Robin Gilbert – Cardiac Disease: Rehab Goals to Prevent Future Complications

Outline

Acute Heart Disease Diagnoses

• Acute Coronary Syndrome
• Acute Myocardial Infarction (STEMI and
• Non-STEMI)
• Angina
• PTCA
• CABG
• Heart Transplant
• Heart Failure
• L VAD, Life Vest as Bridge or Destination
• COPD
• Diabetes

Cardiac Rehab Referrals

• Who is eligible?
• Educating in-patient nursing staff
• Educating physicians
• Computerized Medical Record use in triggering eligible patient populations
• Patients who fall through the cracks

Lifestyle Challenges for Patients

• Depression
• Motivation
• Compliance
• Risk factors
• Financial

Cardiac Rehab

• Phases 1 – 4
• Individualized treatment plans
• Patient education
• Monitoring quality outcomes
• Evidence-based practice updates

Secondary Prevention Program

• Becoming model for other programs
  • Hypertension
  • Obesity
  • Diabetes
  • Peripheral Vascular Disease

Effecting Change

• Knowledge is not enough
• Positive sense of self
• Power of control
• Readiness to change
• Goals and independence
• Feedback and celebrate success

Preparing for the Unexpected Event

• Rapid response
• Dysrhythmias
• Syncope
• Seizures
• Cardiac arrest
• Equipment, staffing

Insurance and Reimbursement

• Medicare vs. private insurance
• Number of sessions eligible
• Billing and coding
• Documentation

Preparing for Certification

• When to start
• Data collection
• Role of Medical Director
• Competencies

Heart Failure: Where are We at Incorporating Them into Rehab?

Use of Technology

• Appointment reminders
• Data reporting
• Virtual technology for follow-up opportunities

Using Cardiac Rehab to Its Fullest

• Partnering opportunities