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Become a member and have access to over 50 on-line policies and procedures posted to the Member's Only Section! MOKSACVPR Policies, Procedures, & Forms
For your review, best practice policies, procedures, and forms are available at the following link for MOKSACVPR members only. Please access these to use as templates while preparing for program certification. Pursuing and achieving AACVPR Program Certification should be a goal for all Cardiac and Pulmonary Rehabilitation programs. Certification sends a powerful message to patients, physicians, third party payers, and the community that you are providing a quality service consistent with scientifically-based and nationally established standards of care.
MOKSACVPR is committed to promoting and providing resources to programs that endeavor to achieve this goal.
2008
AACVPR Program Certification Applications Are Out!
The 2008 AACVPR program
certification applications
were released September 1
and are now available at
www.aacvpr.org/certification.
It is very important that
you review the entire
application carefully and
are familiar with what they
are asking for. The major
changes for 2008 include:
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Removal of the following statement: “All policies and procedures must be in place prior to the application deadline date in order to be considered for approval. No revisions or new policies will be accepted after the deadline.”
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While there are fewer reminders through out the application that patient identifiers must be blanked out, there is notation on the checklist page that states “I certify that the information provided to the AACVPR does not contain Protected Health Information, as defined by HIPPA”.
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Addition of request for contact person for application questions and the number of patients that completed your program in 2007.
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Yes/No Questions: No significant changes.
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Tab 1: Staff Competency Skills Review: Addition of comment that competencies assessed for staff are “specific to your department during the application year”.
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Tab 2: Emergency Equipment & Supplies: Narrative now required for all applications regardless of crash cart location.
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Tab 3: Written Policies & Procedures: Addition of requirement that evidence be provided that the procedures have been reviewed “by the medical director and coordinator/manager/director” within the past year.
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Tab 5: Physician Referral: Narrative now required for all applications regardless of type of referral used (i.e. generic, computerized).
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Tab 6: Informed Consent: Narrative now required for all applications regardless of type of consent used (i.e. generic, computerized).
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Tab 7: Exercise Prescription: Addition of requirement that exercise prescription “must show physician review” and clarifying statement: ‘Policy should describe how staff determines mode, frequency, duration, intensity, and progression. Your policy should have sufficient detail, such that a new staff member would know how to determine and develop the exercise prescription. Progression of exercise must be explained beyond “as per tolerance according to clinical signs and symptoms’”.
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Tab 8: Medical Emergencies: Addition of requirement that written policies address “care of the patient from initial symptoms until the patient’s disposition is determined”.
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Tab 12: Outcomes Assessment/Program Evaluation: Clarification that requirement is for completed copy of tools “utilized for each domain”, narrative “for each domain which includes discussion of tool utilized, conclusions, and improvements made in your program based on the outcomes conclusions”, and data entered in required table format. Addition of requirement that “if using computerized database extract information into the required table format and submit one outcome and one tool for each domain.”
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Tab 17: Individualized Care Plan: Requirement now asks for “detailed narrative…which supports your documentation”. "Documents need to be submitted with each area labeled for identification.”
Power Point Presentation on Certification
This presentation was presented by Cristy Baldwin, BSN, RN, Chairman of the MOKSACVPR Program Certification committee, at the three mini-conferences during 2006.
Download PowerPoint Presentation
MOKSACVPR Outcomes Page (available for MOKSACVPR members only)
Gerilynn L. Connors, BS, RRT, FAACVPR
Old habits die hard! It a new year, and what better time to review your Comprehensive Pulmonary Rehabilitation (PR) Program? Make sure it meets the National Standards as detailed in the AACVPR Guidelines for Pulmonary Rehabilitation Programs 3rd Edition of assessment, education, exercise, psychosocial intervention, and long-term adherence.
If you have a copy of those guidelines on your shelf for reference, pull it out! Make sure your program is following those guidelines. Remember, PR is NOT just an exercise program. Unless you give education treatment on respiratory issues specific to your pulmonary patient, your program is not comprehensive. Educational treatment is not an option -- it's necessary to treat the complex pulmonary patients referred to PR.
In a 2006 Time to Live Survey conducted in five European countries of primary care physicians, two-thirds of the family doctors believe COPD will be the leading cause of death in 2020. This was reported even though almost 98% of the physicians in the survey felt there were effective treatments for COPD. Not a comforting thought for the FUTURE patients we will serve! The World Health Organization (WHO) also believes that, by 2020, COPD will become the third-most common cause of death. In this survey, the key elements to address this frightening mortality increase were a reduction in COPD hospitalizations and the prevention of exacerbations. Comprehensive pulmonary rehabilitation can address these key elements if the PR program is not just an exercise program but incorporates education treatment specific to the individual patient's needs. We can teach our patients to prevent and manage their COPD - to be collaborative in their self-management. So for 2007, make sure your PR program is "comprehensive!"
Additional information is available through the following AACVPR links:
AACVPR and AHCPR Guideline
Outcomes Resource Guide: (available for AACVPR members only)
Search for AACVPR certified programs by type of program or state:
https://www.aacvpr.org/certification/program_cert_search.cfm
MOKSACVPR Program Certification Chairman
David Solovitz, EP
St Anthony's Medical Center
10012 Kennerly Road
St.
Louis, MO 63128
Phone: (314) 525-4091
Fax: (314) 525-4103
E-mail:
solodm@samcstl.org
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