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Cardiac Rehabilitation

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Cardiac Rehab Professionals Partners in Patient Care: ... hemodynamics, etc) supervised progressive activity program tailored to meet the needs of each patient. – PowerPoint PPT presentation

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Title: Cardiac Rehabilitation


1
Cardiac Rehabilitation
  • Best Medicine for your patients with Coronary
    Artery Disease
  • Why you should write the Prescription
  • TODAY!

2
Mission of Cardiac Rehab
  • To restore and maintain an individuals optimal
    physiological, psychological, social and
    vocational status.

3
Goals of Cardiac Rehab
  • Identify, modify, and manage risk factors to
    reduce disability/morbidity mortality
  • Improve functional capacity
  • Alleviate/lessen activity related symptoms
  • Educate patients about the management of heart
    disease
  • Improve quality of life

4
Core Program Components
  • Risk factor management
  • Baseline ongoing patient assessment
  • Exercise/activity training

5
What is Cardiac Rehabilitation?
  • Medically supervised
  • Lifestyle modification
  • Monitored progressive exercise/activity
  • Inpatient-Outpatient-Maintenance (Phase I, II,
    III)
  • Individualized, typically 3x/week, up to 12 weeks
  • Physician Referral Required

6
Disease Management Components
  • Population Identification processes
  • Evidence-based practice guidelines
  • Collaborative practice models
  • Patient self-management education
  • Process and outcomes measurement, evaluation,
    and management
  • Routine reporting/feedback loop

7
What Diagnoses are Covered?
  • Medicare Guidelines
  • Stable Angina
  • Myocardial Infarction
  • Coronary Artery Bypass Graft
  • Private insurance coverage may vary

8
Utilization Benefits
  • Reduced risk of fatal MI (lt25).
  • Decreased severity of angina need for
    anti-angina meds.
  • Decreased hospitalizations.
  • Decreased cost of physician office visits
    hospitalizations (lt35).
  • Fewer ER visits.

9
Physician Benefits
  • Partnership in case management provides
  • Enhanced access to physician services
  • Consistent surveillance for improved clinical
    outcomes
  • Improved patient satisfaction
  • Patient education for self directed care
  • Feedback on medications, exercise response and
    other appropriate issues

10
Patient Benefits
  • Improved functional capacity
  • Increased knowledge of heart disease
  • Improved adherence to positive lifestyle changes
  • Better compliance with medical regime
  • Increased self-esteem and confidence
  • Reduced subsequent morbidity mortality r/t CAD

11
Lifestyle Benefits
  • Risk Factor and Lifestyle Modification
  • Smoking cessation
  • Lipid improvement
  • Blood pressure control
  • Exercise guidance
  • Weight management
  • Diabetes control
  • Stress management

12
Significant Statistics
  • Cardiovascular disease accounts for almost 50 of
    all deaths in the U.S.
  • Cardiovascular disease affects 13.5 million
    Americans each year
  • Nearly 1.5 million Americans sustain myocardial
    infarctions each year

American Heart Association, Dallas Texas
13
Utilization Trends
  • Nearly 12.5 million Americans are eligible for
    cardiac rehab (secondary prevention)
  • On average only 15 of these eligible candidates
    receive cardiac rehabilitation
  • ranges between 11 and 30 depending on the area
    of the country

14
Risk Factors
  • Tobacco
  • Smoking and Chew
  • 50 decreased risk of CHD 1 year after cessation
  • Hypertension
  • 90 middle-aged Americans will develop HTN
  • 35 million office visits/yr for HTN

15
Risk Factors
  • Hyperlipidemia
  • 105,000,000 people with a tot chol gt 200
  • 10 reduction in TC 30 reduction in incidence
    of CAD
  • Physical Inactivity
  • 76 billion
  • gt 60 of Americans dont get sufficient exercise

16
Risk Factors
  • Obesity
  • More than 50 women and 60 men are overweight or
    obese
  • Nearly 300,000 American adults die of causes
    related to obesity
  • Diabetes
  • 58 reduction by lifestyle intervention
  • 75 of people w/DM die of CAD or vascular disease

17
Exercise Research
  • Direct relation between inactivity and
    cardiovascular mortality. Inactivity is an
    independent risk factor for of CAD.
  • Exercise capacity is a more powerful predictor of
    mortality among men than other established risk
    factors for CAD.
  • Physical fitness has been clearly associated with
    improvements in lipid profiles.

18
Medical Research
  • Cardiac Rehab Professionals remain educated on
    the latest medical research
  • New information is presented to your patients,
    so they can make informed decisions with you,
    their physician

19
Cost-effectiveness/Cost-efficiency
  • Medicare payments in hospital for CVD in 1997 was
    26.9 billion!
  • Studies, adjusted for quality of life, show
    savings of 4,950-9,200 per year of life saved.
  • Reduction in re-hospitalizations and medical
    costs are well documented.

20
Cardiac Rehab Professionals
  • Partners in Patient Care
  • Medical Director
  • Referring Physician
  • Registered Nurses
  • Exercise Physiologists
  • Dieticians/Nutritionists
  • Social Services/Psychosocial
  • Pharmacists

21
Who can Refer a Patient?
  • Site-specific Policy
  • Cardiologist
  • Primary Care Physician
  • Internist

22
Communication with Rehab?
  • Collaborative Approach
  • Initial referral/plan of care
  • Periodic Progress reports
  • Program oversight by Medical Director
  • Open ended lines of communication

23
Cardiac Rehab adds Value
  • Cardiac patients have many disease processes and
    lifestyle concerns that have contributed to their
    heart disease.
  • Cardiac rehab serves the needs of each cardiac
    patient and works toward secondary prevention.
  • Cardiac rehab adds VALUE to your patient care and
    increases QUALITY OF LIFE!

24
CARDIAC REHABILITATION
  • A REFERRAL IS A
  • PHONE CALL
  • AWAY!
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