical Condition
Institutionalization

Time window brackets index event

Inclusions

Exclusions

The measure results are somewhat or substantially under the control of the health care professionals, organizations and/or policymakers to whom the measure applies.

Institutionalization

Administrative data
Medical record

Individual Case

Unspecified

Rate

Better quality is associated with a higher score

Unspecified

External comparison at a point in time
External comparison of time trends
Internal time comparison

Unspecified

Indicator area 1: cardiovascular disease CI 1.4.

Australian Council on Healthcare Standards

Funding is direct Australian Council on Healthcare Standards (ACHS) funding sourced through our membership. ACHS does not receive external funding from the government or other sources.

Our terms of reference dictate the composition of the working parties that develop our indicators and include the following:

• Two Clinicians -- nominated by the relevant specialty college/association/society, one nominated to be the chair of the working party
• Private Hospital Representative -- nominated by the Australian Private Hospital Association
• Consumer Representative -- nominated by the Consumer Health Forum of Australia
• Coding Representative -- nominated by the National Centre for Clinical classification on Health
• Quality Health New Zealand, nominated by QHNZ (if applicable)
• Epidemiological/Clinical Research Representative, Director of Health Services Research Group, University of Newcastle
• Australian Council on Healthcare Standards (ACHS) Representatives -- Clinical Director, Coordinator, Administrative Assistant
• Other Expert Stakeholders, as required

None

Measure was not adapted from another source.

2009 Jan

This is the current release of the measure.

• Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.

This NQMC summary was completed by ECRI Institute on July 2, 2009.

This NQMC summary is based on the original measure, which is subject to the measure developer's copyright restrictions. This work is copyright. Apart from any use as permitted under the Copyright Act 1968, no part may be reproduced by any process without written permission from The Australian Council on Healthcare Standards (ACHS).