Cardiac Care Measures
In collaboration with the American Heart Association, The Joint Commission established standardized measures for Comprehensive Cardiac Center (CCC) Certification, which was launched in 2017. In the spring of 2018 a Technical Advisory Panel (TAP) met to review proposed existing cardiac performance measurement requirements for certified CCC organizations.
The following are Comprehensive Cardiac Care (CCC) chart abstracted measures used by The Joint Commission.
Comprehensive Cardiac Care
- CCCIP-01 High-Intensity Statin Prescribed at Discharge
- CCCIP-02 Mineralocorticoid Receptor Antagonist Prescribed at Discharge
- CCCIP-03 Cardiac Rehabilitation Referral from an Inpatient Setting
- CCCIP-04 Cardiac Rehabilitation Referral for Heart Failure Patients with Reduced Ejection Fraction from Inpatient Setting
- CCCIP-05 Cardiac Rehabilitation Enrollment - Inpatient
Comprehensive Cardiac Care Outpatient
- CCCOP-01 Cardiac Rehabilitation Referral from an Outpatient Setting
- CCCOP-02 Cardiac Rehabilitation Referral for Heart Failure patients with Reduced Ejection Fraction from an Outpatient Setting
- CCCOP-03 Cardiac Rehabilitation Enrollment - Outpatient
The following are Advanced Certification Heart Failure chart abstracted measures used by The Joint Commission.
Advanced Certification Heart Failure (ACHF)
- ACHF-02 Post-Discharge Appointment for Heart Failure Patients
- ACHF-03 Care Transition Record Transmitted
- ACHF-04 Discussion of Advance Directives/Advance Care Planning
- ACHF-05 Advance Directive Executed
- ACHF-06 Post-Discharge Evaluation for Heart Failure Patients
- AHAHF106 Defect-free Care for Quadruple Therapy Medication for Patients with HFrEF
- AHAHF94 SGLT-2 Inhibitor at Discharge for Patients with HFpEF/HFmrEF
Specifications for these measures are available below
The following are Acute Heart Attack Ready (AHAR), Primary Heart Attack Centers (PHAC), and Comprehensive Heart Attack Center (CHAC) chart abstracted measures used by The Joint Commission.
Acute Heart Attack Ready (AHAR)
- AHAR-1 ECG within 10 Minutes of Arrival
- AHAR-2 Arrival or Subsequent STEMI-Positive ECG to Thrombolytics within 30 minutes
- AHAR-3 Arrival or Subsequent STEMI-Positive ECG to Transfer to PCI Center within 45 minutes (Door in door out)
- AHAR-4 EMS First Medical Contact (FMC) to PCI ≤ 90 Minutes (when applicable)
Primary Heart Attack Centers (PHAC)
- PHAC-1 ECG within 10 Minutes of Arrival at This Receiving Center
- PHAC-2 Primary PCI ≤ 90 minutes
- PHAC-3 EMS First Medical Contact (FMC) to PCI ≤ 90 minutes
- PHAC-4 Arrival at First Facility to Primary PCI ≤ 120 Minutes
Comprehensive Heart Attack Center (CHAC)
- CHAC-1 ECG within 10 minutes of arrival at this receiving center
- CHAC-2 Primary PCI ≤ 90 minutes
- CHAC-3 EMS FMC to PCI ≤ 90 minutes
- CHAC-4 Arrival at first facility to primary PCI ≤ 12o minutes
- CHAC-5 ACE-Inhibitor or angiotensin receptor blocker (ARB) for LVSD at discharge
- CHAC-6 Cardiac rehabilitation patient referral from an inpatient setting
- CHAC-7 ACE inhibitor or ARB prescribed at discharge for NSTE-ACS
- CHAC-8 Cardiac rehabilitation patient referral from an inpatient setting for NSTE-ACS
- CHAC-9 Dual antiplatelet therapy prescribed at discharge (NSTEMI)
Questions related to specifications for these measures may be sent to American Heart Association (AHA) at:
The Joint Commission has chosen standardized chart abstracted cardiac care performance measures for five of the available cardiac certification options. The measures assess care provided to heart attack and heart failure patients, in addition to a cadre of measures that evaluate care provided within additional domains of cardiac care.
Following is list of measures for each advanced certification program: