• Attendance at initial CR orientation appointment within 2 months of index hospital discharge [ Time Frame: 3 months ] [ Designated as safety issue: No ]
  

• Impact of MD endorsement on number of patients attending CR program [ Time Frame: 3 months ] [ Designated as safety issue: No ]
  
• Number of patients who continue to adhere to the 6-month CR program beyond the initial CR orientation appointment [ Time Frame: 8 months ] [ Designated as safety issue: No ]
  
• Impact of other patient variables and how they influence participation in a CR program [ Time Frame: 8 months ] [ Designated as safety issue: No ]
  

Behavioral: MD-endorsed Cardiac Rehabilitation referral
Note to patient with general description of the Cardiac Rehabilitation program with signature and strong recommendation from attending physician.
Behavioral: Standard Cardiac Rehabilitation referral
Note to patient with general description of the Cardiac Rehabilitation program without signature or recommendation from attending physician.

There is compelling evidence that a comprehensive CR program comprising the delivery of lifestyle modifying education will reduce mortality, morbidity and improve quality of life in patients following myocardial infarction, angioplasty or, coronary artery bypass. However, less than 20% of eligible patients participate in CR programs. This study will look at a method of potentially improving enrollment and adherence to a CR program. It is expected that patients who receive the MD-endorsed referral will be more likely to attend the initial Orientation appointment and more closely adhere to the 6-month comprehensive CR program, as compared to the patients who receive a standard CR referral alone.