Overview of performance for cardiac rehab programs

Details include steps for proper enrollment

A new set of performance measures to increase patient enrollment in cardiac rehabilitation programs and set standards of excellence for program operation were released in 2007.

They are the work of teams from the American Association of Cardiovascular and Pulmonary Rehabilitation in Chicago, The American College of Cardiology in Washington D.C., and the American Heart Association in Dallas.

The AACVPR/ACC/AHA 2007 Performance Measures on Cardiac Rehabilitation for Referral to and Delivery of Cardiac Rehabilitation/ Secondary Prevention Services divide the material into two parts. The first section focuses on referring and enrolling patients to cardiac rehabilitation programs. The second portion addresses outcomes measures.

Included in the document are referral forms for both inpatient and outpatient settings. There are also sample data collection tools.

There are many details included in this paper. Following is an example, which is the list of steps for program referral:

  • Discuss with patient the choices of cardiac rehabilitation programs in his/her home area and have the patient select a program.
  • Provide patient with information about the selected cardiac rehabilitation program.
  • With patient consent, call the receiving cardiac rehabilitation program, chosen by patient, requesting that the program contact the patient at home to arrange the first appointment.
  • Document the name of the cardiac rehabilitation program in the hospital discharge summary with copies of the appropriate enclosures.
  • With patient consent, send hospital discharge summary and other appropriate information to the cardiac rehabilitation program (could include surgical report, angiogram report, electrocardiogram, inpatient cardiac rehabilitation evaluation).

Full copies of these standards are available online at www.aacvpr.org, www.acc.org, and www.americanheart.org.