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What is the Cardiac Rehab Change Package

The Value-based Care Initiative provides resources to improve patient care through data-driven analysis and service improvement, focusing on accountability, efficiencies, operational transformation, and technology solutions. Partnered with Million Hearts, AACVPR introduces the Cardiac Rehabilitation Change Package.

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What is the Cardiac Rehab Change Package

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  1. Quality patient care is at the core of all we do. Value-based care is delivering the best quality patient care with regards to the cost of that care through data-driven analysis and service improvement. The Value-based care Initiative provides resources which assist cardiac & pulmonary rehabilitation professionals to: • Assign accountability. • Target efficiencies. • Strategize operational transformation. • Restructure the care delivery model. • Implement effective technology solutions in management. • Ultimately improve the patient and practitioner experience.

  2. AACVPR’s partnership with Million Hearts, a branch of the Center for Disease Control, has resulted in the new Cardiac Rehabilitation Change Package, released at the 33rd AACVPR Annual Meeting. 

  3. What is the Cardiac Rehab Change Package • Listing of Process Improvements • Composed of: • Change Concepts • Key Drivers that lead to development of more specific ideas • Change Ideas • Actionable, specific ideas or strategies for changing a process • Tools & Resources • What you use to impact the process

  4. Focus Areas • Systems Change • Referrals • Enrollment & Participation • Adherence

  5. Focus Area • Systems Change – Establishing foundations for effective CR utilization • Change Concept – Making CR a Health System Priority • Change Idea - Engage the care team in CR and ensure their buy-in in CR • Tools & Resources • Crucial conversation with Medical Providers & Hospital Administration • Million Hearts – Cardiac Rehab Infographic • CP Rehab: Update to Department Managers

  6. Focus Area • Referrals • Change Concept – Standardize the CR Referral Process • Change Idea – Use Inpatient EHR tools to automate referrals to CR for eligible patients • Tools and Resources – Emory Healthcare: Cardiac Rehab Electronic Referral Process and Communication Tool Presentation

  7. Focus Area • Enrollment & Participation • Change Concept – Improve efficiency of enrollment • Change Idea – Incorporate group orientations • Tools & Resources • AACVPR CR Enrollment Strategy • Group Orientation Process Flowsheet • Welcome to Heart & Vascular and PR PP for Patients

  8. Focus Area • Adherence • Change Concept – Improve Patient Engagement • Change Idea – Connect enrolled patients with a graduate or Phase III participant Patient Ambassador or “sponsor” • Tools and Resources – Miriam Hospital – Patient Ambassador Program

  9. Process Improvement • Plan - Begin by collecting baseline data on a process that you are interested in improving • Do – Test your change ideas on a small scale using a small number of patients, and discuss with clinical staff any identified potential barriers to implementation • Study – Assess success of the implantation of your test • Act – Make needed refinements as you scale up your project to a larger level

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