Core Competencies for Cardiac Rehabilitation/Secondary Prevention Professionals

Hamm, Larry F.; Sanderson, Bonnie; Ades, Philip A.; Berra, Kathy; Kaminsky, Leonard A.; Roitman, Jeffrey L.; Williams, Mark A.

doi:10.1097/hcr.0b013e318203999d

Cited by 132 publications

(49 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It includes a structured exercise program, usually lasting several months, and is combined with educational and behavior-modifying interventions focused on improving dietary and lifestyle habits (Ades, 2001; Hamm et al, 2011). The American Heart Association and the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) recognize that CR is an integral part of comprehensive care for patients with CHD (Balady et al, 2007).…”

Section: Smoking and Cardiac Rehabilitation Participation: Associatiomentioning

confidence: 99%

Smoking and cardiac rehabilitation participation: Associations with referral, attendance and adherence

Gaalema¹,

Cutler²,

Higgins³

et al. 2015

Preventive Medicine

Self Cite

View full text Add to dashboard Cite

Objective Continued smoking after a cardiac event greatly increases mortality risk. Smoking cessation and participation in cardiac rehabilitation (CR) are effective in reducing morbidity and mortality. However, these two behaviors may interact; those who smoke may be less likely to access or complete CR. This review explores the association between smoking status and CR referral, attendance, and adherence. Methods A systematic literature search was conducted examining associations between smoking status and CR referral, attendance and completion in peer-reviewed studies published through July 1st, 2014. For inclusion, studies had to report data on outpatient CR referral, attendance or completion rates and smoking status had to be considered as a variable associated with these outcomes. Results Fifty-six studies met inclusion criteria. In summary, a history of smoking was associated with an increased likelihood of referral to CR. However, smoking status also predicted not attending CR and was a strong predictor of CR dropout. Conclusion Continued smoking after a cardiac event predicts lack of attendance in, and completion of CR. The issue of smoking following a coronary event deserves renewed attention.

show abstract

Section: Smoking and Cardiac Rehabilitation Participation: Associatiomentioning

confidence: 99%

Smoking and cardiac rehabilitation participation: Associations with referral, attendance and adherence

Gaalema¹,

Cutler²,

Higgins³

et al. 2015

Preventive Medicine

Self Cite

View full text Add to dashboard Cite

show abstract

“…Just after the hospital discharge, all patients in the study were referred to the rehabilitation center with a program including multifactorial and multidisciplinary interventions based on state-of-the art research and clinical guidelines (Bairey Merz et al, 2009;Balady et al, 2007;Hamm et al, 2011). The staff, blinded to their group assignment, phoned all study patients to invite them to enroll, and patients who accepted were scheduled for a first appointment within 6 weeks after discharge.…”

Section: Randomization and Blindingmentioning

confidence: 99%

Development and Evaluation of a Modified Hospital Elder Life Program

Chen¹,

Chen²,

Lai³

et al. 2012

Nursing Research

View full text Add to dashboard Cite

“…16,25 Program certification is available for programs that meet quality standards. 21,34 • Apply quality improvement strategies through a continuous improvement cycle that includes the following steps:…”

Section: King Et Al Medical Director Responsibilities For Outpatient mentioning

confidence: 99%

“…The medical director should ensure that the policies and procedures are consistent with evidence-based guidelines, comply with regulatory and certification standards, and recognize regulations for, and issues pertaining to, reimbursement for services. 14,16,19,20,25 In addition, medical directors should promote policies and practices aimed at improving CR/SP access and delivery to all patients who could benefit, including traditionally underserved patient populations, 26 -32 stress the interdisciplinary care of CR/SP, 18,25 and facilitate clear, concise program documentation that maximizes communication among those responsible for the health care of a patient. 16 Specific responsibilities of a CR/SP medical director, related to program development and operations, are detailed in Table 2 and are explained in more detail later.…”

mentioning

confidence: 99%

Medical Director Responsibilities for Outpatient Cardiac Rehabilitation/Secondary Prevention Programs: 2012 Update

et al. 2012

Self Cite

View full text Add to dashboard Cite

Abstract-Medical directors of cardiac rehabilitation/secondary prevention (CR/SP) programs are responsible for the safe and effective delivery of high-quality CR/SP services to eligible patients. Yet, the training and resources for CR/SP medical directors are limited. As a result, there appears to be considerable variability throughout CR/SP programs in the United States in the roles, responsibilities, and engagement of CR/SP medical directors. Since the publication of the 2005 scientific statement from the American Heart Association and American Association of Cardiovascular and Pulmonary Rehabilitation regarding medical director responsibilities for outpatient CR/SP programs, significant changes have occurred. This statement updates the responsibilities of CR/SP medical directors, in view of changes in federal legislation and regulations and changes in health care delivery and clinical practice that impact the roles and responsibilities of CR/SP medical directors. (Circulation. 2012;126:2535-2543.)Key Words: AHA Scientific Statements Ⅲ cardiac rehabilitation Ⅲ exercise training Ⅲ medical director O utpatient cardiac rehabilitation/secondary prevention (CR/SP) programs are recognized as a key component of the management of patients with a variety of cardiovascular conditions, including stable angina, recent myocardial infarction or acute coronary syndrome, or heart failure, or following coronary revascularization procedures, valve surgery, or cardiac transplantation. In addition to improving adherence to medication regimens and lifestyle recommendations, enhancing quality of life and psychosocial wellbeing, and increasing functional capacity, recent research has shown that participation in CR/SP programs reduces 5-year mortality by 25% to 46% and recurrent nonfatal myocardial infarction by 31%. [1][2][3] Similar to many other therapeutic interventions, there is evidence that those who participate in more CR/SP sessions obtain greater benefits. 1,3 As a result, referral to CR/SP programs is currently included in numerous clinical guidelines, with a high level of evidence and strength of recommendation. 4 -11 In addition, referral to CR/SP programs is incorporated into performance measure sets for myocardial infarction and chronic oronary artery disease. 12,13 From Helen Hayes Hospital, West Haverstraw, New York, and Columbia University, New York, New York (M. Legislation passed by the US Congress in 2008 stipulated that a medical director is required for the operation of CR/SP programs, and that CR/SP is defined as "a physician supervised program that furnishes physician prescribed exercise, cardiac risk factor modification, psychosocial assessment, and outcomes assessment" (italics added). 14 As a result of this legislation and changes in the science and practice of CR/SP, the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) and the American Heart Association (AHA) deemed it important and necessary to update the 2005 AACVPR/AHA statement on the roles and responsibilities of CR/SP m...

show abstract

Core Competencies for Cardiac Rehabilitation/Secondary Prevention Professionals

Cited by 132 publications

References 18 publications

Smoking and cardiac rehabilitation participation: Associations with referral, attendance and adherence

Smoking and cardiac rehabilitation participation: Associations with referral, attendance and adherence

Development and Evaluation of a Modified Hospital Elder Life Program

Medical Director Responsibilities for Outpatient Cardiac Rehabilitation/Secondary Prevention Programs: 2012 Update

Contact Info

Product

Resources

About