Name of Program: TakeHeart Cardiac Rehabilitation at Yale-New Haven Hospital, St Raphael Campus

Job Title: Heart and Vascular Center, Lead Coordinator

Program Location:  175 Sherman Ave, 2nd floor, New Haven, CT

Staff:              Full Time Employees: 2           Part Time Employees: 2

Job Titles of each staff member:

Susan Hiller: Registered Nurse, Lead Coordinator

Jana Ugolik: Registered Nurse

Theresa Anderson: Registered Nurse, Exercise Physiologist

Katherine Duffy: Registered Dietitian, Exercise Physiologist

Program:       Hospital Based  X     Free Standing         Both

Size of Facility:

Year Program was started:  1981

Types of programs offered:  In-Patient Phase I

                                                Out- Patient Phase II      X      

Phase III       

Phase IV

Classes:

            Number of classes / day   3 days per week

            Days classes are held    Monday, Wednesday, Friday         

Class Times  8:30 am, 10:30 am, 1:00 pm, 2:30 pm.

Equipment used: Quinton monitoring, Cardiac Science

            3 Treadmills, 2 Nu-steps, 1 elliptical, 1 seated elliptical, 2 leg ergometers, 1 upper and lower ergometer, 1 arm ergometer, and 1 rower

Describe how a typical class is conducted: The classes are conducted in a group setting with rolling admissions.  The patient will be set up on a cardiac monitor.  While seated prior to exercise, we will check their vitals including: blood pressure, heart rate, heart rhythm, pain scale, and monitor glucose as needed.  The patients will chose exercise equipment with the guidance of the staff.  Patients will exercise for up to 20 minutes on each piece of equipment and switch, for a total of about 45 - 50 minutes of aerobic exercise.  The next 15 minutes will be dedicated to resistance training and stretching as a group.  The patients use between 1-10 pound weights and are gradually increased over the course of their program.                                    

Describe the education process:  Education will start the first day of cardiac rehabilitation with the explanation of the signs and symptoms to report as well as how to gauge and rate their intensity.  Group lectures are provided at the end of each class for the last 10 minutes.  The lectures are based off of Power Points made by the staff on a variety of topics from nutrition and anatomy to stress management.  The patients are also provided with an education booklet on “Living with Heart Disease” at the start of their program that  has a summary of all the topics we will cover during their program. 

What ancillary services are provided? ( Nutrition, behavioral, smoking, etc.)

This program varies from many in that one of the main staff members is a Registered Dietitian specializing in sports, cardiovascular and wellness nutrition (SCAN RD).  Our patients are evaluated on nutrition at the start of their program and are able to follow-up as needed as the RD is working with them on a daily basis.  Our cardiac rehabilitation program is also housed within a cardiology clinic so lectures are provided by some of the doctors on different topics (ex. sleep disorders, medications) on occasions.

Are there any community programs provided? (lectures, education, screenings, etc)

Our cardiac rehabilitation staff stays involved with the community by attending and volunteering at fairs through Yale New Haven Health System.  The most recent was “Wear Red Day for Women” where the staff  took blood pressure within the hospital and provide education on modifying cardiac risk factors.

Number of patients attending the program annually:

In-Patient             Out- Patient Phase II    100-120           Phase III             Phase IV     

Referral Source:

            MD referral    X        Automatic system referral X           Self referral 

            Other facility referral (referring pt. back to community) 

Ideas to increase MD referrals

Our staff has been reaching out to the nursing units within the hospital to provide information on cardiac rehabilitation.  The hospital has an initiative to increase referrals so the nursing staff is being educated on how to put in referrals before the patients are discharged.  This is one of hospital wide metrics for our Joint Commission Chest Pain Accreditation

Telemetry System used:  Quinton

Are student interns accepted?  Yes X     student nurses accepted   No X

Describe how your program is unique:  Our program is run in a group setting with lectures provided by the staff members to allow for patients to ask questions and interact with the other patients to share their own experiences.  The group setting has many advantages as far as the support and encouragement that other people in a similar position can provide.

What are the biggest challenges in your program?  The space is limited. In order to safely accommodate more patients in the classes, we would need more space to have room for everyone.  Our space is shared by a pulmonary rehabilitation program on Tuesdays and Thursdays so we are unable to expand to additional days. 

What can the CSCR do to help your program?  CSCR can continue to keep our program updated on changes that are implemented by AACVPR.  CSCR can also be very helpful to promote our program so that patients can find a clinic that is most convenient and appropriate to suit their needs.

Has your staff logged in to become a member on the CSCR website?    Yes