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Cardiac rehabilitation referral — USMLE Step 3 MCQ

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EasyInternal Medicine (chronic management)Cardiac rehabilitation referralUSMLE Step 3

A hospital audit shows that only 35% of eligible myocardial infarction survivors are referred to cardiac rehabilitation before discharge. Rates vary by attending physician and by weekend discharge. The quality team wants to improve reliable referral. Which of the following is the most appropriate quality improvement measure?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Implement an automatic discharge order-set referral to cardiac rehabilitation

Embedding referral in a discharge order set is a system-level quality intervention that improves cardiac rehabilitation referral reliability.

Reference: ACC/AHA Secondary Prevention; AHRQ Quality Improvement