Moving Analytics recently co-sponsored “Strategies to Increase Cardiac Rehab Participation in EPMs", a webinar providing home-based and hybrid cardiac rehab models as strategies to increase participation in CR and thrive within value-based care (recording and slideshow below). We thought you may want to check out our top 5 takeaways.
#1 - Value-based Healthcare Requires Higher Participation Rates in CR
As the healthcare industry continues its shift to value-based care, proven strategies in achieving quality care outcomes are in high demand. Cardiac rehab is one such strategy but has been historically under utilized. In order to achieve better outcomes with cardiac rehab, hospitals will need to address barriers to access and participation.
#2 - Innovation is Required in Order to Increase Participation Rates in CR
Increasing participation in CR will require new approaches and technologies. The adoption of these new approaches and tech also contains an opportunity for CR to expand its scope of practice. CR can improve participation rates and expand access to more patients while concurrently improving communication and monitoring abilities through the adoption of mobile technology.
#3 - Home-based CR is Key to Increasing Patient Participation Rates and Program Volume
Home-based cardiac rehabilitation increases access to CR through the use of mobile technology. Patients can complete all or a portion of CR sessions from home, reducing or eliminating costs associated with travel. Home-based CR overcomes barriers to access and participation while also providing an efficient and scalable software platform for hospitals to engage with patients and monitor their health status in the post-acute setting.
#4 - Home-based CR Needs to be Backed by Evidence
Home-based CR is safe when it is based on programs like MULTIFIT, a system for remote chronic care management developed by Stanford Medicine and validated at Kaiser Permanente spanning over 20 years with 70,000 participants. Home-based CR programs based on MULTIFIT include low-moderate risk patients as well as high risk patients cleared by their physicians for home-based CR.
#5 - Home-based CR Programs are Reporting Positive Results
Hospitals are reporting positive outcomes since implementing Hybrid and Home-based CR programs. The Atlanta Veterans Affairs Medical Center piloted a Home-based CR program after recognizing a lack of access to veterans; they report 80% retention rate after 90 days, 20% improvements in functional capacity and a reduced systolic BP of 10 mmHg from baseline. Completion rates improved from less than 10% to 76% and enrollment rates improved from less than 10% to 42%.
Our Lady of Lourdes Health System adopted a Hybrid CR program to address a long waiting list. They report that the waiting list was reduced from 8 weeks to 4, completion rates of 80% and an improvement in functional capacity of 70%. Our Lady of Lourdes is now expanding the Hybrid Program locally and to other hospitals within Trinity Health System.
We’ve included a recording of the webinar below, and you can view the slideshow presentation by clicking here.
Thanks to all who attended, we plan to another webinar in late 2017 (topic TBA).