Image
Cardiac Rehabilitation
Closing the Gap in Cardiac Rehabilitation Use After Percutaneous Coronary Intervention
Since 2019, BMC2 and the Michigan Value Collaborative (MVC) have been working together to improve cardiac rehab utilization. This collaboration has led to the creation of the Michigan Cardiac Rehab (MiCR) Network. MiCR aims to equitably increase participation in cardiac rehab for all eligible individuals in Michigan.
Our Goals
- Share best practices to improve cardiac rehabilitation use after PCI, TAVR, and cardiac surgery, across sites in Michigan.
- Increase enrollment in cardiac rehabilitation from 30% to 40% by 2024 for all eligible conditions
Cardiac Rehab Return on Investment
Our Accomplishments & Activities
Accomplishments
Over the last 11 years BMC2 has achieved a dramatic improvement in referral to cardiac rehabilitation, from 64% in 2011 to 90% in 2020. However, significant opportunities remain to improve utilization of cardiac rehabilitation once a referral is made.
Our Activities
- We’ve established and regularly convene a group of physicians and other cardiac rehabilitation personnel from MVC, BMC2-PCI, and Michigan Structural Heart Consortium (MISHC) hospitals.
- We track physician/provider endorsement of and referral to cardiac rehabilitation.
- We meet with BCBSM leadership to discuss ways to understand the financial barriers patients face and discuss ways to reduce this barrier.
- We issue reports on cardiac rehabilitation utilization and trends in improvement over time.
News
Check this section often for links to MiCR press releases, cardiac rehab papers, blog posts, and more.
Introducing the Michigan Cardiac Rehab Network! - BMC2 Blog, March 24th, 2022
Site Spotlight - Beaumont Dearborn - BMC2 blog, November 29th, 2021
Site Spotlight - McLaren Greater Lansing - BMC2 Blog, January 28th, 2021
Our Meeting Presentations
MiCR Annual Meeting, October 10, 2022
Welcome and Introduction to MiCR
Michael P. Thompson, PhD
Co-Director, MVC, Co-Director, MiCR
Getting Buy-in From Clinicians and Administrators
Frank Smith, MD
Trinity St. Joseph Mercy Ann Arbor
Cardiac Rehab Referral Buy-in
Rob Snyder, EP, MSA
McLaren Greater Lansing
Navigating Insurance Challenges
Jackie Evans, BBA, LRT
Covenant HealthCare
Minimizing Insurance Delays to Starting Cardiac Rehabilitation
Robert Berry, MS
Henry Ford Hospital
Patient Partner Innovators
Greg Merritt, PhD
Design Discussion for Innovation
Tom Cascino, MD, and Larrea Young
Health Behavior Optimization for Michigan (HBOM)
Previous Meetings
Michigan Cardiac Rehab (MiCR) Network Meeting
March 15, 2022
Cardiac Rehabilitation Resources
Toolkits & Best Practices
The MiCR Best Practices Toolkit is your guide to strategies to improve cardiac rehab enrollment and attendance. Outlined in the toolkit are initiation, maintenance, and innovation strategies all designed to aid you in helping your patients get the most out of cardiac rehab.
The Million Hearts Initiative has developed a Cardiac Rehabilitation Change Package. Utilize the package to help your quality improvement team put strategies and systems into place for improved care of eligible patients. In it you'll find change concepts and ideas, tools, and resources.
Additional Resources
Insurance
Billable ICD 10 Codes and Required Documentation
Conditions of Coverage for Outpatient Cardiac Rehabilitation Programs
CR Phase1 Productivity Capture EPIC-CR Flowsheet
Glossary of Health Coverage and Medical Terms