The purpose of this project was to develop an outcomes-based measurement tool that could be used to screen patients for learning barriers. A comprehensive, objective tool to assess for patient learning barriers was developed and implemented in an outpatient, Stage II Cardiac Rehabilitation program. Definitions for seven barriers to learning, along with criteria to identify their presence, were compiled from the current literature and incorporated into the design of the outcomes-based tool. Utilization of the learning barrier tool may provide an objective, outcomes-based methodology for the identification of patient learning barriers, allowing educators to individualize patient education.