Team-based Care for Cardiac Rehabilitation and Exercise Training in Heart Failure

• Published in: Heart failure clinics Vol. 11; no. 3; pp. 431 - 449
• Main Authors: Pozehl, Bunny, PhD, APRN-NP, McGuire, Rita, PhD, RN, Norman, Joseph, PhD, PT
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-07-2015
• Subjects: Cardiac rehabilitation; Cardiovascular; Exercise Therapy - economics; Exercise Therapy - methods; Exercise Therapy - standards; Exercise training; Heart failure; Heart Failure - economics; Heart Failure - rehabilitation; Heart failure–preserved ejection fraction; Heart failure–reduced ejection fraction; Humans; Patient Care Team - economics; Patient Care Team - organization & administration; Patient-Centered Care - economics; Patient-Centered Care - methods; Practice Guidelines as Topic; Quality of Life; United States; United States; Heart failure; Heart failure–reduced ejection fraction; Heart failure–preserved ejection fraction; Exercise training; Cardiac rehabilitation
• ISSN: 1551-7136; 2374-9334
• DOI: 10.1016/j.hfc.2015.03.007

Current guidelines of care recommend exercise in patients with stable chronic heart failure (HF); however, specifics of this exercise are not detailed. Cardiac rehabilitation for HF-reduced ejection fraction is now reimbursed by the Centers for Medicare and Medicaid, and many major insurance companies also reimburse cardiac rehabilitation irrespective of type or severity of HF. Although exercise-training guidelines and position statements are available for patients with HF, there has not been inclusion of HF disease management in core components or core competency statements for cardiac rehabilitation.