Cardiac rehabilitation (CR) is one of the most important components of post-acute care management for patients recovering from a cardiac event. Despite this, only 15-30% of eligible patients participate in CR. For patients with heart failure (HF). CR can reduce hospitalizations and improve quality of life, but fewer than 10% of eligible HF patients attend even one session of CR. This panel describes findings from two novel strategies around increasing the utilization of CR. The first segment discusses findings from a multi-center study of over 200 patients, exploring how inpatient enrollment to a Smartphone Application (SA) and early post-acute care communication can lead to 70% enrollment of smartphone owning eligible patients. Panelists will explore the effectiveness of SA on improving enrollment. The second segment discusses strategies that result in increased CR participation among patients with HF identified through the qualitative interviews with innovative CR programs, conducted as part of a multi-year NIH-funded study. Panel members will discuss the strategies that have helped to overcome some of the barriers to CR faced by patients with HF, including: Identifying eligible patients (e.g., ejection fraction; various insurance requirements); enrolling patients despite a “six week waiting period” following hospitalization (e.g., challenges of automatic referral when the patient is admitted to a medical service; the referral to a visit that is many weeks away); the physical and mental toll of chronic HF; and lack of clarity about the best methods for approaching exercise therapy in patients with HF.
- Identify the role a SA can play in effectively recruiting new patients, starting with identifying SA vendor, pursuing a contract, alter work design model for onboarding patients and engaging with them from bedside to outpatient enrollment, and tracking outcome data
- Discuss clinical impact of various SA apps and discuss pros and cons of various apps.
- Review the state of the science on the strategies proven to increase enrollment in CR among patients generally and outline barriers that are unique to patients with HF.
- Discuss strategies used by one academic innovator who has achieved rates of CR participation among patients with HF that are more than 3 times the national average for this population.
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