Increasing Cardiac Rehabilitation Participation From 20% to 70%: A Road Map From the Million Hearts Cardiac Rehabilitation Collaborative

The primary aim of the Million Hearts initiative is to prevent 1 million cardiovascular events over 5 years. Concordant with the Million Hearts' focus on achieving more than 70% performance in the “ABCS” of aspirin for those at risk, blood pressure control, cholesterol management, and smoking c...

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Bibliographic Details
Published in:Mayo Clinic proceedings Vol. 92; no. 2; pp. 234 - 242
Main Authors: Ades, Philip A., Keteyian, Steven J., Wright, Janet S., Hamm, Larry F., Lui, Karen, Newlin, Kimberly, Shepard, Donald S., Thomas, Randal J.
Format: Journal Article
Language:English
Published: England Elsevier Inc 01.02.2017
Frontline Medical Communications Inc
Elsevier Limited
Subjects:
American Heart Association
Cardiac rehabilitation
Cardiac Rehabilitation - standards
Cardiac Rehabilitation - statistics & numerical data
Cardiovascular diseases
Centers for Disease Control and Prevention, U.S
Centers for Medicare and Medicaid Services, U.S
Health promotion
Humans
Internal Medicine
Myocardial Infarction - rehabilitation
Myocardial Revascularization - rehabilitation
Patient Compliance - statistics & numerical data
Planning
Practice Guidelines as Topic
Prevention
Secondary Prevention - methods
Secondary Prevention - standards
United States
United States
ACC
PCI
AHA
CABG
MI
ABCS
CR
aspirin for those at risk, blood pressure control, cholesterol management, and smoking cessation
myocardial infarction
American College of Cardiology
coronary artery bypass graft
cardiac rehabilitation
American Heart Association
percutaneous coronary intervention
ISSN:0025-6196, 1942-5546
Online Access:Get full text
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Summary:The primary aim of the Million Hearts initiative is to prevent 1 million cardiovascular events over 5 years. Concordant with the Million Hearts' focus on achieving more than 70% performance in the “ABCS” of aspirin for those at risk, blood pressure control, cholesterol management, and smoking cessation, we outline the cardiovascular events that would be prevented and a road map to achieve more than 70% participation in cardiac rehabilitation (CR)/secondary prevention programs by the year 2022. Cardiac rehabilitation is a class Ia recommendation of the American Heart Association and the American College of Cardiology after myocardial infarction or coronary revascularization, promotes the ABCS along with lifestyle counseling and exercise, and is associated with decreased total mortality, cardiac mortality, and rehospitalizations. However, current participation rates for CR in the United States generally range from only 20% to 30%. This road map focuses on interventions, such as electronic medical record–based prompts and staffing liaisons that increase referrals of appropriate patients to CR, increase enrollment of appropriate individuals into CR, and increase adherence to longer-term CR. We also calculate that increasing CR participation from 20% to 70% would save 25,000 lives and prevent 180,000 hospitalizations annually in the United States.
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ISSN:0025-6196
1942-5546
DOI:10.1016/j.mayocp.2016.10.014