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Rev Sep 2003

Cardiac Rehabilitation

Best Medicine for your patientswith Coronary Artery Disease

Why you should write thePrescription

TODAY!

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Mission of Cardiac Rehab

To restore and maintain an individuals

optimal physiological, psychological,

social and vocational status.

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Core Program Components

Risk factor management

Baseline & ongoing patient assessment

Exercise/activity training

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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

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DiseaseManagement

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

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What Diagnoses are

Covered?

Medicare Guidelines: Stable Angina

Myocardial Infarction

Coronary Artery Bypass Graft

Private insurance coverage may vary

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Utilization Benefits:

Reduced risk of fatal MI (

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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 otherappropriate issues

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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

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Lifestyle Benefits:

Risk Factor and Lifestyle Modification

Smoking cessation Lipid improvement

Blood pressure control

Exercise guidance

Weight management

Diabetes control

Stress management

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Significant Statistics

Cardiovascular disease accounts for almost 50% of alldeaths in the U.S.

Cardiovascular disease affects 13.5 million Americanseach year

Nearly 1.5 million Americans sustain myocardialinfarctions each year

American Heart Association, Dallas Texas

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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

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Risk Factors

Hyperlipidemia

105,000,000 people with a tot chol > 200

10% reduction in TC = 30% reduction in incidence ofCAD

Physical Inactivity $76 billion

> 60% of Americans dont get sufficient exercise

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Exercise Research

Direct relation between inactivity and cardiovascularmortality. Inactivity is an independent risk factor forof CAD.

Exercise capacity is a more powerful predictor ofmortality among men than other established riskfactors for CAD.

Physical fitness has been clearly associated withimprovements in lipid profiles.

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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

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Cost-effectiveness/

Cost-efficiencyMedicare 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.

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Cardiac Rehab Professionals

Partners in Patient Care:

Medical Director

Referring Physician Registered Nurses

Exercise Physiologists

Dieticians/Nutritionists

Social Services/Psychosocial

Pharmacists

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Who can Refer a Patient?

Site-specific Policy:

Cardiologist

Primary Care Physician

Internist

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Communication with Rehab?

Collaborative Approach:

Initial referral/plan of care

Periodic Progress reports

Program oversight by Medical Director

Open ended lines of communication

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Cardiac Rehab adds Value

Cardiac patients have many disease processesand lifestyle concerns that have contributed totheir heart disease.

Cardiac rehab serves the needs of each cardiacpatient and works toward secondary prevention.

Cardiac rehab adds VALUE to your patient careand increases QUALITY OF LIFE!

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CARDIAC REHABILITATION:

A REFERRAL IS APHONE CALL

AWAY!