What is Cardiac Rehabilitation?
Cardiac rehabilitation (CR) is a medically supervised program designed to improve cardiovascular health for patients who have experienced a cardiac event. Research shows that participation in CR lowers the risk of future cardiac events, improves eating habits, facilitates weight loss, and encourages a healthy lifestyle. Despite the clear benefits, CR remains underutilized in the state of Michigan.
MVC’s cardiac rehab value-based improvement initiative endeavors to increase cardiac rehabilitation utilization across the state by supplying Michigan providers with tools to improve, peer learning opportunities, utilization data, and pay-for-performance incentives.
Cardiac rehabilitation is a Class IA indication, meaning there is high-quality evidence that it is beneficial.
Cardiac rehab programs typically consist of 24-36 1-hour sessions at a rehab facility that are customized to meet patient's needs.
Nevertheless, cardiac rehabilitation is widely underused, with utilization rates of only 20-30% nationally.
MICHIGAN CARDIAC REHAB NETWORK
MVC recently partnered with BMC2 to establish MiCR, an initiative working to equitably increase utilization of cardiac rehab in Michigan
MVC Registry Multi-Payer Cardiac Rehab Reports
New interactive, multi-payer cardiac rehab reports on the MVC registry allow members to visualize their performance utilizing a variety of different filters and measures.
CR Utilization Rates
CR Utilization Rankings
Mean Days to First CR Visit
Mean Number of CR Visits
Tailoring MVC’s Cardiac Rehab Registry Reports Using Filters
MVC’s interactive, multi-payer cardiac rehab registry reports have replaced the static push reports previously shared with members on cardiac rehab utilization. Moving this reporting to the registry allows users to view MVC’s claims-based data on cardiac rehab utilization on demand in a variety of ways using a variety of filtering options.
Conditions
The following conditions can be applied as filters in the registry: AMI, PCI, SAVR, TAVR, CABG, CHF
Episode Length
In the registry, episode lengths include 30 days, 60 days, and 365 days.
Episode Start Dates
In the registry, users can select exact date ranges to analyze.
Payers
The following payers can be applied as filters in the registry: BCBSM Commercial, BCBSM MA, BCN Commercial, BCN MA, Medicaid, and Medicare
Patient Characteristics
Using the filters available on the registry, users can observe a range of patient characteristics including age, gender, and comorbidities.
Index Place of Service
Using the new CR registry reports, users can identify whether services occurred in an inpatient, outpatient, or ED setting.
RESOURCES
Michigan Cardiac Rehab Network (MiCR) Best Practices Toolkit
Strategies to improve cardiac rehab enrollment and attendance
Million Hearts Change Package
This resource aims to help quality improvement teams from hospitals and CR programs implement systems and strategies that target improved care for more patients eligible for CR.
Cardiac Rehab VBI Blinded Report October 2022 (PDF)
This report provides measures on patient population participation in cardiac rehabilitation after select procedures based on MVC administrative claims data.
PUBLICATIONS USING MVC DATA
