ABSTRACT
This chapter reviews strategies and challenges for Cardiac Rehabilitation (CR) models, as well as explore alternative CR delivery models that have the potential to improve CR participation and patient outcomes. New models of delivery are needed to help improve the delivery and overall value of CR services, including home-based CR, behaviorally-based approaches to patient education, and Connected Health options utilizing smartphone-enabled CR tools, and personalized CR models aimed at special populations. CR is the recommended standard of care for patients with a variety of cardiovascular disorders in the United States. As value-based medicine is becoming more widely accepted and implemented, pressures are mounting on CR programs to adapt their services to optimize their value by minimizing costs and maximizing quality of care. A national survey by Pack and colleagues found that the capacity of CR programs in the United States is far the level needed to provide CR services to all eligible CR patients.
