Guidelines for Cardiac Rehabilitation Programs

Chapter 1. Cardiac Rehabilitation: An Evolving Model of Care in the Era of Healthcare Reform Ana Mola, PhD, ANP-BC CR and Population Health Management CR and Value-Based Care CR and Care Coordination Summary Chapter 2. The Continuum of Care: From Inpatient and Outpatient CR to Long-Term Secondary Prevention Cathie Biga, MSN, FACC CVD Continuum of Care Efforts to Reduce Gaps in the Continuum of Care The Role of CR in the Continuum of Care Putting It All Together Summary Chapter 3. CR in Inpatient and Transitional Settings Mary Dolansky, PhD, RN, FAAN; Ana Mola, PhD, ANP-BC Assessment, Mobilization, and Risk Factor Management Discharge Planning Clinical Pathways Staffing Space and Equipment Transitional Settings Summary Chapter 4. Medical Evaluation and Exercise Testing for Outpatient CR Sherrie Khadanga, MD Physical Examination Risk Stratification and Identification of Contraindications for Exercise Training Summary Chapter 5. Outpatient CR and SP Philip A. Ades, MD, FACC, MAACVPR Structure of CR and SP Assessment and Management of Risk Factors for CVD Progression Coaching, Case Management, and Counseling Innovation in CR Maintenance CR Future Directions Summary Chapter 6. Physical Activity and Exercise Jonathan Myers, PhD Cardiorespiratory Endurance Training Exercise Recommendations for Patients Without a Recent Exercise Test PA Outside of CR Resistance Training Flexibility Training Summary Chapter 7. Nutrition Guidelines Ellen Schaaf Aberegg, MA, LD, RD, FAACVPR Key Nutrition Principles Diet Patterns of Nutrition Intake Evidence-Based Nutrition Guidelines for CVD Risk Factors Nutrition in the CR Care Process Dietitian-CR Professional Partnership Summary Chapter 8. Behavior Modification for Risk Factor Reduction: Guiding Principles and Practice Diann Galeema, PhD Overview of Health-Related Behavior Change Summary Chapter 9. Modifiable CVD Risk Factors Sheri R. Colberg, PhD, FACSM; Emma Fletcher, MS, MVB; Carly Goldstein, PhD; Paul M. Gordon, PhD, MPH, FACSM; Joel Hughes, PhD, FAACVPR; Jonathan Myers, PhD; Quinn R. Pack, MD, MsC, FAACVPR; Killian Robinson, MD, FAHA, FACC, FACP Physical Inactivity Dyslipidemia Diabetes Tobacco Use Hypertension Overweight and Obesity Psychosocial Considerations Environmental Considerations Summary Chapter 10. Cardiac Disease Populations Alison L. Bailey, MD, FACC; Alexis L. Beatty, MD, MAS; Brian Carlin, MD, FCCP, MAACVPR, FAARC; Dennis J. Kerrigan, PhD, FACSM; Steven J. Keteyian, PhD; Kirstine Laerum Sibilitz, MD, PhD; Karen Lui, RN, MS, MAACVPR; Ryan Mays, PhD, MPH; Jonathan Powell, MD; Ray W. Squires, PhD; Diane J. Treat-Jacobson, PhD, RN, FAAN CR for Patients With CVD Heart Valve Replacement and Repair Surgery Dysrhythmias Heart Failure and Left Ventricular Assist Devices Heart Transplantation Peripheral Artery Disease Chronic Lung Disease Summary Chapter 11. Special Demographic Populations Justin M. Bachmann, MD, MPH, FACC; Daniel Forman, MD; Naomi Gauthier, MD; Alexander Opotowsky, MD, MPH, MMsc; Marta Supervia MD, MSc, CCRP; Carmen Terzic, MD, PhD Younger Adults Older Adults Women and Men Race and Culture Socioeconomic Considerations Summary Chapter 12. Program Administration Karen Lui, RN, MS, MAACVPR Program Priorities Facilities and Equipment Organizational Policies and Procedures Insurance and Reimbursement Documentation Personnel Continuum of Care and Services Summary Chapter 13. Outcomes Assessment and Utilization Sherry L. Grace, PhD, FCCS, FAACVPR, CRFC Purposes for Measuring Outcomes Outcomes Matrix Measuring, Documenting, Analyzing, and Reporting Program Outcomes Resources Summary Chapter 14. Management of Medical Problems and Emergencies Jason L. Rengo, MS, FAACVPR Potential Risks in Outpatient CR Intervention Summary Phase 3 CR Programs Alternative Models of SP Summary Appendix A. Example of Standing Orders to Initiate Outpatient CR Appendix B. Example of Outpatient CR Emergency Standing Orders Appendix C. Cardiac Rehabilitation Untoward Event-Physician Notification Appendix D. Daily Emergency Cart Checklist Appendix E. Monthly Emergency Cart Checklist Appendix F. Emergency Equipment Maintenance Log