Geographic Variation in Cardiac Rehabilitation Participation in Medicare and Veterans Affairs Populations
Key result
Cardiac rehabilitation participation after MI, PCI, or CABG was low overall (16.3% in Medicare, 10.3% in VA) but varied widely across geographic regions and hospitals.
Population
232,582 patients hospitalized for myocardial infarction, percutaneous coronary intervention, or coronary…
Design
Cohort
Follow-up
12 months
Authors
Discussion
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Member takes
Implication
Low cardiac rehabilitation uptake with wide geographic variation signals urgent need for improved referral systems; leaves open optimal strategies to close state-level gaps.
Study Design
Type
Observational (n=232,582)
Multicenter
Yes
Structured PICO
P
Population
232,582 Medicare and Veterans Affairs patients hospitalized for MI, PCI, or CABG who survived >30 days, evaluated for cardiac rehabilitation participation over 12 months.
E
Exposure
Cardiac rehabilitation participation (≥1 outpatient visits during the 12 months after hospitalization)
O
Outcome
Percentage of patients who participated in ≥1 outpatient visits for cardiac rehabilitation during the 12 months after hospitalization
Cardiac rehabilitation participation remains low in both Medicare and VA populations, with significant regional and hospital-level variation highlighting opportunities for quality improvement.
Cite This Study
Beatty et al. (2018) conducted an observational in Myocardial infarction, percutaneous coronary intervention, or coronary artery bypass surgery (n=232,582). Geographic region was evaluated on Participation in ≥1 outpatient visits for cardiac rehabilitation during the 12 months after hospitalization. Cardiac rehabilitation participation after MI, PCI, or CABG was low overall (16.3% in Medicare, 10.3% in VA) but varied widely across geographic regions and hospitals.