AACVPR Live! Replays

Weren't able to make it to New Orleans? Or maybe you just want access to the sessions you did attend at this year's event? Experience select 31st Annual Meeting sessions virtually with "AACVPR Live! Replays." Below are the AACVPR Live! Replay sessions that are available to purchase. Click here to purchase them in the Online Store.

Program Certification: A Comprehensive Guide to Success 

AACVPR Program Certification is the only peer-review accreditation process designed to review individual cardiovascular and pulmonary rehabilitation programs for adherence to standards and guidelines developed and published by AACVPR and other professional societies. AACVPR-certified programs are recognized as leaders in the field of cardiovascular and pulmonary rehabilitation because they offer the most advanced practices available. Are you ready to take your program to the next level? This session will review the program certification process, review each page of the application and discuss the requirements for the upcoming 2017 certification cycle. Participants will also hear the most common reasons for denial of certification. Programs seeking AACVPR Certification for the first-time and those renewing their certification are invited to attend.

AACVPR Credit: 1.5

Learning Objectives:

1. Better understanding of the current process for AACVPR Program Certification.
2. Provide an explanation of the certification requirements for each page of the application.
3. Provide detailed information about Staff Competencies, ITP, Emergency Preparedness, Exercise Prescription, Outcome Measurement and Quality Improvement.


Beyond Mortality: Performance Metrics As Modulators of Clinical Outcomes

Presented by Barry A. Franklin, PhD, MAACVPR, FACSM, FAHA

Numerous studies now suggest that cardiorespiratory fitness, usual gait speed, time, or distance covered during walk performance tests and weekly walking distance/time are powerful predictors of mortality and future cardiovascular events. These data appear to provide independent and additive prognostic information relative to prescribed cardioprotective medications (e.g., statins). Other reports indicate that preoperative peak oxygen consumption and mortality after cardiac and non-cardiac surgical procedures. In contract, high volume/high intensity exercise may evoke acute elevations in cardiac troponin I and B-type natriuretic peptide and evidence of transient myocardial dysfunction. Although there is a concerted effort to reduce physical inactivity and prolonged periods of sitting, increasing data regarding the other end of a reverse J-curve or U-curve pattern. This session will review the clinical implications of these recent studies, as well as the potential advantages of limitations of accruing exercise in shorter bouts and high-intensity interval training in contemporary exercise-based cardiac rehabilitation programs. Finally, we will critically examine the analogy ‘Exercise is Medicine’.

AACVPR Credit: 1.0

Learning Objectives:

1. To clarify the fact that in both asymptomatic and clinically referred populations, cardiorespiratory fitness has been shown to be useful in predicting outcomes in the perioperative evaluation of patients undergoing bypass surgery, abdominal aortic aneurysm repair, liver transplantation, bariatric surgery, and other surgical interventions. 
2. To summarize studies suggesting that higher rates of atrial fibrillation are increasingly observed among individuals performing excessive amounts of high-intensity exercise, as compared with more moderate exercisers.

 

General Session: L. Kent Smith Award Presentation

The Award of Excellence is AACVPR’s most prestigious award and is given in recognition of outstanding contribution by an individual to the fields of cardiac and/or pulmonary rehabilitation. This award was established in memory and recognition of the vast and numerous scientific and clinical contributions made to the field of cardiovascular rehabilitation by the late L. Kent Smith, MD.  The L. Kent Smith Award of Excellence is intended to annually recognize one practitioner for outstanding clinical contributions to the field of cardiac and/or pulmonary rehabilitation.

AACVPR Credit: 1.25


Million Hearts Cardiac Rehabilitation Collaborative - Progress Made and Map to the Future (R2R)

Presenter by Steven Keteyian, PhD, FAACVPR, Larry Hamm, PhD, MAACVPR, Randal Jay Thomas, MD, MS, MAACVPR, and Philip Ades, MD, MAACVPR

In November, 2015 over 20 professional organizations, The Centers for Medicare & Medicaid Services, along with several payer and patient groups came together to identify actions that will advance the utilization of cardiac rehabilitation services in the next 1-2 years. This session will review the purpose, progress, and goals of the Million Hearts Cardiac Rehabilitation Collaborative (CRC). This initiative will drive strategies considered critical to future change, growth, and sustainability of cardiac rehabilitation services. 

AACVPR Credit: 1.5

Learning Objectives:

1. Attendees will be able to explore and develop effective program-related strategies that target improved patient adherence to scheduled cardiac rehabilitation sessions.
2. Attendees will be familiar with the evolution of the science that is the foundation for the current practice of cardiac rehabilitation.
3. Attendees will be aware of the CRC “road map” that focuses on the potential impact of interventions to increase referral, enrollment, and adherence to cardiac rehabilitation.
4. Attendees will be knowledgeable about actions currently underway to achieve CRC goals for increasing CR referral and enrollment.


MNT for Persons with Diabetes in Cardiopulmonary Rehab Prioritized and Simplified for Patients and Clinicians

Presented by Carol Guarino, MS, RD, CDE and Ellen S Aberegg, MA, LD, RDN

Medical Nutrition Therapy is a key component in preventing, delaying or decreasing complications associated with diabetes in the cardiopulmonary patient.   Delivering evidence-based MNT for adults with type 1 and 2 diabetes to help achieve and maintain blood glucose as close to normal can help reduce the risk of CVD.  Review of current guidelines for diagnosis of diabetes as well as glycemic control in the setting of cardiovascular and pulmonary disease will be presented to help practitioners and patients make shared decisions about health care choices in specific clinical circumstances.   S.M.A.R.T Goals can help practitioners and patients prioritize and simplify goals.  Presenters will review the basics of the newly diagnosed patient in need of survival skills to the more advanced carbohydrate counting.  Lifestyle modification also has a major impact on the health of the cardiopulmonary patient with diabetes. Review of evidence based recommendations for weight reduction, DASH and Mediterranean eating plans, physical activity and alcohol consumption are key components in Therapeutic Lifestyle Change.

AACVPR Credit: 1.5

Learning Objectives:

1. Attendees will be able to list and Identify clinical markers of diabetes diagnosis. 
2. Attendees will be able to Describe the latest nutrition interventions to optimize A1C level. 
3. Attendees will be able to list and describe the five key dietary components of the DASH eating plan to control HTN and the clinical evidence to support each. 

 

Keynote: Team Based Cardiac Care in the Era of MACRA (R2R)

Speaker: Richard A Chazal, MD, FACC

Dr. Richard Chazal is a senior cardiologist and the medical director of the Heart and Vascular Institute for Lee Memorial Health System, a fourhospital, not-for-profit system in Fort Myers, FL. Dr. Chazal has practiced clinical cardiology in Fort Myers since 1983 with expertise in echocardiography, diagnostic catheterization and coronary computerized to mography angiography. During his tenure, he has been a participant in multiple clinical trials. In April 2016, Dr. Chazal assumed the office of President of the American College of Cardiology. He and his wife Linda have three children and two grandchildren.

AACVPR Credit: 1.0


The Business of Pulmonary Rehab from Generating Referral, to Managing Them, to Budgeting and Managing the Service Line?

Presented by Trina Limberg, BS, RRT, MAACVPR

This session will review the various components to managing the PR business including processing referrals, screening, appointment scheduling and allocating appropriate resources.  Service formatting options will be explored to meet increasing patient volumes. Requesting and securing authorizations and cultivating newer payer sources will be presented. Time consuming indirect duties drain away staffing resources, attend this session to gain insight to help you leverage your resources, and maybe even get a few more.

AACVPR Credit: 1.25

Learning Objectives:

1. Review the referral process from arrival to scheduling the evaluation. 
2. Identify new payer sources for service line expansion.
3. Identify 2 major tasks that result in indirect time loss. 


Michael L. Pollock Award and Thomas L. Petty Award Presentations

The Michael L. Pollock Established Investigator Award is presented to an individual who has made significant advances in the field of cardiac rehabilitation through his/her research and scholarly contributions and has earned national prominence in his/her field through contributions in contemporary research and/or education.

The Thomas L. Petty Distinguished Pulmonary Scholar Award is presented to an individual who has made significant advances in the field of pulmonary rehabilitation through his/her research and scholarly contributions and has earned national prominence in his/her field through contributions in contemporary research and/or education.

AACVPR Credit: 1.25


Beginning Investigator Award Presentations

The AACVPR Beginning Investigator Award is given to the researcher whose work adds most significantly to the scientific knowledge base for Cardiac and/or Pulmonary Rehabilitation and who demonstrates a capacity to present their research results in a competent and professional manner.

AACVPR Credit: 1.0


Medicare Rules and Regulations: 2016 Update (R2R)

Presented by Karen Lui, BSN, MS, MAACVPR and Philip Porte, BA

CMS (The Centers for Medicare & Medicaid Services) revises coverage and payment rules for Medicare beneficiaries on a regular basis. The transition from the traditional Fee-for-Service model to value-based models has led to more significant changes in recent months. Consequently, cardiac and pulmonary rehabilitation programs need to stay relevant in a payment paradigm where quality and cost are increasingly the primary outcomes CMS focuses on. This session will provide an update of current and potential Medicare regulations applicable to cardiac and pulmonary rehabilitation services. 

AACVPR Credit: 1.25

Learning Objectives:

1. Attendees will review Medicare regulations that guide cardiac and pulmonary rehabilitation services in 2016.
2. Attendees will recognize future implications for cardiac and pulmonary rehabilitation based on changes occurring with other Medicare services.
3. Attendees will describe coding and billing changes that could involve cardiac and pulmonary rehabilitation services in 2017 and beyond.


Exercise and Atrial Fibrillation: How much is too much? 

Presented by Venkata Alla, MD

This session will address the following: 
1. What is the role of physical activity in preventing AF
2. When does exercise become counterproductive?
3. What is the basis of AF in otherwise healthy people such as athletes/ endurance trainees
4. What is the evidence supporting benefits of CR in patients with AF for rate control, fitness, QOL, rhythm control etc.
5. Are benefits of CR in patients with established indications such as CHF, MI impacted by the presence of concomitant AF?
6. How specifically can CR staff manage and monitor patients with AF attending CR programs

AACVPR Credit: 1.0

Learning Objectives:

1. Recognize the relationship (J-curve) between exercise and risk of Atrial Fibrillation (AF)
2. Appreciate the role of exercise training in AF management (prevention/treatment)
3. Identify strategies for monitoring & managing AF in cardiac rehabilitation patients


The New Quality Measures for Performance Improvement and Certification

Presented by Marge King, MD; Quinn R. Pack, MD, MSc; Gerene Bauldoff, PhD, RN; Bonnie Anderson, MS; and Todd M. Brown, MD, MSPH

In efforts to improve quality of care and decrease cost, insurance payers are increasingly shifting their focus from simply paying for procedures (which may have little value) towards paying for improved patient outcomes.  Accordingly, cardiac and pulmonary rehabilitation programs that thrive will be those who can demonstrate actual improvement in patient outcomes. In response to these national trends, the AACVPR Quality of Care Committee recently developed quality standards for program certification for the 2018 application cycle, with data collection beginning in 2017.  We will discuss the development and content of these performance measures and also provide practical advice on effective implementation.

AACVPR Credit: 1.5

Learning Objectives:

1. Discuss the need for performance measures in clinical practice and what role they play in the changing health care environment.
2. Describe the development of the current Cardiac and Pulmonary Rehabilitation measures and the rationale for the measures themselves.
3. Discuss how the quality measures will be utilized in program certification and practical advice on integrating these measures into the daily workflow of patient care.
4. Describe the role of the AACVPR registry in helping programs track these outcomes.
5. Answer questions through a panel discussion.


Tobacco Cessation Management: Effective Strategies

Presented by Ana Mola, PhD, RN, ANP-C, MAACVPR

A review of selected topics in tobacco control and science. Topics will include: USA epidemiology of cigarette smoking,  safety of e-cigarettes, tobacco related diseases, impact of second hand smoke, tobacco smoke effects on CVD pathophysiology, nicotine addiction and level of dependence.  An update on recent trials on  tobacco science research will focus on the efficacy of first line cessation medications associated with best practices and identifying effective behavior change strategies.  

AACVPR Credit: 1.0

Learning Objectives:

1. Discuss the USA epidemiology of  cigarette smoking, elements of a cigarette, safety of e-cigarette. tobacco related diseases, and impact of second hand smoke. 
2. Review tobacco smoke effects on CVD pathophysiology. 
3. Explain nicotine addiction and level of dependence.
4. Explore updates in tobacco science research- efficacy of first line cessation medications associated with best practices.\
5. Identify effective behavior change strategies.
6. Analyze a case report.


Depression Screeners in Cardiopulmonary Rehab: What Do They Tell Us?

Presented by Murray Low, EdD, FACSM, MAACVPR

A variety of depression screeners are currently in use in medical settings. These screeners were developed and tested in different settings with different populations and may vary in the information they provide. In this session participants will be introduced to several different types of depression screener. This session will examine the scientific evidence concerning what these screeners can tell us about both clinically concerning levels of depression as well as about potential adherence to a rehabilitation program.

AACVPR Credit: 1.0

Learning Objectives:

1. Participants will become familiar with several types of brief depression screeners commonly used in medical settings. 
2. Participants will learn how scores on these screeners reflect clinically concerning depression.
3. Participants will learn how scores on different screeners predict adherence to rehabilitation programs.


Closing Keynote: Complexity, Connection, and Combobulation (R2R)

Speaker: Jody Hereford, MS, BSN, MAACVPR


Jody Hereford is a nurse and exercise physiologist with a passion for health and how we create it both in our individual lives and within organizations and populations. She is a true believer in the value and opportunity of cardiac and pulmonary rehabilitation, especially in this rapidly-changing health care environment. She is a member of the Motivational Interviewing Network of Trainers (MINT) and has completed a Cardiovascular Fellowship through the American Hospital Association. Hereford is a Past President and Master Fellow of AACVPR. In her free time, she can be found exploring and enjoying the Colorado high country with her Golden Retriever Therapy Dog, Pearl.

AACVPR Credit: 1.5

Learning Objectives:

1. Delineate the changing payment models in the US healthcare
2. Define evidence-based outcomes of cardiac rehabilitation
3. Describe the treatment goals of the Million Hearts Campaign