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Education Sessions by Track

Attendees can expect to participate in expert-led sessions focused on delivering better care to patients through updated practices and groundbreaking research. Each education session is designed to promote knowledge-sharing and will correspond with one of six tracks critical to our specialty:

Behavior Change and Nutrition

B104: Feeling Burned Out? Strategies for Improving the Wellbeing of Cardiopulmonary Rehabilitation Staff During Challenging Times

Wednesday, September 21 | 2:45 p.m. – 4:00 p.m.

Burnout was already a well-documented issue in healthcare workers prior to the global pandemic, but after multiple surges of COVID-19 we are seeing unprecedented levels of burnout and compassion fatigue in healthcare, causing some professionals to dread their jobs or even think about quitting altogether. Increased workloads, staffing shortages, and emotional trauma are just a few of the factors that have led to an increase in job dissatisfaction among healthcare workers during the pandemic. Indeed, estimates show that around one in five healthcare workers have quit since the pandemic began. Findings from the American College of Cardiology’s 2020 Well-Being Study found that the prevalence of burnout among cardiovascular professionals nearly doubled when comparing pre- to peak COVID-19 levels. Similarly, a survey of over 3,000 respiratory therapists indicated 79% of respondents reported symptoms consistent with burnout (Miller et al., 2021). These numbers may come as no surprise to cardiopulmonary rehabilitation staff who provide direct care to patients recovering from or at greater risk for severe disease from the virus secondary to underlying cardiac and/or pulmonary risk factors. Although much of the research on burnout focuses on job demands, it is important to explore the personal resources that can help prevent or treat burnout and improve wellbeing among healthcare workers. The purpose of this presentation is to examine the multilevel factors that contribute to burnout in healthcare workers like cardiopulmonary rehab staff, to identify signs of burnout in yourself and colleagues, and to learn individual strategies for reducing burnout and finding joy in your job (again) while working in health care during a global pandemic. Strategies for offering quality peer support to your healthcare colleagues will also be explored. Ideally, acquisition of skills discussed in this session will lead to increased job satisfaction for attendees and colleagues.

Speaker(s): Megan McMurray Hays, PhD, ABPP, FAACVPR

CE Credit(s): 1.25

Learning Objectives:

  • Identify individual, community, and systemic factors that contribute to burnout and distress in healthcare workers.
  • Understand signs of burnout and distress in yourself as well as colleagues.
  • Learn evidence-based strategies for improving the wellbeing of healthcare workers, including cardiopulmonary rehabilitation staff.
  • Explore practical tips for finding joy in your job again while working in a helping profession during challenging times.

B204: DASH Diet vs Mediterranean Diet: Is One a Better Choice?

Thursday, September 22 | 10:30 a.m. – 11:45 a.m.

The DASH diet and Mediterranean diet are both highlighted in consumer articles on “top diets” and endorsed in evidence-based recommendations for cardiovascular health. But if they’re both heart-healthy, what’s the difference? Is one better? For whom? This session will review current research on each dietary pattern’s association with cardiovascular risk factors and outcomes. We’ll also look at what is often overlooked or misunderstood about each dietary pattern, and what an individualized approach combining them both might entail. Our goal will be to help attendees develop patient-appropriate talking points to reinforce nutrition counseling and combat common misunderstandings about a healthful eating pattern.

Speaker(s): Karen Collins, MS, RDN, CDN, FAND

CE Credit(s): 1.25

Learning Objectives:

  • After this presentation, participants will be able to compare and contrast key elements and potential health benefits of the DASH diet (and its OmniHeart variations) and Mediterranean dietary pattern, and for whom each may be most appropriate.
  • After this presentation, participants will be able to address some of the common misunderstandings about DASH and Mediterranean dietary patterns.
  • After this presentation, participants will be able to synthesize findings from current research to provide cohesive bottom-line messages on how eating patterns can be healthful, individualized, and enjoyable.

B210: Smoking in Cardiac and Pulmonary Rehabilitation: Effects on Attendance and Health Gains

Thursday, September 22 | 1:30 p.m. – 2:30 p.m.

Current smoking affects many facets of both cardiac and pulmonary rehabilitation. Current smoking is a strong predictor of whether a patient will start, and complete, cardiac rehabilitation. Current smoking also predicts participation in pulmonary rehabilitation, with many programs requiring smoking cessation before the patient is allowed to enroll. The benefits of cardiopulmonary rehabilitation may also vary by smoking status. In cardiac rehabilitation, those who are current smokers increase their fitness less than those who are not smoking. In pulmonary rehabilitation, gains are generally about symptom management, with smoking cessation being one of the few things that could actually improve pulmonary function. In this session we will review the current literature on current smoking and participation in cardiopulmonary rehabilitation and the benefits gained during participation. We will also discuss the implications for identifying, supporting, and including those who smoke in these programs.

Speaker(s): Diann Gaalema, PhD; Katherine Menson, DO

CE Credit(s): 1.00

Learning Objectives:

  • Review the effects of current smoking on participation in cardiac and pulmonary rehabilitation.
  • Examine evidence on how smoking may impede improvements in cardiovascular fitness.
  • Identify polices around including current smokers in pulmonary rehabilitation.
  • Discuss methods for identifying and supporting current smokers in cardiopulmonary rehabilitation.

B216: What Happens When the Doctor Says "Weigh In?"

Thursday, September 22 | 2:45 p.m. – 3:45 p.m.

Do you dread going to your annual physical and getting weighed? Have you witnessed or experienced (real or perceived) weight bias? How do your patients react when asked to 'weigh in'? Join us during this interactive session to explore the causes of overweight/obesity and consequences of health provider recommended weight loss. Session attendees will have an opportunity to apply evidence-based counseling methods to promote healthful eating habits and shift the conversation from 'weight' to 'great'!

Speaker(s): Irene Soucy, RDN

CE Credit(s): 1.00

Learning Objectives:

  • Attendees will review the core characteristics of healthful eating habits and intuitive eating.
  • Attendees will demonstrate sensitivity to anthropometric measurements in the health care setting.
  • Attendees will apply evidence-based counseling methods in lifestyle modification discussions.
  • Attendees will explore the consequences of health provider prescribed weight loss regimens.

B222: Integrating Psychosocial Management into Innovative Delivery Models

Thursday, September 22 | 4:00 p.m. – 5:00 p.m.

Cardiopulmonary rehabilitation (CR) has rapidly adopted innovative delivery models, such as adding home-based CR and remotely delivered approaches. When CR is delivered using alternative models (to in-person center-based CR), it should include all of the core components of CR. One is psychosocial management (PM). Exactly how to integrate PM into new delivery models has not been clearly explained. The purpose of this breakout session is to provide a framework for how PM can be integrated into new delivery models. Examples of different approaches will be discussed.

Speaker(s): Allison Gaffey, PhD; Joel Hughes, PhD, FAACVPR; Michelle Murray, MS, RN

CE Credit(s): 1.00

Learning Objectives:

  • Participants will be able to describe several models for providing psychosocial management in the context of cardiopulmonary rehabilitation delivered via alternative models.
  • Participants will understand that the laws governing the practice of telehealth and telebehavioral health are minimum standards for the ethical provision of psychosocial management in cardiopulmonary rehabilitation.
  • Participants will be able to differentiate between administrative communication (e.g., scheduling) and those that constitute telehealth encounters.
  • Participants will develop at least one action item to implement upon returning to their cardiopulmonary rehabilitation site.

RF2004: Psychosocial Management Without Integrated Mental Health Support

Thursday, September 22 | 5:15 p.m. – 6:00 p.m.

Psychosocial management (PM) is one of the core components of cardiopulmonary rehabilitation (CR). PM includes psychosocial assessment, providing interventions, measuring outcomes, and care coordination. However, many sites do not have integrated mental health support. This can present challenges when a minimal assessment is not sufficient or when care coordination becomes necessary. For example, a positive screen on a depression questionnaire should result in further assessment by a qualified professional and often a referral to a behavioral health provider. The focus of this session is how to provide PM in CR when integrated support is not available.

Speaker(s): Joel W. Hughes, PhD, FAACVPR; Eva Serber; Matt Whited

CE Credit(s): 0.75

Learning Objectives:

  • Participants will learn strategies to provide psychosocial management in the cardiopulmonary rehabilitation context that have limited to no integrated mental health support.
  • Participants will learn creative approaches to promote continuity of psychosocial care that do not require on-site mental health support.
  • Participants will be able to describe strategies for maximizing the quality of psychosocial management through both existing resources and care coordinated with outside resources.
  • Participants will develop at least one action item to implement upon returning to their cardiopulmonary rehabilitation site.

B304: Diabetes Drugs GLP1-RA and SGLT2i - The Newest Kids on the Block for Patients with Diabetes and a High Risk of Atherosclerotic Cardiovascular Disease

Friday, September 23 | 8:00 a.m. – 9:00 a.m.

Did you know the two newest diabetes drug categories – Glucagon-Like Peptide-1 Receptor Agonists (GLP1-RA) and Sodium-Glucose Linked Transporter-2 inhibitors (SGLT2i) – are cardioprotective? So protective in fact, they are recommended for all diabetes patients at high risk for ASCVD regardless of glycemic control. With these new guidelines, Cardiac Rehabs can expect to see more patients on these drugs. This presentation will cover these two new drug categories: how they work, how the different drugs in each category compare, and who they are best for. You’ll leave with a solid foundation of these medications and be better able to help your patients who take them.

Speaker(s): Mary Finckenor, MA, RD, CDCES, BC-ADM

CE Credit(s): 1.00

Learning Objectives:

  • Participants will be able to verbalize the mechanism of action of GMP1-RA drugs.
  • Participants will be able to verbalize the mechanism of action of SGLT2i drugs.
  • Participants will be able to explain the criteria for preferring one drug category over the other.
  • Patients will be able to verbalize side effects of GLP1-RA and SGLT2i drugs.

B316: The Long Term Impact of COVID-19 on Psychosocial Functioning, Health Behaviors and Adherence in COPD or Cardiac Patients: Research Trends and Practical Suggestions

Friday, Septemeber 23 | 2:45 p.m. – 4:00 p.m.

This presentation seeks to expand the understanding of the impact of COVID-19 on psychosocial functioning, health behaviors and adherence for those living with COPD, cardiac concerns or Post-COVID Syndrome. Current research findings as well as the ongoing clinical manifestations of these associations will be explored. The influence of coping styles on the health behaviors of individuals with these chronic health conditions, will be discussed, and the role of self-compassion, resilience and social support will be considered. Factors associated with better health management and adherence amid altered access to care, fear of infection, and reduced resources, will be highlighted. Finally, practical strategies that the healthcare professional can use to enhance support and outcomes with these patients, both in the context of COVID-19 and beyond this context, will be introduced.

Speaker(s):Leanne Levine, PhD, MS, MA

CE Credit(s): 1.25

Learning Objectives:

  • Participants will gain a better understanding of the potential adverse consequences of COVID-19 on psychosocial functioning, adherence and health behaviors of those living with COPD, cardiac concerns or Post-COVID Syndrome.
  • Attendees will gain an understanding of research findings and clinical insights regarding the impact of coping strategies, self compassion, resilience and social support on the health behaviors of individuals with chronic health conditions.
  • Attendees will learn about factors that have proven to be associated with better health management and adherence amid altered access to care, fear of infection, and reduced resources.
  • Participants will be introduced to practical strategies that the healthcare professional can use to enhance support and outcomes with these patients.

RF3004: Optimal CV Diet – What’s the Evidence? Is It All About Lipids?

Friday, Septemeber 23 | 1:45 p.m. – 2:30 p.m.

This rapid-fire session will briefly review the most popular evidence-based cardioprotective diets and provide the platform for collaborative discussion with attendees. Controversial topics may include the explosion of plant-based meat alternatives, intermittent fasting, omega-3-fatty acid supplementation, and others.

Speaker(s): Kyla Lara-Breitinger, MD, MS

CE Credit(s): .75

Learning Objectives:

  • Review the most recent 2021 AHA Dietary Guidelines to Improve Cardiovascular Health.
  • Review the controversy surrounding the recent studies on omega-3-fatty acids.
  • Understand the limitations of nutrient supplementation and the novelty of plant-based meat alternatives.
  • Provide the rationale for periodic fasting and how to apply this strategy in patient care.

Cardiovascular Rehabilitation and  Clinical Cardiology

B102: Evolving Models of Cardiac Rehabilitation

Wednesday, September 21 | 2:45 p.m. – 4:00 p.m.

This session will explore the terminology, components, and reimbursement opportunities for evolving models of cardiac rehabilitation.

Speaker(s): Todd M. Brown, MD, MSPH, FACC, MAACVPR; Steven Keteyian, PhD, FAACVPR; Karen Lui, BSN, MS, MAACVPR; and Melissa Tracy, MD

CE Credit(s): 1.25

Learning Objectives:

  • Understand the terminology of evolving models of CR (in-person, virtual, remote). 
  • Understand the components for each of these models.
  • Understand the patient selection for each of these models.
  • Understand reimbursement opportunities and challenges for each of these models.

B202: Strategies to Increase Implementation of Cardiac Rehabilitation by Patients with Heart Failure

Thursday, September 22 | 10:30 a.m. – 11:45 a.m.

Leaders of an NIH study focused on increasing uptake of CR among patients with HF will bring you an interactive session about the strategies that can help your program increase the number of patients with HF who attend CR. First, we will present the early results of our work to identify barriers and facilitators to attendance by patients with HF. These insights, gained from Medicare data analysis, patient interviews, chart review, and site visits with programs that have been successful in increasing participation in CR among patients with HF, will help to shape future practice, research, and policy. Next, we will have an interactive panel discussion with leaders of two high performing programs that participated in the study: how did they overcome barriers, what facilitators helped them to succeed, and how can these strategies be transferred to other programs? In particular, Dr. Steve Keteyian will identify the ways that his program has increased participation in CR among patients with HFpEF and the benefits this has created for this population. Finally, we will describe an upcoming learning collaborative focused specifically on increasing CR participation among patients with HF. We will describe a curriculum that includes strategies for altering the electronic health record to facilitate attendance, use of peer-feedback to help motivate and inspire, and interactive sessions on how to collect and use data for improvement activities.

Speaker(s): Betsy Hart, MS, CCEP, CCRP; Steven Keteyian, PhD; Quinn R. Pack, MD, MSC; Tara C. Lagu, MD, MPH; Alexis Stewart, BBA

CE Credit(s): 1.25

Learning Objectives:

  • To identify the barriers and facilitators to attendance of CR by patients with HF.
  • To describe strategies used by successful programs that overcome barriers to attendance of CR by patients with HF.
  • To discuss how specific strategies used by high performing sites can be adapted by other programs.
  • To discuss the evolving role for CR in patients with HFpEF and the ways that high performing programs increase use of CR among patients with HFpEF.
  • To describe an upcoming learning collaborative focused on increasing participation in CR among patients with HF.

B208: Adapting, Implementing, and Evaluating an Evidence-Based Patient Education Curriculum in Cardiac Rehab Programs At Home, On the Web and Around the World

Thursday, September 22 | 1:30 p.m. – 2:30 p.m.

Common challenges in cardiovascular rehabilitation (CVR) programs are the availability of program resources and the delivery of evidence-based patient education that fits the needs of the broad patient population. Changes in the landscape of healthcare, clear issues of equitable access to care, and limited resources have long demanded new delivery models in CVR. The Cardiovascular Prevention and Rehabilitation team at UHN - Toronto Rehab developed Cardiac College™ (www.cardiaccollege.ca) and Diabetes CollegeTM (www.diabetescollege.ca), — evidence-based patient education curricula that have been adapted and implemented to support varying models of care in 10 countries to date. This session will describe various models of education delivery in the context of cardiovascular rehab and speakers from our global partner programs will share their case studies of successful adaptation, implementation, and evaluation of the Cardiac and Diabetes College™ curricula representing 3 different education delivery models: onsite, hybrid, and fully virtual.

Speaker(s): Daniel Quesada-Chaves, MD, FACC, FESC; Gabriela Lima de Melo Ghisi, PhD; Amanda Hajoglou, MS, RCEP, CCRP; Paul Oh, MD, MSc, FRCPC, FACP, FAACVPR; Lilian Pinto da Silva, PT, PhD; Marcia Smith, RN, BSN, CCRP; Marta Supervia, MD, MSc, CCRP

CE Credit(s): 1.00

Learning Objectives:

  • Describe the value of implementing an evidence-based curriculum and evaluating associated short- and long-term health outcomes
  • Describe how an evidence-based curriculum can meet the needs of an expanding range of cardiac rehabilitation formats, including hybrid and remote delivery using various technology platforms
  • Through case studies, understand the process for adapting and implementing an education curriculum in various settings of cardiovascular rehabilitation

B214: Cutting Edge Exercise Prescription

Thursday, September 22 | 2:45 p.m. – 3:45 p.m.

Exercise is arguably the most important intervention in cardiac rehabilitation. Multiple studies find that each additional ~1 MET of exercise capacity gained in CR reduces mortality by 15-20%. At the same time, recent studies show that when exercise is poorly done, cardiac rehabilitation does not improve fitness nor reduce mortality. In this session, we will discuss findings from a national survey about current exercise prescription patterns; the importance of exercise testing as a key facilitator to prescribing optimal exercise intensity; the role that unaddressed fear and anxiety of exercise play in poor exercise adherence; and discuss optimal exercise prescription for women, including high-intensity interval training.

Speaker(s): Robert Berry, MS ACSM-CEP, FAACVPR; Clinton A. Brawner, PhD, RCEP, FACSM; Samantha Farris, PhD; Sherrie Khadanga, MD; Jenna Taylor, PhD

CE Credit(s): 1.00

Learning Objectives:

  • Review the impact of exercise testing in improving fitness outcomes. Suggested Title: Why an Entry Exercise Test is Critical to Individualization of the Exercise Prescription.
  • Discuss best practice alternative exercise prescription strategies when a symptom limited exercise test is not available Suggested Title: Maximizing patient functional capacity gains without a stress test.
  • Discover the often-unrecognized role of fear and anxiety in reducing exercise adherence. Suggested Title: How Unaddressed Fear and Anxiety Can Affect Your Patients and What To Do About it.
  • Review the key principles of High Intensity Exercise Training (HIIT) and its effects on exercise capacity gains and program adherence. Suggested Title: Taking Intensity to a New Level: The Benefits of HIIT.
  • Examine a novel women-focused exercise prescription (HIIT and strength training) that significantly improved exercise gains during CR. Suggested Title: Optimizing Exercise Outcomes for Women in Cardiac Rehab.

B220: Thinking Outside the 36 Session Box: Prehab and ICR

Thursday, September 22 | 4:00 p.m. – 5:00 p.m.

Discussion of the differences between traditional Cardiac Rehabilitation (CR) and Intensive Cardiac Rehab (ICR) and benefits of ICR. Exploration of prehabilitation for lung transplant, LVAD/Advanced HF and cardiothoracic surgical patients and the use of inpatient microgym as an extension of Cardiac Rehab experiential benefits.

Speaker(s): Jonathan Ledyard, MS, MSOL, RCEP, FABC; Linda Peterson, MD; Bryan J. Taylor, PhD; Sara Weaver, BSN, RN, CCRP

CE Credit(s): 1.00

Learning Objectives:

  • Explanation of differences between ICR and CR programs with comparison of session structure and length of program.
  • Identify the effectiveness of prehab for heart and lung transplant, cardiothoracic surgery, LVAD and advanced HF patients with discussion of clinical benefits of adjunct therapies, inclusion of family caregivers, and opportunities for future research.
  • Description of inpatient microgym applications as a prehab to Cardiac Rehab using experiential learning to overcome barriers and increase enrollment in OPCR.
  • Exploration of need to optimize presurgical cardiothoracic patients with discussion of functional and psychosocial outcomes using existing Cardiac Rehab tools in a new framework.

RF2002: Supervised Exercise Therapy for PAD: Practical Details of Program Management

Thursday, September 22 | 5:15 p.m. – 6:00 p.m.

During this rapid fire session, Dereck Salisbury will overview the diagnosis of PAD and criteria for PAD participants to be eligible for SET and review key similarities and differences between SET and CR. Additionally, Dereck will review published data regarding up-to-date demographic and clinical characteristics of patients enrolling in SET programs and how to prescribe individualized and optimal exercise programs for PAD patients.

Speaker(s): Dereck Salisbury, PhD

CE Credit(s): 0.75

Learning Objectives:

  • Session attendees will gain knowledge regarding patient eligibility criteria for enrolling in SET programs.
  • Session attendees will be able to decipher key differences in the delivery of SET programs relative to better understood CR programs.
  • Session attendees will learn about important outcome assessments to evaluate the effectiveness of SET important for establishing benchmarks for SET programs.
  • Session attendees will learn the “nuts and bolts” of exercise programing for SET including, a) selecting the optimal training modality; b) progressing the individualized exercise program; and c) implementing home-based exercise in the context of the SET program.

B302: Spontaneous Coronary Artery Dissection: Diagnosis, Prognosis, Treatment and the Role of Cardiac Rehabilitation

Friday, September 23 | 8:00 a.m. – 9:00 a.m.

Spontaneous Coronary Artery Dissection, Diagnosis, Prognosis, and Treatment and the Role of Cardiac Rehabilitation.

Speaker(s):Aiman Smer, MBBCh, FACC, FASE; and Ray W. Squires, Ph.D, MAACVPR, FAHA, FACSM

CE Credit(s): 1.00

Learning Objectives:

  • Attendees will recognize the characteristics of SCAD.
  • Attendees will appreciate similarities and differences between SCAD and ACS.
  • Attendees will explore the role and safety of cardiac rehabilitation in this population.

B308: Physical Activity and Cardiorespiratory Fitness as Modulators of Health Outcomes: A Narrative Review to the Medical Community

Friday, September 23 | 11:00 a.m. – 12:15 p.m.

This presentation will provide the attendee an updated review regarding the impact of regular physical activity and/or improved cardiorespiratory fitness on varied health outcomes, including mortality, health care costs, hospitalization for acute coronary syndrome, elective and emergent surgical outcomes, life expectancy, and infectious disease outcomes (e.g., COVID).

Speaker(s): Barry Alan Franklin, PhD, MAACVPR, FACSM, FAHA, FASPC, FPCNA

CE Credit(s): 1.25

Learning Objectives:

  • To review the impact of improved cardiorespiratory fitness, expressed as metabolic equivalents, on cardiovascular and all-cause mortality.
  • To summarize the relation between pre-surgical cardiorespiratory fitness and the outcomes resulting from elective or emergent surgery.
  • To explain the role of exercise preconditioning on attenuating to impact of the manifestations of acute myocardial ischemia on threatening arrhythmias and cardiac injury.
  • To detail recent studies highlighting the impact of regular endurance activity and/or moderate to high levels of cardiorespiratory fitness on reducing the likelihood of the need for hospitalization and /or death from COVID.

RF3002: We've Been Shown the Money! The Solution to Medical Director Engagement

Friday, September 23 | 1:45 p.m. – 2:30 p.m.

Recent changes in regulations now allow physicians to see patients prior to enrollment in cardiac and pulmonary rehabilitation in the office setting for the express purpose of helping develop and approve the initial ITP. This is transformational, and foster physician engagement, quality improvement, and enhanced revenue.

Speaker(s): Brian Carlin, MD, MAACVPR (Pre-Recorded); Richard Josephson, MS, MD, FAACVPR; Karen Lui, BSN, MS, MAACVPR

CE Credit(s): .75

Learning Objectives:

  • Participants will learn about the new regulations on this topic.
  • Participants will discuss ways to operationalize this new option for both cardiac and pulmonary rehabilitation.
  • Participants will discuss how to enhance quality care utilizing this new approach.

B314: Physical Activity, Fitness and Cardiac Rehabilitation: The Year in Research 2021-2022

Friday, September 23 | 2:45 p.m. – 4:00 p.m.

This presentation will review recently published research (2021-2022) that rehabilitation professionals who treat patients with cardiovascular disease should understand and possibly employ to advance patient care.

Speaker(s): Murray Low, EdD, FACSM, MAACVPR

CE Credit(s): 1.25

Learning Objectives:

  • Review the recently published scientific literature related to the role of physical activity and physical fitness as significant predictors for cardiovascular morbidity and mortality.
  • Analyze the interactions of physical activity, physical fitness, and its pleiotropic benefits for prevention & treatment of cardiovascular disease.
  • To better understand the scientific basis for delivery of Cardiac Rehabilitation service as a powerful therapeutic modality for primary and secondary prevention of cardiovascular disease.

Innovative Leadership

B105: Across, Through and in Between: Improving Access to Health and Cardiac Rehab in Underserved Populations

Wednesday, September 21 | 2:45 p.m. – 4:00 p.m.

This session will explore various types of bias and the unintended consequences bias may have on how we view our patients, the care provided and ultimately on health outcomes. The session will also address how to recognize unconscious bias, and how to mitigate it once identified, in order to provide equitable care and encourage improved health. Secondly, this session will describe Centering Culture, how it can significantly improve health outcomes when used in designing health behavior change strategies, and the opportunities practitioners have to collaborate with historically marginalized communities through a cultural humility lens. And finally, insight will be shared related to the barriers and challenges for CR in a low-income population and interventions that can be used to overcome them.

Speaker(s): Diann Gaalema; Granita Hall; and Cheri Wilson, MA, MHS, CPHQ

CE Credit(s): 1.25

Learning Objectives:

  • Develop an awareness of how unconscious bias impacts decision-making in everyday life and in health care.
  • Apply strategies for mitigating unconscious bias to provide equitable care.
  • Examine social, cultural, and environmental factors which limit access to adequate healthy living medicine (HLM) for disinvested communities.
  • Consider language, narratives, and ideologies that advance or impede health equity and justice for healthy living (HL).
  • Advocate healthy living medicine (HLM) for disinvested communities through a cultural humility and health equity lens.

B205: How to Advocate for Your Program: Targeting Administration, Physicians, Patients and Your Government

Thursday, September 22 | 10:30 a.m. – 11:45 a.m.

This session will discuss the importance of advocating for our programs to those individuals who can benefit from it and who can help to sustain it: Administration, physicians, payers and legislators.

Speaker(s): Thomas A. Draper, MBA, MAACVPR; Murray Low, EdD, FACSM, MAACVPR; Karen R. Lui, BSN, MS, MAACVPR

CE Credit(s): 1.25

Learning Objectives:

  • Learn how to present CR / PR program information in the right way to the right audience.
  • Learn language and data necessary to make a case for program sustainability within your organization.

B211: Secondary Prevention of Diverse Women with Cardiovascular Disease: From challenges to Innovations

Thursday, September 22 | 1:30 p.m. – 2:30 p.m.

This session will focus on secondary prevention behavior change strategies and models of care that are sex-specific and tailored to the needs of diverse women both young and old that improve their quality of life. We explore the benefits and opportunities of broadening cardiovascular secondary prevention interventions for women surviving breast cancer. Finally, we provide opportunities to explore special considerations for exercise training and other secondary prevention strategies for elderly patients and patients with heart failure or the cardiotoxic effects of chemotherapy.

Speaker(s): Theresa M. Beckie, PhD, FAHA, FAAN; Mark Haykowsky, PhD, FAHA, FACC (Pre-Recorded)

CE Credit(s): 1.00

Learning Objectives:

  • Discuss innovative secondary prevention behavior change strategies and models of care for women with CVD.
  • Describe secondary prevention strategies for breast cancer survivors with CVD risk factors.
  • Discuss the mechanisms underpinning the reduced exercise tolerance and special considerations for cardiac (exercise) rehabilitation training in the elderly women at risk for or with heart failure with preserved ejection fraction (including breast cancer survivors treated with chemotherapy or biological targeted therapy).

B217: Two Sides of the Same Coin: Applying Clinical and Research Skills Improve Cardiac Rehabilitation

Thursday, September 22 | 2:45 p.m. – 3:45 p.m.

Cardiac rehabilitation (CR) has evolved over the years based on improvements in clinical practice and research findings. Clinical care and research in these patient populations are two sides of the same coin: decision-making in CR is advanced based on updated studies and guidelines, while CR-based research agendas are driven by needs of the clinical teams and patients. This session explores that duality, and highlights how CR professionals can utilize their expertise in the areas of clinical care and research to advance the field of CR. Through the lens of a CEP working in traditional CR, the session draws from personal experience and details how active research projects led to a peer-reviewed publication. Initiating research studies, finding collaborating physicians, and facilitating research studies provides opportunities for programs and staff. These responsibilities can encourage job growth and better relationships with referring MDs. Through the lens of a research manager working with a CR team, the session shares how the needs of patients and challenges faced by clinicians have led to an active research agenda, aimed at improving CR outcomes. Cardiorespiratory fitness in unique patient groups is being characterized, inpatient and outpatient CR participation and outcomes are being quantified, and barriers to participation in urban CR settings are being explored – largely because of this clinician-researcher partnership. Both of these examples demonstrate an understanding that high quality clinical care in CR and advancing the field of CR through research are tightly linked, and can serve as models for those working in these settings to strive for such partnerships. Practical application of research data and AACVPR outcomes provides a great opportunity to use collected data for programmatic and quality improvement. These research avenues and data provide opportunities for personal and program growth.

Speaker(s): Seth Donaldson, MS, RCEP, CCRP; Garett Griffith, MS, MPH

CE Credit(s): 1.00

Learning Objectives:

  • Understand what steps are necessary to initiate a research study in a cardiac rehabilitation setting.
  • Identify opportunities for data collection and research studies within their own cardiac rehabilitation setting.
  • Describe the benefits of cardiac rehabilitation clinical teams developing relationships with researchers (and vice versa).
  • Create ideas for program quality and improvement using data collected from research or program certification to improve clinical practice.

 

B223: If You Build It – They Will Come: A Compelling Case for Boosting Cardiac and Pulmonary Rehabilitation Enrollment and Adherence

Thursday, September 22 | 4:00 p.m. – 5:00 p.m.

This session will explore the science related to current enrollment and adherence rates in cardiac and pulmonary rehabilitation. The presenters will discuss methods that have been shown to improve enrollment in cardiac and pulmonary rehabilitation. Program enhancements and delivery methods which may improve adherence in cardiac and pulmonary rehab will also be presented.

Speaker(s): Peter Lindenauer, MD; Quinn Pack, MD, MSc

CE Credit(s): 1.00

Learning Objectives:

  • Understand current enrollment and adherence in cardiac and pulmonary rehab.
  • Identify methods to enhance enrollment for CR and PR.
  • Recognize program enhancements used by high performing programs to improve adherence in CR/PR.

RF2005: Bringing the Pulse to Life

Thursday, September 22 | 5:15 p.m. – 6:00 p.m.

This session will describe utilization of the AACVPR PULSE to network, ask questions and share information with colleagues. The most commonly asked questions and themes from the PULSE will be addressed with breakout discussions to further explore these areas of focus.

Speaker(s): Robert Berry, MS, RCEP, FAACVPR

CE Credit(s): 0.75

Learning Objectives:

  • Utilize the PULSE for asking questions and sharing information.
  • Better understand specific areas of interest or concern from the PULSE.
  • Have the opportunity to discuss and network with colleagues regarding key topics.

B305: Moving From Good to Great: Using Performance Measures Data to Enhance Program Delivery and Quality

Friday, September 23 | 8:00 a.m. – 9:00 a.m.

This session will include a discussion of how to use the performance measures data and the quality improvement process to identify opportunities for program improvement. Examples of best practice program improvement initiatives will be highlighted to illustrate how implementation of quality improvement using our own data can help to move us to excellence.

Speaker(s): Anne M. Gavic-Ott, MPA, RCEP, MAACVPR; Kimberly Schlifer, RRT, CPFT, TTS; Mark Stout, MS, CCRP, FAACVPR, Lucinda Williams MS, RCEP

CE Credit(s): 1.00

Learning Objectives:

  • Understand a simple quality improvement process.
  • Learn how selected CR programs have used their data to make significant improvement.
  • Learn how selected PR programs have used their data to make significant improvement.

B311: COVID After the Storm: Guiding Patients in Return to Activity

Friday, September 23 | 11:00 a.m. – 12:15 p.m.

COVID-19 has been characterized by a long list of symptoms of varying severity and the potential for these symptoms to linger indefinitely. While exercise has been widely used to bolster one’s health across various conditions, there has understandably been less clarity regarding its application across individuals recovering from a COVID-19 infection. While many individuals are able to quickly return to performing large volumes of activity, a subgroup of individuals continue to experience persistent fatigue, breathlessness, brain fog, exercise malaise, or have developed postural orthostatic tachycardia syndrome which seemingly eliminates the possibility of returning to or adopting an active lifestyle. Although there is still much to learn about effectively individualizing the exercise prescription, this webinar will review current strategies and considerations for prescribing exercise to those in the post COVID-19 infection phase.

Speaker(s): Dennis Kerrigan, PhD, RCEP, FACSM; Cemal Ozemek, PhD, ACSM-CEP, FACSM, FAACVPR (Pre-Recorded)

CE Credit(s): 1.25

Learning Objectives:

  • Understand how to characterize the severity of post COVID-infection symptoms.
  • Have an understanding of tests that can be used to identify long-COVID symptoms.
  • Understand the considerations for developing an exercise prescription relative to the individuals COVID infection severity.
  • Understand the relationship between Post-Acute Sequela of COVID-19 and Postural Orthostatic Tachycardia Syndrome.
  • Understand how the role of sedentary lifestyle, reconditioning, and other co-morbidities interact with long-COVID symptoms.

RF3001: Operational Agility in Cardiopulmonary Rehab: Collaboration Strategies to Support Growth and Sustainability

Friday, September 23 | 1:45 p.m. – 2:30 p.m.

Successful transition from historic fee-for service to value based care models is paramount for growth and sustainability of cardiopulmonary rehab programs. Cardiac and pulmonary rehab programs trying to operate without support of broader organizational and cross-department support will falter. This session will highlight the key collaboration strategies needed for these programs to successfully grow and sustain operations. Key strategies will focus on required organizational relationships, service line partnerships, and cross department collaborations. Importantly, these strategies will improve key metrics such as, program referral,patient enrollment and participation and patient satisfaction. A proven collaborative, value based care model implemented in CHI Memorial’s Cardiopulmonary Rehab department will bepresented.

Speaker(s): Matthew B. Thomas, MS, MBA, ACSM-CCEP

CE Credit(s): .75

Learning Objectives:

  • Identify professional and cross-department collaboration strategies that will support program growth and sustainability.
  • Highlight technological (EMR) and communication strategies to leverage collaborative relationships successfully.
  • Outline roadmap to successfully forging these supportive collaborations.
  • Understand how these collaborations positively impact operational metrics and outcomes.

RF3005: Maintenance Programs – Present and Future

Friday, September 23 | 1:45 p.m. – 2:30 p.m.

An introduction to an innovative partnership with the YMCA in MI to provide CR maintenance programming at an off- site facility. Follow up discussion will allow participants to share what programs are currently doing to provide maintenance programming for their patients’ long term care – especially in the post – COVID environment.

Speaker(s): Laura Vaughn, CCRP

CE Credit(s): .75

Learning Objectives:

  • Understand the MI model for partnering with the YMCA for CR.
  • Discuss and share options for maintenance programming.

B317: Innovative Practice Ideas for Medical Fitness

Friday, September 23 | 2:45 p.m. – 4:00 p.m.

Medical care has progressed a long way from the days of “take two and call me in the morning”. The medical community is evolving as lifestyle medicine and exercise as medicine concepts become mainstream. Similarly, the needs and desires of patients are evolving, with many wanting to take a more hands-on approach to improving their health. In this session, you’ll learn how to improve the connection and communication between medical and fitness providers, how to leverage the latest in fitness technology for patient monitoring, engagement, and education and how to track and report health outcomes. We’ll explore ways to develop and optimize workflows between med-fitness staff and other providers to avoid losing patients in the void that can develop with interdisciplinary care. Join us to discover how integrating medical-fitness with a lifestyle medicine approach can better equip and empower patients with the tools needed for lifelong movement and improved health.

Speaker(s): Ashleigh Funk, BA, CCRP, ACSM CPT, FMS

CE Credit(s): 1.25

Learning Objectives:

  • Learn the key factors in successfully combining medical fitness and a holistic lifestyle medicine program to drive patient personal accountability and buy-in.
  • Uncover strategies to increase medical-fitness referrals and create workflows which lead to measurable health outcomes for a high-risk/high-cost population.
  • Discover how the use of technology in a medical fitness setting can create a cohesive patient experience and enhance program delivery and tracking capabilities.

Pulmonary Rehabilitation and Medicine

B103: Evidence for Pulmonary Rehabilitation, Past, Present and Future: What We Know and What We Don’t Know

Wednesday, September 21 | 2:45 p.m. – 4:00 p.m.

Pulmonary Rehabilitation is a cornerstone of treatment for people with chronic lung disease but remains underutilized. As alternative program models emerge, programs must be designed to include essential components. Providers need to be aware of emerging research that will make evidence based pulmonary rehabilitation more accessible and acceptable to patients and payers.

Speaker(s): TBD

CE Credit(s): 1.25

Learning Objectives:

  • Identify essential components that must be included in all pulmonary rehabilitation programs regardless of the program model. 
  • Explain why innovation is needed.
  • Describe methods for ensuring pulmonary rehabilitation outcomes and processes are efficient and effective.
  • Identify areas of focus for future research in the delivery of pulmonary rehabilitation.

B203: Two Years and Counting: The Effect of COVID-19 on Traditional Pulmonary Rehabilitation

Thursday, September 22 | 10:30 a.m. – 11:45 a.m.

The COVID-19 pandemic has had a major impact on Pulmonary Rehab. This presentation will focus on the clinical data and outcomes of patients with COVID-19 enrolled in a traditional pulmonary rehab program since June 2020. We will examine the unique treatment challenges and subsequent program changes to improve COVID patient outcomes.

Speaker(s): Jacqueline Pierce, PT,CCS, CCRP; Linda L. Drapeau, MS, CCRP

CE Credit(s): 1.25

Learning Objectives:

  • Recognize the unique symptomatology and treatment challenges of the Covid-19 PR patient.
  • Describe how the current pulmonary program demographics have changed since the Covid-19 pandemic.
  • Compare and contrast functional mobility, quality of life, and psychosocial outcomes of patients with covid-19 versus patients with COPD and ILD.
  • Provide strategies for treatment and improving patient outcomes.

B209: Introducing the New Pulmonary Rehabilitation Reimbursement Toolkit

Thursday, September 22 | 1:30 p.m. – 2:30 p.m.

AACVPR has partnered with the American Association for Respiratory Care, American Thoracic Society and American College of Chest Physicians to design a toolkit that gives hospital-based providers tools, insights and resources regarding payment for Medicare’s comprehensive pulmonary rehabilitation (PR)) and new CPT codes for PR that became effective January 1, 2022. This free resource will provide you with strategies to address Medicare payment, ways to establish appropriate charges, examples of uncompensated services, and much more.

Speaker(s): Debbie Koehl, MS,RRT-NPS, AE-C, FAARC

CE Credit(s): 1.00

Learning Objectives:

  • Describe key elements of pulmonary rehabilitation reimbursement including Medicare rules and their interpretation and application.
  • Understand what’s important about the new comprehensive PR billing codes.
  • Review strategies to understand and use your hospital chargemaster.
  • Successfully work with billing and finance leads.
  • Develop a system for monitoring billing, charges, and payment to assess and confirm financial outcomes.

B215: IPF - New and Emerging Treatment Options

Thursday, September 22 | 2:45 p.m. – 3:45 p.m.

IPF is a progressive and debilitating lung disease with a worse outcome than some cancers. The incidence of IPF is increasing and while current antifibrotic therapies slow progression, they do not offer a cure. This session will describe our current understanding of the underlying mechanisms, new therapeutic options, the role of pulmonary rehabilitation and challenges in managing the disease.

Speaker(s): Andrew Naman

CE Credit(s): 1.00

 

B221: Pulmonary Patients Also Have Heart

Thursday, September 22 | 4:00 p.m. – 5:00 p.m.

Coexisting chronic pulmonary and cardiovascular disease are common in patients participating in pulmonary rehabilitation programs. The most frequent cardiac comorbidities seen in patients with lung disease include ischemic heart disease, heart failure and atrial fibrillation. Systemic manifestations of lung disease are associated with increased cardiac death and impaired health status. This session will focus on issues relevant for pulmonary rehabilitation clinicians caring for patients with coexisting pulmonary and cardiovascular disease.

Speaker(s): Benjamin Ravaee, MD

CE Credit(s): 1.00

Learning Objectives:

  • Identify common cardiac comorbidities frequently seen in patients with lung disease.
  • Identify risk factors that are common to both cardiac and pulmonary disease.
  • Recognize ECG patterns of common cardiac comorbidities seen in patients with chronic lung disease.
  • Describe issues to be considered when establishing exercise training programs for patients with lung disease who have coexisting cardiac disease and recognize symptoms and conditions that would be considered contraindications to exercise training.

B303: Respiratory Medications: Update 2022

Friday, September 23 | 8:00 a.m. – 9:00 a.m.

Respiratory drug development is at an all-time high with well over 100 drugs currently awaiting review by the US Food and Drug Administration (FDA) or in clinical trials. Therapeutic benefit is highly dependent upon patient compliance with dosing and special delivery techniques for many of these medications, therefore, patients must be trained to use the drugs correctly. Pulmonary rehabilitation clinicians play an important role in providing this education but are challenged to stay up to date on the latest drugs and devices. This session will provide an update on the classes of respiratory medications, their actions and side-effects as well as some possible future trends in respiratory pharmacology.

Speaker(s):Katherine Menson, DO

CE Credit(s): 1.00

Learning Objectives:

  • Identify the categories of medications commonly used in the treatment of pulmonary disease.
  • Describe the seven GOLD treatable traits.
  • Discuss treatment options for anti-inflammatory therapy.
  • Describe medications used for treatment of IPF.

B309: Respiratory Muscle Dysfunction in Chronic Disease States: Clinical Importance and Implications for Cardiopulmonary Rehabilitation

Friday, September 23 | 11:00 a.m. – 12:15 p.m.

Respiratory muscle dysfunction, which can be characterized by a loss in mass and/or pressure generating capacity of the breathing muscles, is a known but perhaps underestimated complication of chronic cardiopulmonary disease states. Indeed, inspiratory muscle dysfunction occurs in up to ~50% of people with chronic heart failure or chronic obstructive pulmonary disease and is associated with breathlessness, limited exercise capacity, and worse survival in these patient populations. Accordingly, it is likely that respiratory muscle dysfunction is playing an underappreciated role in the development of exertional symptomology (e.g., dyspnea and breathing discomfort) and exercise intolerance experienced by many patients attending cardiac or pulmonary rehabilitation. In this breakout session, we will address the key causes, signs, and symptoms of respiratory muscle dysfunction, detail some of the diagnostic strategies used to detect respiratory muscle dysfunction and identify the prevalence of such dysfunction in a range of cardiac and pulmonary diseases. We will discuss how respiratory muscle weakness impacts physiological function in patients often referred to cardiopulmonary rehabilitation and explore rehabilitative strategies by evaluating the available evidence regarding the effects of exercise-based cardiopulmonary rehabilitation with and without concurrent specific respiratory muscle training on respiratory muscle function, general physiological function, and clinical outcomes in different patient groups. In doing so, we will consider whether the assessment of respiratory muscle function should become standard as part of the patient intake assessment for phase II cardiopulmonary rehabilitation programs, giving practical guidance on the implementation of such measures as well as specific respiratory muscle training interventions.

Speaker(s): Joshua Smith, PhD; Craig P. Stone, CEP; Bryan J. Taylor, PhD

CE Credit(s): 1.25

Learning Objectives:

  • Compare different techniques used to assess respiratory muscle function and understand the metrics used to define respiratory muscle dysfunction.
  • Identify the prevalence and clinical importance of respiratory muscle dysfunction in different cardiopulmonary disease states.
  • Evaluate the potential role for specific respiratory muscle training as a rehabilitative strategy in patients undertaking phase II cardiopulmonary rehabilitation.
  • Recognize the practical considerations for including respiratory muscle function assessment and specific inspiratory muscle training in the phase II cardiopulmonary rehabilitation setting.

RF2003: How To Get Your PR Patients Enrolled

Thursday, September 22 | 5:15 p.m. – 6:00 p.m.

This rapid fire session will provide a forum for sharing challenges and strategies for engaging and enrolling patients in pulmonary rehabilitation to decrease emergency department utilization and unscheduled office visits.

Speaker(s): Karen A Edwards, MS, RCEP, RRT, FAACVPR

CE Credit(s): 0.75

Learning Objectives:

  • Identify some challenges in enrolling patients with chronic lung disease in outpatient pulmonary rehabilitation.
  • Discuss some potential strategies to encourage PR participation.
  • Share small group discussions with all participants.

RF3003: PR Billing and Charges - Five Need-to-Know Rules for a Busy Provider

Friday, September 23 | 1:45 p.m. – 2:30 p.m.

Pulmonary Rehabilitation charges and billing can be complex and challenging for clinicians, yet they are vital to providing services and to program sustainability. This rapid-fire session will focus on 5 key elements of charges and billing that can help clarify priorities, meet budget targets, and use available tools. Resources for billing and charges will be included.

Speaker(s): Susan Flack, RN, MS

CE Credit(s): .75

Learning Objectives:

  • Recognize differences among insurance providers.
  • Distinguish Pulmonary Rehab from Outpatient Respiratory Services.
  • Understand basics of billing and reimbursement.
  • Discuss ways to self-audit your program to improve accuracy and maximize reimbursement.

B315: Innovations in Pulmonary Rehabilitation

Friday, September 23 | 2:45 p.m. – 4:00 p.m.

This session will review novel models that include virtual intervention experiences and considerations for adapting clinical resources to meet varying individual patient needs. Traditional evidence-based PR is the foundation for treating patients with COPD and various interstitial lung diseases. Program providers are stretching to care for an increased number of post- COVID patients. Are you still providing the traditionally prescribed treatment? Have you found that shorter or longer treatment courses are needed? Has your education content changed? Attend this session to explore the options while doing diligence to adhere to the standard of care during these changing and challenging times.

Speaker(s): Maria Correa Baylon, RRT, RCP; Aimee Kizziar, MHAL, BA, RRT-NPS, RCP, CES; Connie Paladenech, RRT, RCP; and Lisa Smith, PT

CE Credit(s): 1.25

Learning Objectives:

  • Review evidenced-based findings supporting PR.
  • Learn the definition applied to virtual PR.
  • Identify 2 examples of novel delivery.
  • Identify 2 challenges to initiating novel delivery.

Program Management

B101: Improving Program and Data Quality for the AACVPR Performance Measures: Lessons Learned from the Past Five years

Wednesday, September 21 | 2:45 p.m. – 4:00 p.m.

The AACVPR recently instituted value-based performance measures to track enrollment and adherence. Programs planning for apply for certification in 2023 should be currently collecting data. This session will briefly review the new performance measures, discuss existing quality metrics, and ways to improve program outcomes.

Speaker(s): Gerene Bauldoff, PhD, RN, MAACVPR; Anne Gavic, MPA, RCEP, MAACVPR; Joel Hughes, PhD, FAACVPR; Dianne Jewell, PT, DPT, PhD, FAPTA, FAACVPR; Quinn R. Pack, MD, MSc; and Mark Stout, MS, CCRP, FAACVPR

CE Credit(s): 1.25

Learning Objectives:

  • Discuss value-based quality measures (program enrollment and adherence). 
  • Review national quality metrics on the existing performance measures. We will review gaps in performance and how to improve data quality.
  • Highlight lessons and innovations from select CR and PR programs who are actively involved in QI initiatives based on the performance measures.

B201: Improving Your ITP

Thursday, September 22 | 10:30 a.m. – 11:45 a.m.

To provide an overview of program certification requirements for ITPs and discussion on the common pitfalls and opportunities to improve your ITP.

Speaker(s): Ashley Wishman, MS, CEP, CSCS, EIM3, FAACVPR

CE Credit(s): 1.25

Learning Objectives:

  • Fundamental elements of the ITP for Program Certification. 
  • Common issues and ITP examples.
  • ITP opportunities for improvement.

B207: Session in a Box — A User’s Guide to VBC Resources for CR/PR Professionals

Thursday, September 22 | 1:30 p.m. – 2:30 p.m.

Attendees will have the opportunity to learn about the new “Session in a Box” resource that includes value-based care strategies from experts in the field of cardiopulmonary rehab. Session in a Box is a new resource created by the value-based care committee that affiliates can use to bring the concepts of value-based care to regional programs. We live in an ever-changing environment and provide cardiopulmonary rehab in a variety of settings; from small rural programs to large, metropolitan centers. Session in a Box outlines efficient, time-saving strategies that can easily be implemented into cardiopulmonary rehab programs across the healthcare continuum.

Speaker(s): Jonathan David, MSN, RN, CCRP, NE-BC; Karen A. Edwards, MS, RCEP, RRT, FAACVPR; Yvette M. Gerdes, MS, ACSM-CEP, CCRP, EIM; and Tedd Walsh, BS, ASCM-CEP, CCRP, FAACVPR

CE Credit(s): 1.00

Learning Objectives:

  • The value of cardiopulmonary rehab in Healthcare and how to have conversations with key people
  • Population health and how this impacts the care we deliver across the continuum
  • Quality, performance measures and how to utilize data to invoke change
  • Practical strategies to implement value-based care principles in any rehab setting

B213: Methods to Develop and Improve Cardiac Rehab and Pulmonary Rehab Staff Competence

Thursday, September 22 | 2:45 p.m. – 3:45 p.m.

We will discuss methods to improve cardiac and pulmonary rehabilitation staff competencies by utilizing the CCRP knowledge domains along with the Core Competencies for CR/PR professionals as stated in the 2010 AACVPR Cardiac Rehab/Secondary Prevention and 2014 AACVPR Pulmonary Rehab position statements. Additionally, due to the impact of COVID on our ability to gather in person, we have had to change our ways of delivering staff competencies. This session will provide an overview of knowledge assessments, developing staff competencies, and delivery of competency education.

Speaker(s): Amanda Bonikowske, PhD; Shawn Leth, CEP, MEd, FAACVPR; Keri Ohren, RRT; Kelsey Paarmann, MS, ACSM-CEP, CCRP

CE Credit(s): 1.00

Learning Objectives:

  • Develop staff competencies for multiple disciplines within the Cardiac/Pulmonary Rehab setting.
  • Assess the needs of staff to identify gaps in knowledge.
  • Recognize virtual opportunities to engage staff in competency-based education.

B219: A Step Forward: Cardiac Rehabilitation for Peripheral Arterial Disease

Thursday, September 22 | 4:00 p.m. – 5:00 p.m.

Peripheral arterial disease (PAD) results in widespread morbidity and mortality. Supervised exercise therapy (SET) is a first-line therapy for many affect persons. SET for PAD can now be offered in cardiac rehabilitation. This session will discuss the adverse effects of PAD on health, how and why exercise training can improve PAD outcomes, guidelines for exercise prescriptions, and engaging patients in a SET program within cardiac rehabilitation.

Speaker(s): Kerry J. Stewart, EdD, MAACVPR

CE Credit(s): 1.00

Learning Objectives:

  • Review the prevalence of PAD and its adverse effects on health.
  • Discuss therapies for PAD with a focus on supervised exercise training.
  • Present guidelines for the exercise prescription in PAD.
  • Discuss engaging patients in a SET program and alternative modes for participation.

RF2001: “Putting the I in ITP - Ensuring Programs Reach More Patients, Even When Their Circumstances Don’t Accommodate the Ideal Situation

Thursday, September 22 | 5:15 p.m. – 6:00 p.m.

Interactive session on assessing and planning each individual patient’s length of stay in programs and promoting our programs to give all patients requiring our services the opportunity to participate. Too often patients are “turned off” by being told they must attend 3 times weekly for 12 weeks for them. We all know more Is better and the evidence based literature supports this, however too many patients in need are either not accepted or decline entry into programs because they are unable to commit to the standard model due to work, child care, elder care, travel, financial or other issues that make adhering to the traditional model impossible In the spirit of “Some is better than none”, meeting these patient’s needs has been shown to decrease dropout rates and increase patient satisfaction. We also need to be sure to document rationale not only for deviating from the standard model, but for keeping with it as well. With increasing Medicare audits, ITPs will need to reflect progress and medical necessity for the actual length of stay, truly telling the “story” of the course or care. None of this is new, though it will be presented in a way to “drive home” the need for individual consideration from the initial evaluation, planning of care and discharge planning as one size does not always fit all. Examples of success in my former programs will be used with patients completing as few as 10 sessions and as many as 50.

Speaker(s): Wayne W. Reynolds, RN, FAACVPR, CCRP

CE Credit(s): 0.75

Learning Objectives:

  • Understand the need to individualize session planning and teaching methods/interactions to meet patient needs.
  • Involve the patient in planning of their own care from day one.
  • Understanding of the need to document the rational and plan to accomplish patients’ goals for projected sessions as well as revising the plan when needed.

RF2002: Supervised Exercise Therapy for PAD: Practical Details of Program Management

Thursday, September 22 | 5:15 p.m. – 6:00 p.m.

During this rapid fire session, Dereck Salisbury will overview the diagnosis of PAD and criteria for PAD participants to be eligible for SET and review key similarities and differences between SET and CR. Additionally, Dereck will review published data regarding up-to-date demographic and clinical characteristics of patients enrolling in SET programs and how to prescribe individualized and optimal exercise programs for PAD patients.

Speaker(s): Dereck Salisbury, PhD

CE Credit(s): 0.75

Learning Objectives:

  • Session attendees will gain knowledge regarding patient eligibility criteria for enrolling in SET programs.
  • Session attendees will be able to decipher key differences in the delivery of SET programs relative to better understood CR programs.
  • Session attendees will learn about important outcome assessments to evaluate the effectiveness of SET important for establishing benchmarks for SET programs.
  • Session attendees will learn the “nuts and bolts” of exercise programing for SET including, a) selecting the optimal training modality; b) progressing the individualized exercise program; and c) implementing home-based exercise in the context of the SET program.

B301: The Benefits of Volunteers and Student Interns to your Cardiopulmonary Rehabilitation Program

Friday, September 23 | 8:00 a.m. – 9:00 a.m.

Volunteers and students can provide a valuable asset to your program. These committed individuals can assist staff and patients by providing high quality, cost-efficient care and support to your patients, staff and program

Speaker(s): Michael J. Dunlap, EP/PD, FAACVPR; Kelly O. Forrest, RN II; Alan Snow, MBA; Joyce Snow

CE Credit(s): 1.00

Learning Objectives:

  • Attendees will learn how to recruit and utilize volunteers for your program needs, through your hospital's volunteer program.
  • Attendees will explore potential ways volunteers can enhance and aid in daily duties.
  • Attendees will learn how to collaborate with Universities to offer student internships.
  • Attendees will identify the value and positive results of coaching a student.

B307: 2023 Program Certification

Friday, September 23 | 11:00 a.m. – 12:15 p.m.

AACVPR Program Certification is the only peer-review accreditation process designed to review 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 their field because they offer the most advanced, evidence-based practices and care. For the 2023 certification application cycle, programs will be required to provide outcome measurement data and analysis and the utilization of the 2018 Patient-Centered Performance Measures & the new 2023 Program-Level Performance Measures. This session will provide an overview of each page of the 2023 certification application and insight on how to successfully complete the certification process. Programs seeking AACVPR Certification for the first time and those renewing their certification are encouraged to attend.

Speaker(s): Ashley Wishman, MS, CEP, CSCS, EIM3, FAACVPR

CE Credit(s): 1.25

Learning Objectives:

  • Attendees will be able to provide an explanation and requirements for each page of the Cardiac and Pulmonary Rehabilitation certification application.
  • Attendees will be able to describe the new 2023 Performance Measures on Enrollment and Adherence and the old patient-centered performance measures from 2018.
  • Attendees will be able to identify common errors and omissions on program certification applications.

B313: Optimizing the Team approach: Expanding opportunities for Clinical Exercise Physiologist and Occupational, Physical and Physical Therapy Assistants in Cardiopulmonary Rehabilitation

Friday, September 23 | 2:45 p.m. – 4:00 p.m.

With academic training that includes courses in anatomy and physiology, pathophysiology of chronic diseases, electrocardiogram interpretation, principles of exercise testing, prescription and supervision, and pharmacology, Clinical Exercise Physiologists (CEP) are well prepared for a professional career in cardiopulmonary rehabilitation. Unfortunately, CEPs are underutilized in cardiopulmonary rehabilitation due, presumably, to poorly defined professional practice patterns and a general lack of awareness on the part of would-be employers regarding the CEP's knowledge and skillset. To remedy this situation, efforts are underway to develop a formal practice patterns statement that outlines the roles and responsibilities that are appropriate for CEPs. The purpose of this session is to describe the process of more clearly defining the roles and responsibilities of CEPs working in cardiopulmonary rehabilitation. In response to the global pandemic, the cardiopulmonary rehabilitation departments identified the need to streamline & restructure departmental staffing and processes to support organizational efforts in increasing access to the patients, decreasing the waitlist, and thereby preventing readmissions. It was determined that improved responsiveness to the referrals in all the phases by Occupational and Physical therapists was paramount to initiating early cardiopulmonary rehabilitation sessions. Streamlining processes including cross training the staff, developing competencies, patients scheduling, and order placement in Phase 1 as well as addressing the Team culture had a significant impact on the hospital metrics of readmission, patient experience, and shortened waitlist.

Speaker(s): Robert Berry, SM; Clinton A. Brawner, PhD, RCEP, FACSM; Srilekha Palle, PT, DPT, MBA; Patrick Savage, MS

CE Credit(s): 1.25

Learning Objectives:

  • Attendees will be able to describe the widely disparate opportunities and responsibilities for CEPs in cardiopulmonary rehabilitation.
  • Attendees will identify the barriers to the more wide spread integration of CEPs in cardiopulmonary.
  • Attendees will be able to describe the efforts that are underway to define the practice patterns of CEPs more formally in cardiopulmonary rehabilitation.
  • Attendees will learn to develop competencies to decrease variability in practices between Nurses/CEPs/ Occupational, Physical and Physical therapist assistants.
  • Attendees will understand the Care coordination amongst the interdisciplinary Team to maximize the clinical outcomes (Phase 1 by OT/PT, Phase 2 by PT’s and Phase 3 by PTA’s.
  • Attendees will learn about efficient program management and innovative leadership/ being an agent of culture change.

Research

B106: Beginning Investigator Awards

Wednesday, September 21 | 2:45 p.m. – 4:00 p.m.

CE Credit(s): 1.25

  • "It Was A Blur": A Qualitative Study Of Barriers To Participation In Cardiac Rehabilitation Among Patients With Heart Failure
    • Author(s): Christine DeJong MA MA; Joshua Erban MD; Carol Haywood PhD OTR/L;  Peter Lindenauer MD MSc, Tara Lagu MD MPH; Kyle McAnally; Quinn Pack MD
  • Disparities By Sex In Objective Measurement Of Smoking In Cardiac Rehabilitation
    • Author(s): Diann E. Gaalema, PhD1; Sherrie Khadanga, M.D.2; Jason Rengo, M.S.2; Patrick Savage, M.S.2; Blair Yant, BS1
  • Factors Associated With Cardiac Rehabilitation Dropout: A Retrospective Review
    • Author(s): Olivia DeLorenzo, MD Candidate (2024); Carrie Purcell, MPH, MD Candidate (2023); Galen Ogg, MDc; David Shipon, MD
  • Successful Pilot Testing Of A Phase 1.5 Mobile App To Bridge The Gap Between Hospital Discharge And Outpatient Cardiac Rehabilitation Enrollment.
    • Author(s): ​Madeline Rose Broccoli, BS1; Kamryn Jebb, BS1; Susan Jepson, MPH2; Kyle McAnally, BS3; Quinn Pack, MD3. 1; Patrick Schilling, BS3; Jared Sieling, ME2
  • Anxiety and Executive Dysfunction Predict Worse Fitness Improvement In Cardiac Rehabilitation-eligible Lower-socioeconomic Status Patients
    • Diann E. Gaalema, PhD; Brian Katz, PhD; Sherrie Khadanga, MD; William Middleton, MA; Patrick Savage, MS
  • Effect Of Face Masks On Exercise Performance During 30 Minutes Of Self-paced Exercise
    • Carl Foster, Ph.D., FACSM1; Andrew Jagim, Ph.D.2; Teresa Eber Lee, Ed.D., RCEP, CCRP, CEP3; Richard Mikat, Ph.D., FACSM1; Dominique Peckumn, M.S.1; Kimberley L. Radtke, Ph.D., CCRP, RCEP1; Grace Vogt, M.S.1

B206: Oral Abstract Presentation #1

Thursday, September 22 | 10:30 a.m. – 11:45 a.m.

CE Credit(s): 1.25

  • A Contemporary Review On Medical Disruptions During In-center Cardiac Rehabilitation: A Necessary Appraisal For The Development Of Emerging Remote Care Models
    • Author(s): Humberto Andrade, BS; Christopher Chen, MD; Alejandra Galina Bernal Fausto, BS; Shaun Giancaterino, MD; Margaret Junker, MS, RDN, CDCES; Anthony An Khong, MD; Rachel Labiak, MSN, RN; Nina Liu, MD; Javier Lopez, MD; Elizabeth Cortez-Toledo
  • Comparison Of Adherence And Clinical Outcomes In Women’s- Only Versus Women In Mixed Gender Group Classes In Cardiac Rehabilitation
    • Author(s): Julianne DeAngelis, MS, FAACVPR; S. Hammad Jafri, MD, MMSc; Sara Robat, MS, BSN; Wen-Chih Wu, MD, FAACVPR
  • Incidence And Patterns Of Falls In Cardiac Rehabilitation
    • ​Author(s): Anum Fatima, MD; Maryam Naser, MD; Quinn Pack, MD, MS; Patrick Schilling, BS; Heidi Szalai, MS
  • Cardiorespiratory Fitness Estimations And Their Ability To Predict All-cause Mortality In Patients With Cardiovascular Disease
    • Author(s): Ross Arena, PhD4,3; Sandeep Aggarwal, MD3,2; Trina Hauer; Leonard A. Kaminsky, PhD, FAACVPR1; Matthew K. MacDonald; James E. Peterman, PhD1; Codie R. Rouleau, PhD, RPsych2; Stephen B. Wilton, MD3,2
  • Evaluating the Effectiveness of a Home-based Cardiac Rehab Program on Pediatrics with Heart Transplant And Heart Failure
    • Author(s): Meg McKane, MD2; Aylin Sanchez, BS1; Megan Stark, Master of Science in Exercise Science1; Dan Ziebell, MD2. 1

B212: JCRP Highlights: From the Journal to Your Patient

Thursday, September 22 | 1:30 p.m. – 2:30 p.m.

This session will highlight selected studies that have appeared in JCRP during the past year. The presenter(s) will briefly review the rationale (i.e., importance and relevance of the study), key findings, and the potential impact on cardiopulmonary rehabilitation programming. The goal of the session is to highlight the most impactful and clinically relevant research that was published in JCRP. Also, the session will "translate" the research results so that the rehabilitative professionals can integrate the findings into their clinical practice to meaningfully affect patient health outcomes.

Speaker(s): Lenny Kaminksy, PhD, FACSM, FAACVPR; Patrick Savage, MS

CE Credit(s): 1.00

Learning Objectives:

  • Attendees will be able to explain the clinical significance of selected research studies that appeared in JCRP.
  • Attendees will be able to summarize the content and the conclusions of the selected studies.
  • Attendees will be able describe ways to apply the information conveyed in the session to their current practice.

B218: The AACVPR Data Analytics Center: Update and Future Research Opportunities

Thursday, September 22 | 2:45 p.m. – 3:45 p.m.

This session will update the work of the Data Analytic Center, present preliminary data from the registries, and outline the process for research submissions.

Speaker(s): Todd M. Brown, MD, MSPH, FACC, MAACVPR; Jason Rengo, MSc, CCRP

CE Credit(s): 1.00

Learning Objectives:

  • Understand the purpose and mission of the AACVPR Data Analytics Center.
  • Learn about the variables and content of the Cardiac Rehabilitation Registry.
  • Understand the process to submit ideas for publications.
  • Learn about the variables and content of the Pulmonary Rehabilitation Registry.

B224: Moderated Poster Session #1

Thursday, September 22 | 4:00 p.m. – 5:00 p.m.

  • Investigating The Use Of SGLT2 Inhibitors In Patients With Type-2 Diabetes In Cardiac Rehabilitation
    • Author(s): Kaitlyn Barrett, DO; Sherrie Khadanga, MD; Tanesha Beebe-Peat, MD; Patrick Savage, MS
  • Effects Of Smoking Status On Fitness Within Cardiac Rehabilitation
    • Author(s): Philip Ades, MD2; Diann Gaalema, PhD1; Sherrie Khadanga, MD2; Jason Rengo, MS2; Patrick Savage, MS2
  • Supervised Exercise Training For Peripheral Arterial Disease: Baystate’s Initial Program Experience
    • Author(s): Diana Lane, MS; Marc Norris, MD; Quinn R. Pack, MD, MSc; Patrick Schilling, RCEP, CCRP; Heidi Szalai, MS
  • Exercise Dose And 6-minute Walk Test In Supervised Exercise Therapy: The Stepper Study
    • Author(s): Rebecca Brown, PhD, MEd, MN, RN; Diane Treat-Jacobson, PhD, RN, FAHA, FSVM, FAAN; Dereck L. Salisbury, PhD
  • Impact Of Supervised Exercise Training On Cardiorespiratory Fitness Among Black/African American And Caucasian Breast Cancer Patients: A Preliminary Analysis
    • ​Author(s): Dennis J. Kerrigan, Ph.D.2. 1; Steven J. Keyetian, Ph.D.2; Rachael Katharine Nelson, Ph.D.1; Eleanor M. Walker, M.D.2

B306: Moderated Poster Session #2

Friday, September 23 | 8:00 a.m. – 9:00 a.m.

  • Developing A Group-based Virtual Education Curriculum For Cardiac Rehabilitation And The Associated Toolkit To Support Implementation In Canada And Across The Globe
    • Author(s): Crystal Aultman, M.Sc., R.Kin., OCT; Gabriela Lima de Melo Ghisi, PT, PhD; Paul Oh, MD
  • Have Cardiac Patients’ Perceptions And Experiences Changed As The Virtual Cardiac Rehabilitation Program Evolves During The Covid-19 Pandemic?
    • Author(s): Angie Andreoli, MSc; Mark Bayley, PhD; Elizabeth Inness, PhD; Meiqi Guo, PhD; Ailene Kua, MSc; Susan Marzolini, PhD; Edith Ng, MSc; Paul Oh, MD; Lais Manata Vanzella, PhD; Nicole Sandison, MSc 
  • Evaluating The Effectiveness Of A Comprehensive Patient Education Intervention In A Hybrid Model Of Cardiac Rehabilitation, A Pilot Study
    • Author(s): Gustavo Arrieta Bartolomé, MD1; Gabriela Lima de Melo Ghisi, PhD2; Paul Oh, MD PHD2; Marta Supervía, MD, MSC, PHD
  • Demographic Characteristics And Baseline Indicators Of Health Impairment In Patients Entering Pulmonary Rehabilitation
  • Author(s): Sulamunn R. M. Coleman, PhD; Diann E. Gaalema, PhD; Katherine E. Menson, DO
  • Financial Incentives For Cardiac Rehabilition Completion
  • Author(s): Jae-Young Han, M.D.,Ph.D.3; Hae Bin Gwak 1; Sungju Jee, M.D., Ph.D.1; Chul Kim, M.D. Ph.D.2; Jae In Lee, M.D.1; Min Kyun Sohn, M.D., Ph.D.1
  • Behavioral Weight Management Interventions For Overweight Cardiac Rehabilitation Participants: A Systematic Review
  • Author(s): Susan Barnason, PhD, RN, APRN-CNS, CEN, CCRN, FAEN, FAHA, FAAN; Jennifer N. Miller, PhD, RN, APRN-NP; Jessica Miller, PhD, RN; Sue Schuelke, PhD RN NPD-BC CNE CCRN-K

B312: Oral Abstract Presentation #2

Friday, September 23 | 11:00 a.m. – 12:15 p.m.

  • Strategies To Improve Enrollment And Participation In Pulmonary Rehabilitation Following A Hospitalization For COPD: Results Of A National Survey
    • Author(s): Julianna Eve, PhD1; Rajashree Kotejoshyer, ScD1; Peter K. Lindenauer, MD, MSc1; Kathleen Mazor, EdD2; Quinn R. Pack, MD, MSc1; Penelope S. Pekow, PhD1; Aruna Priya, MA, MSc1; Kerry A. Spitzer, PhD, MPA3
  • Trends in Medicare Reimbursement for Clinic-Based Outpatient Cardiac Rehabilitation from 2013 to 2019
    • Author(s): Holly Bright, M.A.; Regis Fernandes, M.D.; Casey Filler, M.S.; Kaitlin Moore, B.S.; M. Lane Moore, B.S.; Robert Scales, PhD
  • Differences in Baseline Demographic and Clinical Characteristics in Patients Entering Cardiac Rehabilitation by Socioeconomic Status
    • Author(s): Lisa Kromer, B.A
  • Cardiac Rehab Participation is Higher for Heart Failure Patients Treated in Facilities that Offer Advanced Heart Failure Therapies
    • Author(s): Keith D. Aaronson, MD1; Thomas M. Cascino, MD, MSc1; Vinay Guduguntla, MD2; Hechuan Hou, MS1; Steven J. Keteyian, PhD3; Michael P. Thompson, PhD1 Devraj Sukul, MD, MS1
  • Prevalence of Hospital-Based Strategies to Increase Cardiac Rehabilitation Referral And Enrollment in the United States
    • Author(s): Philip A. Ades, MD; Christene DeJong, MA, MA; Sherry L. Grace, PhD; Tara Lagu, MD, MPH; Peter K. Lindenauer, MD, MSc; Kathleen M. Mazor, EdD; Kyle McAnally, BS; Quinn R. Pack, MD, MSc; Aruna Priya, MA, MS

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