{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T04:20:12Z","timestamp":1746591612211,"version":"3.40.5"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:p>Cardiac rehabilitation is a class 1 recommendation for acute coronary syndrome (ACS) patients according to the American College of Cardiology\/American Heart Association. However, only 1 in 5 ACS patients are referred for cardiac rehabilitation nationally, and even fewer at our institution. We sought to improve the number of referrals to cardiac rehabilitation for post-ACS patients admitted to our inpatient cardiology service, and ultimately their participation in the program. We designed a quality improvement initiative that included education of patients and house staff, automated referral order, and participation of cardiac rehabilitation staff members on multidisciplinary rounds. We compared the number of patients who received a referral to cardiac rehabilitation, had the first appointment scheduled before hospital discharge, and attended the program before and after our intervention. Six months after initiation of the project, the proportion of ACS patients referred to cardiac rehabilitation before hospital discharge increased from 10% to 43% (<jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001). The mean number of patients with a cardiac rehabilitation appointment scheduled before discharge was 2 before and 5 after the intervention (<jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001), and the mean number of patients who attended their scheduled appointment was 1 before and 3 after the intervention (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.001). Run charts demonstrated that the number of referrals and the number of scheduled appointments remained above the median following the intervention. In conclusion, an initiative that included education, automated referrals, and direct one-on-one contact with cardiac rehabilitation staff before discharge increased the number of cardiac rehabilitation referrals, and appointments scheduled and attended in post-ACS patients.<\/jats:p>","DOI":"10.1097\/hpc.0000000000000263","type":"journal-article","created":{"date-parts":[[2021,7,9]],"date-time":"2021-07-09T04:01:41Z","timestamp":1625803301000},"page":"115-118","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Promoting Cardiac Rehabilitation in Acute Coronary Syndrome Patients: Quality Initiative Based on Education, Automated Referral, and Multidisciplinary Rounds"],"prefix":"10.1097","volume":"20","author":[{"given":"Eldon L.","family":"Matthia","sequence":"first","affiliation":[{"name":"Department of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley","family":"Mohadjer","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, University of Florida, Gainesville, FL."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Morgan H.","family":"Randall","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, University of Florida, Gainesville, FL."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catarina","family":"Canha","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, University of Florida, Gainesville, FL."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Warren","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, University of Florida, Gainesville, FL."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hassan M.","family":"Ashraf","sequence":"additional","affiliation":[{"name":"Department of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey M.","family":"Plasschaert","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, University of Florida, Gainesville, FL."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David E.","family":"Winchester","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, University of Florida, Gainesville, FL."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ellen C.","family":"Keeley","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, University of Florida, Gainesville, FL."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2021,7,7]]},"reference":[{"key":"R1-20250506","doi-asserted-by":"crossref","first-page":"2458","DOI":"10.1161\/CIR.0b013e318235eb4d","article-title":"AHA\/ACCF secondary prevention and risk reduction therapy for patients with coronary and other atherosclerotic vascular disease: 2011 update: a guideline from the American Heart Association and American College of Cardiology Foundation.","volume":"124","author":"Smith","year":"2011","journal-title":"Circulation"},{"key":"R2-20250506","doi-asserted-by":"crossref","first-page":"e000037","DOI":"10.1161\/HCQ.0000000000000037","article-title":"2018 ACC\/AHA clinical performance and quality measures for cardiac rehabilitation: a report of the American College of Cardiology\/American Heart Association Task Force on performance measures.","volume":"11","author":"Thomas","year":"2018","journal-title":"Circ Cardiovasc Qual Outcomes"},{"key":"R3-20250506","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1161\/01.CIR.80.2.234","article-title":"An overview of randomized trials of rehabilitation with exercise after myocardial infarction.","volume":"80","author":"O\u2019Connor","year":"1989","journal-title":"Circulation"},{"key":"R4-20250506","first-page":"CD001800","article-title":"Exercise-based cardiac rehabilitation for coronary heart disease.","volume":"2016","author":"Anderson","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"R5-20250506","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1097\/00008483-199701000-00004","article-title":"Quality of life and return to work 5 years after coronary artery bypass surgery. 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