Implementing Hybrid CR To Expand Access and Capacity
This focus area will provide important context for assessing the appropriateness of implementing a hybrid cardiac rehabilitation (CR) program at your hospital and for understanding what is involved in doing so.
Hybrid CR consists of a combination of on-site and remotely supported components of CR. Hybrid CR can increase enrollment and retention in CR and improve health outcomes for more patients, especially patients facing barriers in attending on-site CR. One such innovation, hybrid CR, can benefit both patients and CR programs. Implementing hybrid CR requires assessing the needs of the program and community and considering factors such as patient criteria, safety, and onboarding.
Patients who attend all 36 sessions of a CR program have a 47% lower risk of death and a 31% lower risk of heart attack, compared with patients who take part in only one session.
This set of training materials can help you:
- Understand hybrid CR
- Assess your need for a hybrid CR program
- Design and implement a hybrid CR program
Consolidated Curriculum for Implementing Hybrid Cardiac Rehabilitation To Expand Access and Capacity
This curriculum combines the content from four of the original TAKEheart on-line virtual trainings into:
- a single slide deck that can be customized by users for their own educational or training purposes
- a consolidated implementation guide that provides detailed actionable guidance for implementing the strategies described in the PPT presentation
- a comprehensive resource guide with links to supplemental tools and a comprehensive reference list.
BEFORE YOU BEGIN: Read the USER'S GUIDE (PDF, 416 KB) to learn about how to get the most of out of these materials.
Implementation Guide
View a video-based introduction to hybrid cardiac rehabilitation.
Video: Hybrid Cardiac Rehabilitation: A Virtual Group Exercise Session, Example and Advice (17:39)
Browse the original TAKEheart training and webinars that explore innovative solutions to increasing CR participation.
Original TAKEheart Training Module
The curriculum for Implementing Hybrid CR to Expand Access and Capacity is a revised and expanded version of training materials that were originally presented live to a group of hospitals working in real time to implement strategies to increase patient participation in CR.
Hospitals wishing to take a deeper dive into one or more of the topics covered in the curriculum can view the recording of the expert-led training and download the accompanying presentation slides and implementation guide from this training module:
Related Webinars From the TAKEheart Learning Community
TAKEheart Learning Community webinars, held between 2020–2022, featured discussions among CR experts and CR champions from diverse hospitals on wide-ranging strategies for improving CR program operations and addressing patient needs. Recorded versions of these webinars as well as the accompanying slides and event summaries are available for download.
Learning Community webinars relating to the topics covered in the "Implementing Hybrid CR to Expand Access and Capacity" training curriculum include:
- Innovations That Can Improve Your Cardiac Rehabilitation Program
- Emerging Strategies for Supporting CR Patients Between Onsite Visits
- Coping with Staffing Challenges in Today’s Cardiac Rehabilitation Programs
- Operational Adjustments While Resuming In-Person Cardiac Rehabilitation Programs
Innovations That Can Improve Your Cardiac Rehabilitation Program
- Hicham Skali, MD, MSc, TAKEheart Principal Investigator, Associate Director of the Cardiac Rehabilitation Program at Brigham and Women's Hospital, Division of Cardiovascular Medicine (Moderator)
- Heidi Haglin, MS, CCRP, Essentia Health in Duluth, MN
- Jessi Hyduk, RN, RCEP, Cardiopulmonary Rehab Supervisor, Saint Joseph Regional Medical Center (SJRMC), South Bend, IN
- Sara Schaub, MSEP, CCRP, Cardiac Coordinator, Aultman Deuble Heart and Vascular Hospital, Canton, OH
- Matt Thomas, MS, MBA, ACSM-CEP, Cardiopulmonary Rehab and Employee Fitness, CHI – Memorial Hospital, Chattanooga, TN
This Learning Community webinar provides an opportunity for peer-to-peer sharing on the challenges associated with engaging and retaining eligible patients in cardiac rehabilitation during and following the COVID-19 pandemic.
Video: Innovations that Can Improve Your Cardiac Rehabilitation Program (1:02:36)
Slides: TAKEheart Affinity Group: Innovations That Can Improve Your Cardiac Rehabilitation Program (PDF, 706 KB)
Event Summary: Innovations That Can Improve Your Cardiac Rehabilitation Program (PDF, 224 KB)
Emerging Strategies for Supporting CR Patients Between Onsite Visits
- Hicham Skali, MD, MSc, TAKEheart Principal Investigator, Associate Director of the Cardiac Rehabilitation Program at Brigham and Women's Hospital, Division of Cardiovascular Medicine (Moderator)
- Jessi Hyduk, RN, RCEP, Cardiopulmonary Rehab Supervisor, Saint Joseph Regional Medical Center, South Bend, IN
- Karen Lui, RN, MS, MAACVPR GRQ, LLC, Regulatory Analyst
- Tricia McNair, Cardiac Rehabilitation Graduate
- Randal Thomas, MD, Medical Director for the Mayo Clinic Cardiac Rehabilitation Program
- Laura N Vaughn, BS, McLaren Greater Lansing Cardiac Rehabilitation, Lansing, MI
This Learning Community webinar provides an opportunity for peer-to-peer sharing to explore how CR programs are supporting patients in between onsite visits. Discussion includes the best ways to blend onsite and remote CR rehabilitation.
Video: Emerging Strategies for Supporting Cardiac Rehabilitation Patients Between Onsite Visits (1:07:37)
Slides: Affinity Group: Emerging Strategies for Supporting Cardiac Rehabilitation Patients Between Onsite Visits (PDF, 276 KB)
Event Summary: Affinity Group Details At-A-Glance: Emerging Strategies for Supporting CR Patients Between Onsite Visits (PDF, 811 KB)
Coping With Staffing Challenges in Today's Cardiac Rehabilitation Programs
- Hicham Skali, MD, MSc, TAKEheart Principal Investigator, Associate Director of the Cardiac Rehabilitation Program at Brigham and Women's Hospital, Division of Cardiovascular Medicine (Moderator)
- Sherri Brandhorst, BSN, Kadlec Regional Medical Center, Richland, WA
- Kathe Briggs, MS, CEP, FAACVPR, East Alabama Medical Center, Opelika, AL
- Stacey Greenway, MA, Vidant Medical Center, Greenville, NC
- Tina Miller, MS, Frederick Health Hospital, Frederick, MD
- Loren Stabile, MS, FAACVPR, Lifespan Cardiovascular Institute, Miriam and Newport Hospitals, Providence, RI
This Learning Community webinar explores how CR programs have responded to staffing challenges. Discussion includes reduced patient capacity, expanded hours for CR sessions, staffing reductions, and quarantines.
Video: Coping With Staffing Challenges in Today's Cardiac Rehabilitation Programs (1:02:36)
Slides: Coping With Staffing Challenges in Today's Cardiac Rehabilitation Programs (PDF, 691 KB)
Event Summary: Affinity Group Details At-A-Glance: Coping with Staffing Challenges in Today's Cardiac Rehabilitation Programs (PDF, 276 KB)
Operational Adjustments While Resuming In-Person Cardiac Rehabilitation Programs
- Hicham Skali, MD, MSc, TAKEheart Principal Investigator, Associate Director of the Cardiac Rehabilitation Program at Brigham and Women's Hospital, Division of Cardiovascular Medicine (Moderator)
- Anna Liza Esguerra, OTR, RN, South Texas Health System Heart in McAllen, TX
- Jeanmarie Gallagher, MS, RCEP, Suburban Hospital, Johns Hopkins Medicine in Bethesda, MD
- Heidi Haglin, MS, CCRP, Essentia Health in Duluth, MN
- Mary Ann Compton, MA, ACSM-CEP, CCRP, UNC Health in Chapel Hill, NC
- Nick Eimers-Mosier, MPH, LPN, CCCC Comanche County Memorial Health in Lawton, OK
This Learning Community webinar discusses how CR programs adapted their onsite operations as patients returned, as well as issues related to unit capacity, staffing, program hours, patient flow, and scheduling.
Video: Operational Adjustments While Resuming In-Person Cardiac Rehabilitation Programs (1:04:22)
Slides: Affinity Group: Operational Adjustments while Resuming In-Person Cardiac Rehabilitation Programs (PDF, 766 KB)
Event Summary: Operational Adjustments While Resuming In-Person Cardiac Rehabilitation Programs (PDF, 256 KB)
