CSCR Program Highlights

Questions

Name of Program: Yale New Haven Hospital Cardiac Rehabilitation

Job Title: Program Manager

Program Location: 84 North Main St., Branford

Staff/ Job Titles of each staff member:

  • Full Time Employees
    • Barbara De La Torre, Exercise Phys
    • Sean Fournier, Exercise Phys,
    • Sue McHenry, Exercise Phys
  • Part Time Employees
    • Cassandra Parker, Exercise Phys
    • Joanne Hoffman, Exercise Phys, Nutritionist
    • Michael Doherty, Exercise Phys

Program: Hospital Based

Size of Facility: 2200sq/f

Year Program was started: 1990

Types of programs offered: Out- Patient Phase II

Classes:

  • Number of classes / day:
    • rolling attendance with individually set appointments.
  • Days classes are held:
    • 5 days a week
  • Class Times :
    • 8:00-7:00 on Mon,Tue, Thu
    • 8:00-3:00 on Wed and Fri

Equipment used: Aerobic: 4 Landice treadmills, 2 Schwinn bikes, 2 recumbent bikes (Body Guard, Star Trac), 2 SciFit UBEs, 2 Elliptical trainers, 1 Nustep. Strength training: Pec Fly/Rear Delt, Seated Row, Leg Press, Tricep Press, Leg Curl/Extension, Heel Raise, Dumbells ranging from 1-25 lbs. Yoga Balls, Steps.

Describe how a typical class is conducted: Patient comes in according to their individually scheduled appointment. After check-in at the front desk, patients put on their monitors. After that they walk over to the monitoring desk where we do a brief review of any symptoms or changes in medications that might have occurred since we last saw them. We enter them into the monitoring computer, take their BP and weight and assign education for the day. Patients move independently from machine to machine (unless they are new to the program or need more attention). We try to get an exercise BP while on the treadmill or on a bike. After finishing their cardiovascular exercise, patients move on to 8-10 resisitive training exercises. Once completed, they move to the stretching/cooldown exercises. After these, patients take their BG (if indicated) or just come back to the monitoring desk for a final BP. If everything is fine, they take off their monitors and go.

Describe the education process: Since we do not have set class times, education consists of DVDs and handouts. We divided the education topics into 14 weeks that cover everything from nutrition, CAD, hypertension, stress etc. We have patients watch and listed to one DVD a week and give them 2 related handouts- one piece of education for every day of attendace. They watch the movie while exercising and listen by wearing wireless headphones.

What ancillary services are provided? ( Nutrition, behavioral, smoking, etc.): Patients meet with our nutritionist for an individually set appointment. She gives them education and healthier options. They may setup subsequent follow up meetings as needed.

Are there any community programs provided? (lectures, education, screenings, etc): We partner with other YNHH programs to bring exercise and cardiac rehab awareness to the community.

Number of patients attending the program annually:

  • Out- Patient Phase II: 350

Referral Source:

  • MD referral
  • Self referral

Ideas to increase MD referrals: We call doctor's offices (cardiology, PCP etc), talk to nurse managers, send brochures and referral forms. Remind charge nurses on the cardiac floors to be sure to send D/C info on potential patients.

Telemetry System used: Scottcare Advantage Monitoring System.

Are student interns accepted? Yes

Are student nurses accepted? No

Describe how your program is unique: We have been working closely with the Heart Failure clinic and caring for LVAD patients, 3 of whom have returned as successful transplant patients. We have individually set appointments that give people more flexibility to attend. We offer late hours for working people so they can attend after work. We focus primariy on teaching patients how to build a well rounded exercise program that they can carry over to a comercial gym or home once they finish their 36 visits. Each patient has monthly progress and discharge visits with supervising cardiologist who is always on site.

 

What are the biggest challenges in your program? : Continue to grow and continue to work to make cardiac rehab a part of standard cardiac care.

What can the CSCR do to help your program?: Continue to legitimize cardiac rehab as a part of cardiac care, help standardize guidelines for care, bring the importance of MD referral to the forefront.

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