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Patient Navigator Program Leads to Better Understanding of Medications Among Patients

This resource highlights an American College of Cardiology patient education program’s efforts to help acute myocardial infarction patients understand their medications, possibly leading to higher patient satisfaction and lower readmissions.

American College of Cardiology American College of Cardiology unlocked key icon Patient Education Tool
The Effect of Executive Function on Adherence with a Cardiac Secondary Prevention Program and Its Interaction with an Incentive-Based Intervention

This study examined if cognitive executive function predicts CR treatment adherence. The work illustrates the value of considering individual differences in executive function when designing and implementing health interventions.

Gaalema D, Dube S, Potter A, Elliott R, Mahoney K, Sigmon S, Higgins S, Ades P Preventive Medicine locked key icon Staff Training Tool
Promoting Patient Uptake and Adherence in Cardiac Rehabilitation

This literature review updates the 2010 Cochrane review on increasing the use of cardiac rehabilitation to determine the harms and benefits of interventions to increase patient uptake of and adherence to cardiac rehabilitation.

Karmali K, Davies P, Taylor F, Beswick A, Martin N, Ebrahim S The Cochrane Database of Systematic Reviews locked key icon Staff Training Tool
Disparities in the Use of Cardiac Rehabilitation after a Myocardial Infarction in the United States

This study aimed to identify disparities in the use of cardiac rehabilitation. Surveys showed that African Americans ages 18-49 were less likely to use rehabilitation, while high school and college graduates were more likely to use it.

Patel K, Brown J Journal Of Clinical Medicine unlocked key icon Engage Leadership
Improving Cardiac Rehabilitation Uptake: Potential Health Gains by Socioeconomic Status

This study evaluated cardiac rehabilitation participation rates and their relevance to socioeconomic inequality. It found that rehabilitation is cost effective and can also be implemented to reduce known socioeconomic inequalities.

Hinde S, Bojke L, Harrison A, Doherty P European Journal Of Preventive Cardiology locked key icon Making the Case
Should I Participate in a Cardiac Rehabilitation Program?

This Harvard Health Blog post by Hicham Skali, MD, MSc, FACC outlines the evidence on the benefits for cardiac rehabilitation in a patient-friendly way.

Skali H Harvard Health Publishing unlocked key icon Making the Case
Financial Incentives to Increase Cardiac Rehabilitation Participation Among Low-Socioeconomic Status Patients: A Randomized Clinical Trial

This study examined the use of financial incentives to increase Medicaid patient participation in cardiac rehabilitation.

Gaalema D, Elliott R, Savage P, Rengo J, Cutler A, Pericot-Valverde I, Priest J, Shepard D, Higgins S, Ades P Journal of the American College of Cardiology: Heart Failure locked key icon Engage Leadership
Disparities in Cardiac Rehabilitation Among Individuals from Racial and Ethnic Groups and Rural Communities: A Systematic Review

This study looked at the records of 478,955 patients with coronary heart disease and found significantly lower cardiac rehabilitation referral and participation rates among patients from rural communities, women, and racial and ethnic groups.

Castellanos L, Viramontes O, Bains N, Zepeda I Journal Of Racial And Ethnic Health Disparities locked key icon Engage Leadership
Increasing Access to Quality Cardiac Rehabilitation Care Act of 2019

An overview of the proposed Increasing Access to Quality Cardiac Rehabilitation Care Act of 2019 (H.R. 3911) legislation.

WomenHeart WomenHeart unlocked key icon QI Tool
Cardiac Rehabilitation Adherence Strategy: Incorporating Motivational and Financial Incentives

This Cardiac Rehabilitation Adherence Strategy from the American Association of Cardiovascular and Pulmonary Rehabilitation highlights how incentives can increase cardiac rehabilitation attendance, treatment completion, and adherence rates.

American Association of Cardiovascular and Pulmonary Rehabilitation American Association of Cardiovascular and Pulmonary Rehabilitation unlocked key icon QI Tool
Evidence to Service Gap: Cardiac Rehabilitation and Secondary Prevention in Rural and Remote Western Australia

Cardiac rehabilitation attendance rates are as low as 10-30% in rural/remote populations in Western Australia.

Hamilton S, Mills B, McRae S, Thompson S BMC Health Services Research unlocked key icon Engage Leadership
Sex and Racial Disparities in Cardiac Rehabilitation Referral at Hospital Discharge and Gaps in Long-Term Mortality

This study examined whether inequality in CR referral impacted long-term survival. It found that mortality gaps for women and minorities could potentially be reduced through elimination of inequality in rehabilitation referral.

Li S, Fonarow G, Mukamal K, Xu H, Matsouaka R, Devore A, Bhatt D Journal of the American Heart Association unlocked key icon Engage Leadership
Geographic Variation in Cardiac Rehabilitation Participation in Medicare and Veterans Affairs Populations: Opportunity for Improvement

This study, which examined five years of national cardiac rehabilitation trends, found participation remains low overall in both Medicare and VA populations.

Beatty A, Truong M, Schopfer D, Shen H, Bachmann J, Whooley M Circulation unlocked key icon Engage Leadership
What is Care Coordination

This NEJM Catalyst Care articles provides an overview of care coordination, or the synchronizing of the delivery of a patient’s health care from multiple providers and specialists.

NEJM Catalyst New England Journal of Medicine Catalyst unlocked key icon QI Tool
Availability and Quality of Cardiac Rehabilitation Around The Globe: Patients Served, Providers, and Core Components

In conducting the first-ever global survey of cardiac rehabilitation programs, researchers found that only half of countries have cardiac rehabilitation available, despite overwhelming evidence of the clinical and economic benefits.

Pola M, Turk-Adawi K, Pesah E, Lopez-Jimenez F, Rongjing D, Britto R, Derman W, Bjarnason-Wehrens B, Abreu A, Khiong J, Andersen K, Gonzalez G, Giga V, Yeo TJ, Scantlebury D, Vulic D, Vataman E, Cuenza L, Grace S Journal of the American College of Cardiology unlocked key icon Making the Case
Cost Sharing: An Important Modifiable Barrier to Full Participation in Cardiac Rehabilitation

This presentation highlights a study that evaluated the relationship between cost-sharing and attendance at cardiac rehabilitation sessions. The study demonstrate that cost-sharing has a negative impact on cardiac rehabilitation attendance.

Farah M, Ainani N, Szalai H, Visintainer P, Lindenauer P, Abdallah M, Pack Q American Association of Cardiovascular and Pulmonary Rehabilitation unlocked key icon QI Tool
Non-White Patients with Coronary Heart Disease Have Worse Cardiac Rehabilitation Participation than White Patients

This study concludes that factors such as annual earned income, rural predominance of non-white patients, and language barriers may be contributing to disparities in cardiac rehabilitation participation.

Dang Y, Nunez S, Gallegos A, Viramontes O, Zepeda I, Castellanos L Journal of the American College of Cardiology unlocked key icon Patient Education Tool
Do High Referral Rates Translate to High Participation Rates in Cardiac Rehabilitation? A Regional Experience

This poster presentation highlights a study of 531 patients eligible for cardiac rehabilitation to determine if wait times for access to cardiac rehabilitation programs affect patient participation rates.

Frechette K, Conley S, Tang A, Welch T American Association of Cardiovascular and Pulmonary Rehabilitation unlocked key icon QI Tool
Social Inequality and Barriers to Cardiac Rehabilitation in the Rehab-North Register

This Danish study of 5,455 patients with myocardial infarction showed that those with low socioeconomic status received less information about cardiac rehabilitation and were less willing to participate in cardiac rehabilitation.

Graversen C, Eichhorst R, Ravn L, Christiansen S, Johansen M, Larsen M Scandinavian Cardiovascular Journal locked key icon Engage Leadership
Patient Characteristics Predictive of Cardiac Rehabilitation Adherence

This study found that younger individuals, as well as those who report smoking or economic challenges or have a nonsurgical diagnosis, may require additional support to maintain attendance in cardiac rehabilitation sessions.

Gaalema D, Savage P, Rengo J, Cutler A, Elliot R, Priest J, Higgins S, Ades P Journal Of Cardiopulmonary Rehabilitation And Prevention unlocked key icon Engage Leadership
Improving Access to Cardiac Rehabilitation in the Veterans Health Administration

This presentation reviews participation in cardiac rehabilitation before and after enactment of a home-based cardiac rehabilitation program. It found that a home-based program significantly increased participation.

Krishnarthi N, Schopfer D, Rohrbach G, Bettencourt M, Pabst M, Whooley M American Association of Cardiovascular and Pulmonary Rehabilitation unlocked key icon QI Tool
A Telephone Intervention to Improve Patient Return Rates in Cardiac Rehabilitation: A Pilot Study

The findings of a study outlined in this presentation showed that motivational telephone interventions delivered shortly after outpatient cardiac rehabilitation improves patient return rates.

LaValley G, Szalai H, Pack Q, Storer A American Association of Cardiovascular and Pulmonary Rehabilitation unlocked key icon Staff Training Tool
Referral to Cardiac Rehabilitation After Percutaneous Coronary Intervention, Coronary Artery Bypass Surgery, and Valve Surgery: Data From the Clinical Outcomes Assessment Program

This study of hospital-level variation in CR referral after PCI, coronary artery bypass surgery, and valve surgery found that the hospital performing the procedure was a stronger predictor of referral than any patient characteristic.

Beatty A, Bradley S, Maynard C, McCabe J Circulation unlocked key icon Engage Leadership
Association of Neighborhood Socioeconomic Context With Participation in Cardiac Rehabilitation

This study, which examined 52,117 Medicare and Medicaid claims of cardiac patients, found that patients residing in lower socioeconomic neighborhoods were associated with decreased cardiac rehabilitation participation levels.

Bachmann J, Huang S, Gupta D, Lipworth L, Mumma M, Blot W, Akwo E, Kripalani S, Whooley M, Wang T, Freiberg M Journal of the American Heart Association unlocked key icon Engage Leadership
Relationship Between Cardiac Rehabilitation Participation and Health Service Expenditures Within a Universal Health Care System

This study of 6,284 patients referred to cardiac rehabilitation between 2003-2010 in Canada found participation in CR is associated with lower long-term health service utilization expenditures within a publicly funded health care system.

Alter D, Yu B, Bajaj R, Oh P Mayo Clin Proc locked key icon Making the Case
Quality and Equitable Health Care Gaps for Women Attributions to Sex Differences

In this evidence review, researchers propose “radical changes” to the health care system, including redesign, locality of services, and payment reform to improve equity of cardiovascular care for women.

Shaw L, Pepine C, Xie J, Mehta P, Morris A, Dickert N, Ferdinand K, Gulati M, Reynolds H, Hayes S, Itchhaporia D, Mieres J, Ofili E, Wenger N, Merz C Journal of the American College of Cardiology unlocked key icon Patient Education Tool
An Exploration of the Impact of the "Open Gym" Scheduling Model of Cardiovascular Rehabilitation on Completion, Attendance, and Health Outcomes

This presentation highlights an initiative to reform programs to benefit cardiac rehabilitation patients through enhanced engagement by establishing an open gym scheduling model, and the resulting conclusions.

Whited M, Ellis J, Freeman J, Corson A, Greenway S, Busch A, Whited A, Sears S American Association of Cardiovascular and Pulmonary Rehabilitation unlocked key icon QI Tool
Barriers and Potential Solutions to Increase Cardiac Rehabilitation Completion Rates: Patient's Perspective

This Mayo Clinic presentation highlights a study to identify patient-reported barriers to completion of a cardiac rehabilitation program, along with facilitators that might increase cardiac rehabilitation completion.

Supervia M, Medina-Inojosa J, Douglas K, Hathaway J, Leth S, Squires R, Pérez-Terzic C, Lopez-Jiminez F, Martinez-Jarreta B, Thomas R American Association of Cardiovascular and Pulmonary Rehabilitation unlocked key icon QI Tool
Impact of Patient Navigation on Cardiac Rehabilitation Enrollment for Radial Percutaneous Coronary Intervention Patients

This poster presentation highlights the exploration of a process improvement strategy on post procedure radial PCI patients using an automatic CR referral system and patient navigator rounding, findings, and proposed next steps.

Summers G, Martizia-Rash R American Association of Cardiovascular and Pulmonary Rehabilitation unlocked key icon QI Tool
Effect of Socioeconomic Status on Propensity to Change Risk Behaviors Following Myocardial Infarction: Implications for Healthy Lifestyle Medicine

This literature review found that lower socioeconomic status populations are less successful at changing risk behaviors following myocardial infarction, including involvement in cardiac rehabilitation programs.

Gaalema D, Elliott R, Morford Z, Higgins S, Ades P Progress In Cardiovascular Diseases unlocked key icon Engage Leadership
Effect of Inpatient Recruiting on Attendance at Phase II Outpatient Cardiac Rehabilitation

This poster highlights a study on the effects of a non-physician inpatient recruitment model on the percentage of patients participating in outpatient CR and the number of days between hospital discharge and the first session.

Saval M, Kurtz R, Majchrzak A, Kilian S, Kerrigan D, Ehrman J, Keteyian S American Association of Cardiovascular and Pulmonary Rehabilitation unlocked key icon Patient Education Tool
The Patient Education - Learning and Coping Strategies - Improves Adherence in Cardiac Rehabilitation (LC-REHAB): A Randomised Controlled Trial

This trial assessed the impact of 'Learning and Coping Strategies' on patient adherence to a two-month CR program, concluding patients with heart failure, low levels of education, and low-income benefit most from the intervention.

Lynggaard V, Nielsen C, Zwisler A, Taylor R, May O International Journal of Cardiology locked key icon Patient Education Tool
Internet Usage, Proficiency, Use of Internet/Smart Devices to Manage Health Among Enrollees in Cardiac Rehabilitation Program

In this study, researchers looked at internet-based health information use in older cardiac rehabilitation participants, including low levels of utilization of resources and other factors associated with low levels of internet use in this group.

Saadi A, Kanmanthareddy A, Hardy K, Williams M, Alla V American Association of Cardiovascular and Pulmonary Rehabilitation unlocked key icon QI Tool
The Design and Implementation of a Home-Based Cardiac Rehabilitation Program

This Federal Practitioner article highlights a home-based cardiac rehabilitation program that improves access and enrollment by using an evidence-based alternative model of care.

Rohrbach G, Schopfer D, Krishnamurthi N, Pabst M, Bettencourt M, Loomis J, Whooley M Federal Practitioner unlocked key icon QI Tool
Electronic Case Managing: The New Age Cardiac Rehabilitation

To increase cardiac rehabilitation completion rates, this Mayo Clinic poster presentation highlights a quality-improvement project to improve completion of cardiac rehabilitation components while increasing patient satisfaction through an app.

Peterson C, Becker J, Bowman M, Hodgman K, Olson T, Squires R, Thomas R American Association of Cardiovascular and Pulmonary Rehabilitation unlocked key icon QI Tool
Increasing Cardiac Rehabilitation Program Referrals: A Clinic-Based Intervention

The study evaluated the impact of a clinic-based intervention to improve cardiac rehabilitation referral rates and found that on-site cardiac rehabilitation liaisons with pre-screening for eligibility improved referral rates.

Brown L, Brislin G, Stephens J Journal of the American College of Cardiology unlocked key icon QI Tool
Patient Perceptions of Cardiac Rehabilitation within Veterans Health Administration (VHA) Facilities with High Verses Low Program Utilization

This presentation highlights a study showing that impediments to patient participation in cardiac rehabilitation can be overcome when providers emphasize cardiac rehabilitation, educate patients about its benefits, and take other steps.

Allsup K, McIntosh N, McDannold S, Fix G, Manning K, Schopfer D, Whooley M, Charns M, Forman D American Association of Cardiovascular and Pulmonary Rehabilitation unlocked key icon Making the Case
Benefits of Cardiac Rehabilitation in Older Adults

This American College of Cardiology analysis highlights specific benefits of cardiac rehabilitation for an aging population, including reduced mortality and morbidity, improved exercise capacity, quality of life, symptoms, and mood.

Schopfer D, Forman D American College of Cardiology unlocked key icon Patient Education Tool
Cardiac Rehabilitation Enrollment and Outcomes in Patients with Chronic Heart Failure and Reduced Ejection Fraction

This presentation highlights an 18-month effort by the University of Vermont Medical Center to enroll congestive heart failure patients into cardiac rehabilitation and provides factors that influence patients’ attendance.

Rengo J, Savage P, Barrett T, Ades P American Association of Cardiovascular and Pulmonary Rehabilitation unlocked key icon QI Tool
Cardiac Rehabilitation Following Acute Myocardial Infarction, Trends In Referral Over The Past Decade, Predictors Of Referral, And One-Year Mortality Outcome In A Multicenter National Registry Between 2006-2013

This study, designed to assess current referral trends for cardiac rehabilitation over the past decade, showed that referral for cardiac rehabilitation was associated with a significant 29% mortality risk reduction at one year of follow-up.

Sabbag A, Chernomordik F, Goldenberg I, Matetzky S, Klempfner R Journal of the American College of Cardiology unlocked key icon QI Tool
Drivers of Racial and Ethnic Disparities in Cardiac Rehabilitation Use: Patient and Provider Perspectives

This study sought to identify factors that drive racial and ethnic disparities in the use of cardiac rehabilitation. The findings suggest that health care systems need to address multiple levels of problems to mitigate these disparities.

Mead H, Ramos C, Grantham S Medical Care Research And Review locked key icon Engage Leadership
Biopsychosocial-Spiritual Factors Impacting Referral to and Participation in Cardiac Rehabilitation for African American Patients: A Systematic Review

This literature review found that African Americans with CVD were less likely to get a cardiac rehabilitation referral, more likely to enter rehabilitation with more risk factors, and less likely to participate in and complete treatment.

Koehler Hildebrandt A, Hodgson J, Dodor B, Knight S, Rappleyea D Journal Of Cardiopulmonary Rehabilitation And Prevention locked key icon Engage Leadership
Ensuring Cardiac Rehabilitation Access for the Majority of Those in Need: A Call to Action for Canada

There is a severe undersupply of CR programs in Canada, and certain patient groups are less likely to access rehabilitation services. This article makes several recommendations for ways to reach patients with the greatest need.

Grace S, Turk-Adawi K, Pio C, Alter D The Canadian Journal Of Cardiology unlocked key icon Making the Case
Financial Incentives to Promote Cardiac Rehabilitation Participation and Adherence Among Medicaid Patients

This Vermont study found that financial incentives may increase participation and adherence to cardiac rehabilitation among patients with lower socioeconomic status.

Gaalema D, Savage P, Rengo J, Cutler A, Higgins S, Ades P Preventive Medicine unlocked key icon Engage Leadership
Women and Cardiac Rehabilitation: Evidence-Based Barriers and Solutions

This poster presentation highlights an evidence review by Mayo Clinic researchers to identify sex-related barriers to cardiac rehabilitation and their potential solutions applicable for women.

Pola M, Yeung C, Medina-Inojosa J, Brewer L, Leth S, Squires R, Pérez-Terzic C, Lopez-Jimenez F, Thomas R American Association of Cardiovascular and Pulmonary Rehabilitation unlocked key icon Patient Education Tool
Factors Associated with Utilization of Cardiac Rehabilitation Among Patients with Ischemic Hearts Disease in the Veterans Health Administration: A Qualitative Study

This study sought to identify barriers and facilitators associated with utilization of cardiac rehabilitation in Veteran Health Administration facilities, and suggested ways to increase utilization of cardiac rehabilitation programs.

Schopfer D, Priano S, Allsup K, Helfrich C, Ho P, Rumsfeld J, Forman D, Whooley M Journal Of Cardiopulmonary Rehabilitation And Prevention locked key icon Patient Education Tool
Impact of an Individualized Patient Self-Monitoring Tool of Scheduled Cardiac Rehabilitation Visits on Attendance

This study overview reviews whether the number of completed cardiac rehabilitation sessions would be behaviorally different with a customized patient self-monitoring tool versus cardiac rehabilitation alone.

Saval M, Kerrigan D, Harbac R, Reasons L, Aldred H, Ehrman J, Keteyian S American Association of Cardiovascular and Pulmonary Rehabilitation unlocked key icon Patient Education Tool
Patient Characteristics Predictive of Failure to Complete a Cardiac Rehabilitation Program

This University of Vermont Medical Center study overview highlights associations between the number of cardiac rehabilitation sessions completed and patient demographics, clinical characteristics, smoking status, and socioeconomic status.

Savage P, Gaalema D, Rengo J, Cutler A, Elliott R, Priest J, Higgins S, Ades P American Association of Cardiovascular and Pulmonary Rehabilitation unlocked key icon Patient Education Tool

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