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2018 Annual Meeting Recorded Session B110: Bridging the Gap: Strategies to Enhance Cardiac Rehabilitation Enrollment and Retention
Outpatient cardiac rehabilitation (CR) is a Class 1A evidence-based treatment for patients with cardiovascular disease following cardiac events. Unfortunately, less than 20% of eligible patients enroll and even fewer complete a CR program. To increase CR participation, a paradigm shift is needed to adapt the delivery of CR to integrate evidence-based strategies from hospitalization to completion of a CR program. The proposed breakout session will review the current patient and system barriers to CR enrollment and retention, provide a review of current evidence-based strategies (e.g. navigator model), propose new strategies for future consideration (e.g. cueing), and discuss implementation science interventions to integrate these strategies. The workshop will be interactive and will include case studies of programs who have successfully implemented these models to bridge the gap to enhance CR enrollment and retention. Outline: I. Current Initiatives related to increasing CR enrollment and completion a. CDC Million Hearts Campaign b. NIH calls for proposal c. CMS policy II. Barriers to CR enrollment and retention a. Review of the literature b. Table work for reflection on site specific barriers c. Gaps in the literature III. Strategies to bridge the gap between hospitalization and completion a. Navigator model b. Automatic referal c. Redesign of care(telehealth, mobile) d. Other future directions IV. Implementation science interventions to successfully integrate strategies a. Infrastructure design and costs b. Personnel design and costs c. Table top exercise to integrate into local site Request 90 minutes.
Credit Information
1.25
Description
Please note, if you attended this session at the
2018 Annual Meeting in Louisville and claimed CE for the live session,
you cannot also get CE for the recorded session.
Presented by Mary Dolansky, PhD, RN, FAAN; Richard Josephson, MD, MS, FAACVPR, FACC, FACP, FAHA; Richard Sukeena, MBA, MS, FAACVPR; and Joel W. Hughes, PhD, FAACVPR
Outpatient cardiac rehabilitation (CR) is a Class 1A evidence-based treatment for patients with cardiovascular disease following cardiac events. Unfortunately, less than 20% of eligible patients enroll and even fewer complete a CR program. To increase CR participation, a paradigm shift is needed to adapt the delivery of CR to integrate evidence-based strategies from hospitalization to completion of a CR program. The proposed breakout session will review the current patient and system barriers to CR enrollment and retention, provide a review of current evidence-based strategies (e.g. navigator model), propose new strategies for future consideration (e.g. cueing), and discuss implementation science interventions to integrate these strategies. The workshop will be interactive and will include case studies of programs who have successfully implemented these models to bridge the gap to enhance CR enrollment and retention. Outline: I. Current Initiatives related to increasing CR enrollment and completion a. CDC Million Hearts Campaign b. NIH calls for proposal c. CMS policy II. Barriers to CR enrollment and retention a. Review of the literature b. Table work for reflection on site specific barriers c. Gaps in the literature III. Strategies to bridge the gap between hospitalization and completion a. Navigator model b. Automatic referal c. Redesign of care(telehealth, mobile) d. Other future directions IV. Implementation science interventions to successfully integrate strategies a. Infrastructure design and costs b. Personnel design and costs c. Table top exercise to integrate into local site Request 90 minutes.
Learning Objectives:
- Identify the barriers to CR enrollment and retention.
- List 2 evidence-based strategies to bridge the gap between hospitalization and completion of a CR program.
- Describe implementation science interventions to promote integration