Required Program Components/Services

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 bya multi-disciplinaryteam 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 vocationalcounselingservices shallbe 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.