Advocacy & Day on the Hill

Thank you to everyone who made
Day on the Hill (DOTH) 2014 a success!
March 13-14, 2014, Washington DC

About DOTH

DOTH is a key part of AACVPR’s advocacy with the U.S. Congress. DOTH gives AACVPR members an opportunity to meet with their legislators and legislative staffs as constituents—as voters and healthcare professionals. You bring important credibility to our message.

DOTH 2014

Cardiac and pulmonary rehabilitation (CR/PR) programs need the flexibility to utilize nonphysician practitioners (NPP) to meet the CMS direct physician supervision requirement. Critical access hospitals (CAH) struggle to provide this physician coverage and are often forced to limit program availability to patients for this reason. Many hospital-based cardiac and pulmonary rehabilitation (CR/ PR) programs are currently paying significant  fees to MDs or DOs for this (non-billable) supervisory requirement. This is the time to bring our concerns to the attention of our U.S. Senate and House of Representatives. We will shortly have a Senate bill that, if supported by enough members, could be included in a 113th Congress in 2014. Only by accomplishing this goal together, will all CR and PR programs be offered the same supervisory flexibility that other hospital outpatient services now have.

Schedule Overview

  • Tuesday, March 4, 11:30 a.m. ET (10:30 a.m. CT, 9:30 a.m. MT, 8:30 a.m. PT) -- Preparatory teleconference
    •  Dial in: 888 430 5975    Conf code:  830 795 5906
  • Thursday, March 13, 6:00-9:00 p.m. -- DOTH Preparatory Workshop and Dinner (Eligible for AACVPR or nursing continuing education credit)
  • Friday, March 14 -- Day on the Hill: Meet with your state representatives


Washington Marriott at Metro Center
775 12th St NW
Washington, DC 20005

Discounted Standard Room Rate: $216 + 14.5% tax (Please note: this discounted rate is for March 13 only.)
Complimentary internet included.

Alternate Hotel Options: 

Hotel Harrington
436 11th St NW
Washington, DC 20004

Fairfield Inn and Suites
500 H St NW
Washington, DC 20001

DOTH 2014 Resources

How to find your U.S. House Representative:

For the contact information of your House Representative, Click Here.

How to find your U.S. Senators:

For the contact information of your two Senators, Click Here.

How to communicate with your U.S. Senators' and U.S. House Members' DC offices:

  • Call the office and ask first for the name of the person who is responsible for health care issues.
  • Ask if that person prefers to be contacted by telephone or by email on an issue of concern to you.
  • If by email, send it to health staffer with a brief summary of what you are asking for. (Use this template)
    • Include in an email the attachments posted below:
      • Copy of Senate bill (number will be known when introduced)
      • Leave behind document (which summarizes our ask)
      • Letter to CMS from Senate Finance Committee (SFC) members regarding statues' intent
      • Berwick (CMS) response to SFC
    • OR carry the SFC and CMS letters with you to make the case in person
  • Let him/her know you will call on ___ (date) (5 days is fair) for the Senator’s decision or to answer any questions he/she may have.
  • Continue calling weekly until you receive an answer (or unless you are told to proceed otherwise by the health staffer).
  • If health staffer prefers telephone over email for initial contact, follow talking points below to explain your task. 

Communication Tips

  • You are representing cardiac and pulmonary rehabilitation for your state’s providers and patients.
  • Try to immediately speak with the person responsible for health issues, but understand that every office operates by its own rules and email may be the preferred method of initial contact.
  • Address an email to the congressional member AND to the person whose name you’ve been given as responsible for health care issues for the member.
  • Follow-up when you said you would and keep trying. It is their job to be aware of and care about health care issues that could ultimately help or hinder access of vital services for Medicare beneficiaries.

Practical Recommendations for Incorporating Heart Failure into Cardiac Rehabilitation

In light of the recent CMS developments, AACVPR leaders presented a workshop March 13 in Washington D.C. on how to support new heart failure patients in your cardiac rehabilitation programs. The recorded workshop, which includes audio synched with slide presenation, is available for purchase. Get the recording today for valuable updates from clinical and legislative experts on this timely topic.

Sessions included:

Randal J. Thomas, MD, MS, Mayo Clinic
Clinical Care of Patients with Heart Failure and Facilitating Physician Referral and Enrollment into Cardiac Rehabilitation
Steven J. Keteyian, PhD, Henry Ford Hospital 
Prescribing Exercise in Patients with Heart Failure … From A to Z
Nancy Houston-Miller, BSN, Stanford
Unique Educational and Self-care Disease Management Considerations for Patients with Heart Failure
Karen Lui, RN, MS, GRQ, LLC
Reimbursement and Regulatory Issues Pertaining to Heart Failure and Cardiac Rehabilitation

Workshop description:

Although some patients with heart failure are currently participating in outpatient phase II cardiac rehabilitation, the number of patients with this disorder enrolling in our programs will likely increase greatly over the next two years because of the recent decision by CMS to begin covering cardiac rehabilitation care for selected Medicare beneficiaries. Patients with heart failure often present with marked exercise intolerance, a unique symptom complex, and a poor prognosis, all of which can challenge even the experienced cardiac rehabilitation professional. To facilitate the safe and effective care of these patients in cardiac rehabilitation, this workshop will present pertinent heart failure-specific clinical, educational, self-care, and exercise physiology education, and will do so in a practical manner that allows attendees to directly apply their learnings within the context of their own program.

Attendees will:

  • Examine the epidemiology, pathophysiology and treatment of heart failure
  • Identify effective strategies aimed at improving the referral and enrollment of patients with heart failure into cardiac rehabilitation programs.
  • Identify the essential educational content and patient self-care disease management strategies that practitioners need to provide to patients with heart failure that are enrolled in cardiac rehabilitation.
  • Analyze the progression and volume of exercise needed to improve relevant health outcomes for patients with heart failure enrolled in cardiac rehabilitation

A recorded version (audio synched with slide presentation) of the workshop is available for purchase for $99 for AACVPR members and $199 for non-members.

This workshop, live or recorded, is eligible for AACVPR or nursing continuing education credit.

This workshop was supported, in part, by an educational grant from:

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Frequently Asked Questions - Cardiac Rehab
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