-
takeheart.ahrq.gov/resource-center/articles/virtual-and-person-cardiac-rehabilitation
January 01, 2021 - for cardiac rehabilitation and considers how adoption of a broader range of evidence based delivery methods
-
takeheart.ahrq.gov/resource-center/articles/underutilization-cardiac-rehabilitation-women-barriers-and-solutions
January 01, 2021 - and provides recommendations for providers regarding participation and adherence as well as optimal methods
-
takeheart.ahrq.gov/sites/default/files/2022-01/TAKEheart_Module%203_Understanding%20Workflow%20Processes_Implementation%20Guide_FINAL.docx
January 01, 2022 - organize these using a Fishbone Diagram (see the Sample Fishbone Diagram in Appendix D).
· Strategize methods … are one method used for process improvements.
· Develop a protocol for scheduling the first session, … process allows you to see gaps, duplications and bottlenecks that might not be apparent by reading a procedure … Methods:
i. Draw on whiteboard
ii. Draw on flip chart
iii. Draw on paper taped to wall
iv. … Diagnosis/procedure entered into EHR Provider determines eligibility (opt out) EHR triggers order
-
takeheart.ahrq.gov/sites/default/files/2021-07/TAKEheart_Module%203_Understanding%20Workflow%20Processes_Implementation%20Guide_FINAL_0.pdf
January 01, 2021 - • Strategize methods for process improvements. … • Improve Care Coordination Processes
o Protocols or official procedures are one method used for … o Develop and communicate policies/procedures for orienting patients to CR. … Methods:
i. Draw on whiteboard
ii. Draw on flip chart
iii. Draw on paper taped to wall
iv. … Diagnos is procedure
entered into
rovider
determines
el igibi l i ty
opt out
triggers
-
takeheart.ahrq.gov/sites/default/files/2022-05/TAKEheart_Module%203_Understanding%20Workflow%20Processes_Implementation%20Guide_FINAL.pdf
January 01, 2022 - • Strategize methods for process improvements. … • Improve Care Coordination Processes
o Protocols or official procedures are one method used for … o Develop and communicate policies/procedures for orienting patients to CR. … Methods:
i. Draw on whiteboard
ii. Draw on flip chart
iii. Draw on paper taped to wall
iv. … Diagnos is/procedure
entered intoEHR
Provider
determines
el igibi l i ty
(opt out)
EHR triggers
-
takeheart.ahrq.gov/sites/default/files/2021-07/TAKEheart%20Module%203%20Understanding%20Workflow%20Processes_FINAL%20sxf_0.pdf
January 01, 2021 - 13
Where Should You Focus: Inpatient CR & Procedures
14
PATHS TO CR
How to Map Key Processes … 15
METHODS
Many ways to map workflow, one
technique uses different colored “sticky”
notes to represent … Stakeholders
to Map Process
Current Workflow
Enrollment
Staff visit and talk about CR post-
procedure … Implement New Workflow
Redesigned and Improved Workflow
Enrollment
Staff visit and talk about CR post-procedure … Where Should You Focus: Inpatient CR & Procedures
How to Map Key Processes
Flowchart
Breaking The
-
takeheart.ahrq.gov/sites/default/files/2022-01/TAKEheart_Module%203_Understanding%20Workflow%20Processes_Slide%20Deck_FINAL.pdf
January 01, 2022 - The CR Workflow Process
TAKEheart Foundational Processes
Where Should You Focus: Inpatient CR & Procedures … 12
PATHS TO CR
Inpatient CR Procedures
Outpatient/Ambulatory
Care
Physician practices &
Patient … self referrals
Outpatient
CR
How to Map Key Processes
13
METHODS
❖Many ways to map workflow, … Diagnosis/procedure
entered in EMR
EMR triggers order
prompt for CR
NO
YES
Ambulatory
Care Follow … Diagnosis/procedure
entered into EHR
Provider
determines
eligibility
(opt out)
EHR triggers
-
takeheart.ahrq.gov/resource-center/articles/long-term-exercise-effects-after-cardiac-telerehabilitation-patients
January 01, 2021 - cardiovascular telerehabilitation using wrist HR monitors is a feasible and effective rehabilitation method
-
takeheart.ahrq.gov/sites/default/files/2021-06/Supporting%20CR%20Patients_Event%20Summary.pdf
January 01, 2021 - Panelists shared methods they are using to preserve this vital
aspect of CR. … provided by phone or the web but CMS has not
provided guidance regarding where the clinical
“procedure … Better methods to support CR patients in their
homes can benefit all CR patients and expand the benefits
-
takeheart.ahrq.gov/sites/default/files/2022-03/TAKEheart%20Module%2010%20Deck.pdf
January 01, 2022 - ,
provided onsite at a
defined location that
includes the equipment,
staff, resources and
procedures … equipment (treadmill, rowing
machine)
• Resistance bands/tubes
• Body weight exercises
Viable methods … And because social support is critical to many CR
patients, you also need to incorporate methods to
-
takeheart.ahrq.gov/sites/default/files/2022-07/module%2010-Final%20sxf.pdf
January 01, 2022 - II CR,
provided onsite at a
defined location that
includes the equipment,
staff, resources and
procedures … ensure effectiveness
Promoting exercise
at home is a key
element of facility-
based CR
Viable methods … And because social support is critical to many CR
patients, you also need to incorporate methods to
-
takeheart.ahrq.gov/sites/default/files/2021-10/Implementation%20Guide_Module%206%20_FINAL%20sxf%20CL.pdf
January 01, 2021 - Finally, Part 3 will
address the techniques and methods for engaging and empowering patients to take … The needs of your patients
Patients are often overwhelmed and scared following a cardiac episode, procedure … Peer influence is a demonstrated method for influencing
physician behavior. … promote CR referrals, and enlisting
cardiologist champions to talk with their peers are all proven methods … There are multiple proven methods to help you get off to a successful start to this process.
-
takeheart.ahrq.gov/sites/default/files/2022-03/TAKEheart%20Module%2010%20Implementation%20Guide.pdf
January 01, 2022 - Clicking on the section title using the
same method takes you back to the table of contents. … synchronous) two-way audio-visual communication for exercises sessions and synchronous or
asynchronous methods … II CR,
provided onsite at a defined location that includes the equipment, staff, resources and
procedures … the current data
insurers periodically to see if their coverage addressing patient safety and the procedures … Every organization has different processes for introducing new programs or care methods.
-
takeheart.ahrq.gov/sites/default/files/2021-08/Implementation%20Guide_Module%205%20_FINAL%20(1).pdf
January 01, 2021 - of the EMR system and will need to prioritize
introducing automatic referral or improving existing procedures … codes and CPT codes
Condition /Procedure ICD-10 Diagnosis
codes
ICD-10 Procedure codes CPT codes … defined as
no recent (≤6 weeks)
or planned (≤6
months) major
cardiovascular
hospitalizations/
procedures … CR eligibility requires no major cardiovascular
hospitalizations or procedures for at least 6
weeks … records with the help of IT.
o Choose a small group of willing volunteers to participate.
o Develop methods
-
takeheart.ahrq.gov/resource-center/articles
January 01, 2021 - and provides recommendations for providers regarding participation and adherence as well as optimal methods … cardiovascular telerehabilitation using wrist HR monitors is a feasible and effective rehabilitation method … for cardiac rehabilitation and considers how adoption of a broader range of evidence based delivery methods … after PCI, coronary artery bypass surgery, and valve surgery found that the hospital performing the procedure
-
takeheart.ahrq.gov/sites/default/files/2021-02/TAKEheart%20AG%20Event%20Summary_11-12-2020_final_508c.pdf
January 01, 2021 - data platforms can be utilized by different organizations and programs often use a
combination of methods
-
takeheart.ahrq.gov/sites/default/files/COVID%20AG%20Program%20Operations_Event%20Summary_April%2030.pdf
April 30, 2020 - support/related resources
Keeping cardiologists and patients engaged
Resuming Operations
Methods
-
takeheart.ahrq.gov/sites/default/files/2021-06/TAKEheart%20AG%20Event%20Summary_3_25_2021.pdf
January 01, 2021 - • Some programs have developed methods to help women enrolled in CR to successfully complete
their
-
takeheart.ahrq.gov/sites/default/files/2021-08/Implementation%20Guide_Module%204_Final%2008-02-21%20sxf.pdf
January 01, 2021 - Clicking on the section title using the
same method takes you back to the table of contents. … Condition /Procedure ICD-10 Diagnosis
codes
ICD-10 Procedure codes CPT codes
Acute myocardial
infarction … ICD-10 diagnosis & procedure
codes
ICD-10 codes are used to identify diagnoses and procedures that … CPT codes and ICD-10
diagnosis and procedure codes, patient age, date of admission and discharge are … And while circulating reports by email is a good
thing to do, there are other methods you can use to
-
takeheart.ahrq.gov/sites/default/files/2021-06/TAKEheart%20AG%20Event%20Summary_5_20_2021_to%20AHRQ%20sxf.pdf
January 01, 2021 - LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 6
• Utilizing interactive educational methods