AACVPR - 26th Annual Meeting

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Profession

What activities did you attend at the event?

Wednesday, September 7, 2011 1:00pm â€“ 7:45pm / 1:30pm â€“ 5:30pm

Thursday, September 8, 2011 - 8:00am â€“ 9:30am

Thursday, September 8, 2011 - 6:30am â€“ 7:30am

Thursday, September 8, 2011 - 9:45am â€“ 11:15am

Thursday, September 8, 2011 - 12:45pm â€“ 2:15pm

Thursday, September 8, 2011 - 2:30pm â€“ 3:30pm

Friday, September 9, 2011 - 8:00am â€“ 9:30am

Friday, September 9, 2011 - 9:15am â€“ 10:30am

Friday, September 9, 2011 - 10:30 - 11:15am

Friday, September 9, 2011 - 1:30pm â€“ 2:30pm

Friday, September 9, 2011 - 3:30pm â€“ 4:30pm

Friday, September 9, 2011 - 4:45pm â€“ 5:45pm

Saturday, September 10, 2011 - 8:30am â€“ 9:30am

Saturday, September 10, 2011 - 9:45am â€“ 10:45am

Saturday, September 10, 2011 - 11:45am â€“ 1:00pm

Agreement

By completing this form, you attest that you have participated in all selected activities in thier entirety.

I agree

Please rate the following:

The program was relevant to my work.

Content matched stated objectives.

Usefulness of handouts/AV.

Quality of facilities.

How well did the educational sessions give a balanced view of therapeutic options, including the use of generic names?

If you rated any of the above questions with 'fair,' 'poor,' 'disagree,' or 'strongly disagree' please explain:

Please rate the speaker(s) as a group. You will have the opportunity to elaborate on an individual speaker in the following question.

Objective 1: Discuss current and future trends in cardiovascular and pulmonary rehabilitation, medicine and research.

By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.

By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.

By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.

If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:

Objective 2: Discuss strategies for prevention of pulmonary and/or cardiovascular rehabilitation services to other patient and community populations..

By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.

By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.

By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.

Objective 3: Discuss new strategies to enhance your leadership effectiveness.

By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.

By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.

By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.

Discuss best-practices on program staffing, budget, patient care volume, clinic space, equipment and reimbursement and legislative issues.

Examine program administrative frameworks, productivity issues and management and staff competencies.

Describe the clinical components required for a comprehensive pulmonary rehabilitation program.

Identify two sources needed for correctly billing pulmonary rehabilitation services. Discuss two options for structuring pulmonary rehabilitation services.

Discuss the science of coaching, the key mechanisms of action for coaching, how the mechanisms are applied in case studies, and deliver coaching tools that can be put to use immediately.

Describe history and evolution of professional coaching in healthcare.

Describe four mechanisms of action for coaching efficacy using two case studies.

Apply four coaching tools with patients immediately.

Develop a template that incorporates AACVPR’s Core Measures and the AADE’s AADE7 Self-Care Behaviors for patients with diabetes (PWD).

Discuss how to optimizing cardiovascular risk reduction and reducing disability related to PWD.

Discuss detailed unit-specific protocols for the management of PWD in cardiopulmonary rehabilitation.

Describe three methods to evaluate a LTOT patient for oxygen needs at all activity levels.

Describe two methods to monitor a patient on LTOT do ADLs.

Describe two variables the impact the delivery of oxygen provided by a portable oxygen concentrator.

Develop hospital care protocols to screen PR candidates and introduce PR objectives.

Identify patients who are at risk for re-hospitalizations.

Integrate home patient performance metrics into plan of care to measure PR impact.

Identify key evaluation tools in the areas of organizational efficiency, productivity and finance with ability to report findings to administration.

Discuss best practices for referral development and application of a “sales closing” for acquiring new patients and members into the program.

Discuss AACVPR recommendations regarding important elements of a rehab program.

Discuss the appropriate elements of a solid psychosocial program.

Discuss learn helpful ways to determine and implement appropriate staffing for a solid psychosocial program.

Explain how to present this psychosocial component to patients to encourage optimal usefulness in the program.

Explain the importance of teaching relaxation and meditation techniques to cardiac and pulmonary patients as part of a psychosocial program and experience a relaxation and meditation training.

Review history of the AACVPR registry projects.

Discuss progress of the AACVPR registry projects.

Discuss selected outcome measures and assessment tools that will be used in the registries.

Discuss the physical inactivity as a risk factor for cardiovascular disease (CVD), including an up-to-date summary of the cost/benefit of increasing physical activity (PA) compared to changing other CVD risk factors.

Discuss methods for assessing physical activity (inactivity), focusing on the use of PA monitors.

Discuss the literature on use of pedometers and accelerometers as an interventional tool to promote increased PA of cardiovascular patients, and with practical suggestions on developing simple methods that CR programs can use.

Discuss methods for assessing physical activity (inactivity), focusing on the use of PA monitors.

Discuss and understand differences between outcomes, performance measures and process measures.

Assess performance of program utilizing selected measures.

Discuss case studies in outcomes assessment: The Montana experience.

Discuss Case studies: The Michigan experience.

Discuss recent legislative and current regulatory efforts to expand use of nonphysician practitioner in CR/PR and review new/current Medicare regulations for pulmonary rehabilitation.

Identify on-going AACVPR efforts to facilitate improved Medicare reimbursement rates for CR services in the future and review new/current Medicare regulations for cardiac rehabilitation.

Discuss the role of local Medicare contractors and recognize non-Medicare payer challenge and opportunities.

Discuss the Individual Treatment Plan (ITP), its concept and how it enhances the cardiac rehab program.

Discuss the Core Components and how to incorporate them into your treatment plans.

Discuss the recently published scientific literature related to the role of physical activity and physical fitness as significant predictors for total and cardiovascular mortality.

Discuss the current scientific basis for delivery of exercise training as a powerful therapeutic modality for primary and secondary prevention of metabolic syndrome, type II diabetes and cardiovascular disease.

Analyze the interactions of physical activity and cardiorespiratory fitness as indicators of health as published in current research.

Discuss common co-morbidities.

Differential between “management” and “leadership”.

Identify strategies to successfully transition from peer to leader.

Describe the challenges and joys of being in a leadership position.

Describe specific management functions and responsibilities.

Discuss expected outcomes and when to evaluate effectiveness of diabetes nutrition therapy.

List goals and evidence-based priorities of nutrition therapy for type 1 and type 2 diabetes.

Discuss evidence to support recommendations for macronutrient intake.

Describe the importance of both human sexuality and sexual health in the care of cardiac and pulmonary patients, throughout the life cycle.

Examine the impact of illness on a patient’s self-concept and self-esteem.

Discuss evidence to support recommendations for macronutrient intake.

Discuss in-depth knowledge of complex medical presentations in the area of secondary prevention of coronary heart disease and become more familiar with treatment strategies.

Discuss the role and function of cardiovascular devices during exercise and identify exercise and physical activity guidelines for patients with complex cardiovascular arrhythmias.

Identify the evidence-based clinical outcomes for pulmonary rehabilitation.

List at least 2 tools for each outcome identified and their psychometric properties of each (reliability and validity).

Describe the cost considerations of the listed tools described for each clinical outcome.

Discuss new Federal and State programs that move reimbursement away from fee-for-service to payment based on bundled services, patient outcomes and cost-savings.

Explain how the proposed guidelines for accountable care are addressing changes in outcomes in payment for services rendered.

Discuss key components as measured by administration in the design, implementation and delivery of services for the various entities providing care in the future.

Explain key components that are critical to be maintained in order to verify their value to service delivery model.

Explore the Individual Treatment Plan (ITP), its concept and how it enhances the cardiac rehab program.

Discuss the Core Components and how to incorporate them into your treatment plans.

Discuss the risk of atherosclerosis developing in youth.

Discuss the prevalence of cardiovascular risk factors in youth.

Discuss contents in the new NIH guideline.

Review effects of normal sleep on cardiopulmonary function.

Discuss effects of sleep-disordered breathing on cardiac outcomes.

Discuss the effects of sleep-disordered breathing on pulmonary outcomes.

Examine & review tobacco use.

Discuss the evidence that physical activity, cardiorespiratory fitness, and exercise training, including cardiopulmonary rehabilitation and exercise training program, reduce levels of inflammation, especially levels of C-reactive protein.

Explain the prognostic benefits of physical activity on the cardiovascular system, especially endothelial function.

Describe building the bridge from genetic background to lifestyle associated cardiovascular risk and exercise-based risk reduction strategies.

Discuss the effects of weight loss surgeries on patients.

Define the terms overweight, obesity, and severe obesity based on BMI then explain the process and expectations of bariatric surgical procedures.

Discuss the effects and outcomes of bariatric surgery on obesity associated illnesses such as Type II diabetes.

Examine and differentiate exercise modes like continuous or interval endurance training and resistance training.

Discuss data on reduction of morbidity and mortality will convince us that neither we nor our patients can afford not to use this poly-pill.

List the first steps to increasing cardiac rehabilitation use and reducing disparities by examining the provider referral process.

Discuss results from a two-year, qualitative research study identifying trends in disparate referral practices in three communities.

List Highlight findings from the Robert Wood Johnson Foundation’s Equity Quality Improvement Collaborative.

Explore the industry research and the role of overweightness, obesity, and metabolic syndrome in the pathogenesis and progression of CVD.

Explain how to use the American Geriatric Society Clinical Practice Guidelines on Prevention of Falls in Older Persons.

Discribe how to appropriately screen patients for fall risk and perform aspects of a multifactorial fall risk assessment.

Outline physical performance tests of balance and mobility, evidence-based interventions for fall prevention, and indicators for referrals to other healthcare professionals.

Discuss the online Certification Center.

Discuss the application process, strategies for successful completion, helpful resources, review of trouble-prone areas for the applications as observed by recertification.

Discuss pertinent information from the core competencies 2010 update article.

Discuss practical application of core competencies.

Discuss the relationship of the 2 core AACVPR statements and the performance measures.

Discuss the benefits of resistance training in patients after a cardiovascular event (focusing on the elderly and patients with heart failure).

Discuss the use of resistance training in the treatment of patients with pulmonary disease.

Describe the benefits of resistance training on physical function.

Discuss the resistance training exercise prescription.

List top ten research articles in the field.

Discuss each article’s scientific content.

Discuss the clinical utility of such research in the day to day management of patients undergoing rehabilitation.

Discuss the prevalence of burnout among U.S. Health care providers.

Identify personal and professional repercussions of burnout.

Discuss the key features of the toolkit, including the pathophysiology of PAD, how PAD affects functional capacity and quality of life, treatments for reducing symptoms and cardiovascular disease risk.

Explain how to incorporate the guidelines for exercise training into existing programs.

Explain the disconnect between what patients learn and how many patients act.

Examine the link between chronic stress and noncompliance.

Identify sources of chronic stress in patients.

Identify techniques to aid stress management and increase adherence.

Identify key measures of expiratory flow rates and lung volumes for interpreting PFTs.

Identify PFT patterns in the diagnosis of obstructive lung diseases.

Identify PFT patterns for restrictive lung disease.

Differentiate between traditional, pharmacologic (bronchodilators and antiinflammatories) and non-pharmacologic (surgical therapies, long-term oxygen) modality treatments available for chronic obstructive pulmonary disease (COPD).

Discuss the place of pulmonary rehabilitation in the therapeutic milieu.

Evaluate potential future advances on the horizon.

Define the "coach approach"

Explain how the "coach approach" can elicit behavior change.

Apply the "coach approach" to your professional and personal life.

Assess co-morbidities.

Manage co-morbidities.

Describe how clinical registeries will impact payment reforms.

Explain how clinical registries will likely impact & influence maintenance of certification.

Explain how AACVPR and ACC can leverage their strengths to improve CV rehabilitation care and outcomes.

Discuss fundamental, evidence-based approaches that practicing rehabilitation specialists can implement.

Create a Step-Wise Approach to Tobacco-Dependence Therapy, contained in the American College of Chest Physicians Tobacco-Dependence Treatment Tool Kit, 3rd Ed. (published June 2010)

Examine and administer the two key diagnostic instruments in tobacco dependence.

Discuss why effectively treating tobacco dependence is primary treatment.

Define and describe the Stages of Change Model.

Define and describe the basic techniques of Motivational Interviewing.

Give specific examples of how to integrate the two models in a cardiac and/or pulmonary rehabilitation setting.

Identify four essential elements of a strong cardiopulmonary rehabilitation program foundation.

Examine gaps between the elements and current industry practice.

Evaluation strategies aimed at decreasing the gaps.

Outline the current physical activity-health guidelines.

Analyze the recent scientific data on links between cardiovascular and metabolic biomarkers with clinic events.

Estimate the implications of the scientific data.

Objective 4: Discuss strategies related to improving adherence with lifestyle changes in patients with chronic illness.

By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.

By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.

By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.

Objective 5: Discuss implementation, evaluation, and progression of effective outcomes measurement.

By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.

By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.

By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.

Objective 6: Discuss cardiovascular and pulmonary rehabilitation health policy and reimbursement issues.

By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.

By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.

By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.

Objective 7: Discuss effective program innovations and business models from experts around the world.

By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.

By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.

By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.

Objective 8: Discuss clinical implications related to exercise in special patient populations.