Current through Register 1531, September 27, 2024
The following components/services shall be available to a
cardiac rehabilitation participant either in a group or individual format and,
where possible and appropriate, the family shall be included:
(A)
Participant/Family Education
Program Services.
(1) Educational
programs shall be developed that address:
- The nature of cardiovascular disease
- Management of cardiovascular disease
- Prevention of cardiovascular disease
(2) All educational program offerings shall
have an established curriculum developed by a multi-disciplinary team comprised
of the appropriate professionals. The curriculum shall include objectives,
program outline, and plan for program evaluation.
(3) The education components/services shall
be based on the participant's problems and goals for the program.
(4) The program shall emphasize
self-assessment skills and self-help strategies.
(B)
Risk Factor/Lifestyle
Modification Program Services.
(1) Risk factor/lifestyle modification
programs shall be developed for each of the following risk factors that have
been identified for the patient:
- Smoking
- Hypertension
- Abnormal lipid profile
- Obesity
- Stress
- Sedentary lifestyle
- Glucose Intolerance
(2) All risk factor/lifestyle modification
program offerings shall have an established curriculum developed by a
multi-disciplinary team comprised of the appropriate professionals. The
curriculum shall include objectives, program outline, and plan for program
evaluation.
(3) The programs shall
address the necessary knowledge, attitude and skills to facilitate behavior
change.
(C)
Therapeutic Exercise Program Services.
(1) The therapeutic exercise shall be based
on a physician's written exercise prescription and shall be approved by the
medical director or other physician designated by the medical director. The
physician's prescription shall specify exercise intensity. The exercise
sessions shall include:
- Warm up
- Aerobic exercise
- Cool down
(2) All patients shall have an individualized
written exercise program of activity which includes:
- Type of exercise
- Intensity
- Duration
- Frequency
- Progression of home activity and exercise.
(3) Phase II exercise shall be aimed at the
prevention of deconditioning until such time as a symptom limited exercise
tolerance test can be safely performed.
(4) Phase III exercise shall address exercise
conditioning and shall be based on an exercise prescription established from a
symptom-limited exercise tolerance test.
(D)
Counseling
Services.
(1) Psychosocial
support and vocational counseling services shall be available on site or
through an affiliation agreement. As appropriate, patients shall be referred
for therapeutic mental health services.
(2) In addition, the program shall maintain a
resource manual of available community counseling services.
