Change Packages and Interventions

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Cardiovascular Health

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Improving Chronic Disease Self-Management Cardiovascular Disease Change Package
The TMF Quality Innovation Network, under contract with the Centers for Medicare & Medicaid Services, designed this change package to provide strategies to address the prevention of cardiovascular disease events by improving blood pressure control and cholesterol management.
Adobe PDF    Date Added: 09/28/2020    Date Last Modified: Dec 18 2020 12:32PM  
Cardiac Rehabilitation Intervention List
Download this two-page handout the TMF Quality Innovation Network created to help health care providers and practitioners find and implement quality improvement interventions to help patients understand how to manage their heart health.
Adobe PDF    Date Added: 04/29/2022    Date Last Modified: Apr 29 2022 8:32AM  
2018 ACC/AHA Clinical Performance and Quality Measures for Cardiac Rehabilitation
This report from the American College of Cardiology (ACC) and the American Heart Association (AHA) describes how the Task Force on Performance Measures (Task Force) revised the clinical performance and quality measures for cardiac rehabilitation (CR). The Task Force created a comprehensive list of measures that can be used for patients who are eligible to participate in CR. The list includes six new performance measures and three new quality measures.
Adobe PDF    Date Added: 05/06/2022    Date Last Modified: May 6 2022 9:02AM  
Tobacco Cessation Intervention List
Download this two-page handout the TMF Quality Innovation Network developed to help clinicians identify patients who need tobacco cessation support and then provide treatment to those who are tobacco users.
Adobe PDF    Date Added: 05/03/2022    Date Last Modified: Aug 9 2022 1:51PM  
Million Hearts: Cardiac Rehabilitation Change Package (PDF)
Patients who get outpatient CR after a cardiac-related event or procedure can reduce the risk of death and decrease hospital readmissions, while also improving their quality of life. Despite the benefits, participation in CR remains low. Download this change package, completed by the Centers for Disease Control and Prevention (CDC), to find out how you and you colleagues can become CR change agents for your practice.
Adobe PDF    Date Added: 04/29/2022    Date Last Modified: Apr 29 2022 1:29PM  
TAKEheart Initiative: Building and Implementing a Successful Automatic Cardiac Rehab Referral System (PDF)
Medical practices, providers and care teams use many referral patterns to ensure patients get outpatient CR. The TAKEheart Automatic Referral Implementation Guide, Module 5 (PDF) focuses on how to create an automatic referral system so patients can transition from the inpatient environment to outpatient CR. This guide provides a referral workflow a care team can follow.
Adobe PDF    Date Added: 04/29/2022    Date Last Modified: Apr 29 2022 1:34PM  
Tobacco Cessation Change Package
This quality improvement tool, created by the CDC, is intended for health care professionals in outpatient, inpatient and behavioral health settings that work with public health professionals who provide treatment to patients who use tobacco. The change package can help clinical teams increase the reach and effectiveness of tobacco cessation interventions and incorporate these interventions into the clinical workflow.
Web link    Date Added: 05/04/2022    Date Last Modified: May 4 2022 8:22AM  
Tobacco Cessation Change Package, PDF
This quality improvement tool, created by the CDC, is intended for health care professionals in outpatient, inpatient and behavioral health settings that work with public health professionals who provide treatment to patients who use tobacco. The change package can help clinical teams increase the reach and effectiveness of tobacco cessation interventions and incorporate these interventions into the clinical workflow.
Adobe PDF    Date Added: 05/04/2022    Date Last Modified: May 4 2022 8:23AM  
Paquete para facilitar el cambio: Mejoramiento del automanejo de enfermedades crónicas – Enfermedades cardiovasculares, para Puerto Rico
TMF Quality Innovation Network, según el contrato con los Centros de Servicios de Medicare y Medicaid, diseñó este paquete para facilitar el cambio a fin de proporcionar estrategias para abordar la prevención de eventos relacionados con las enfermedades cardiovasculares al mejorar el control de la presión arterial y del colesterol.
Adobe PDF    Date Added: 11/30/2020    Date Last Modified: Nov 30 2020 4:48PM  
The North American Quitline Consortium (NAQC)
NAQC is an international, non-profit membership organization that promotes evidence-based quitline services across diverse communities in North America. More than 400 organizations and individuals make up NAQC’s membership. NACQ members help fund quitlines, conduct research around quitline-related topics, advance national cessation policies, and work in other areas of tobacco control. NAQC’s Quitline Map shows contact information and services offered in the United States and Canada.
Web link    Date Added: 05/04/2022    Date Last Modified: May 4 2022 8:26AM  
The North American Quitline Consortium (NAQC), Map
NAQC’s Quitline Map shows contact information and services offered in the United States and Canada.
Web link    Date Added: 05/04/2022    Date Last Modified: May 4 2022 8:28AM  
Patient Fact Sheet: What is Cardiac Rehabilitation?
Health care providers are encouraged to give this two-page handout to patients who need CR and their caregivers to help them understand the benefits of CR and what to expect when participating in a CR program.
Adobe PDF    Date Added: 04/29/2022    Date Last Modified: Apr 29 2022 1:41PM  
A Practical Guide to Help Your Patients Quit Using Tobacco
The CDC published this guide to give clinicians a simple and quick intervention strategy (three-to-five minutes) to use with patients who smoke or use other tobacco products.
Adobe PDF    Date Added: 05/04/2022    Date Last Modified: May 4 2022 8:17AM  
Integrating Tobacco Cessation into Electronic Health Records: Promising Practices and Lessons Learned
Electronic health records (EHRs) can be a valuable tool for providers when advising and assisting patients who want to quit smoking. The American Lung Association published this six-page paper to share promising practices and lessons learned for those who want to work with health systems to integrate or improve tobacco cessation into EHRs.
Adobe PDF    Date Added: 05/04/2022    Date Last Modified: May 4 2022 8:19AM  
How to Find Cardiac Rehabilitation Programs in the United States Using the CDC Interactive Atlas of Heart Disease and Stroke
Use these instructions to learn how to navigate the CDC’s Interactive Atlas of Heart Disease and Stroke when looking for data related to CR facilities in the United States.
Adobe PDF    Date Added: 04/29/2022    Date Last Modified: Apr 29 2022 1:45PM  
TAKEheart Initiative: Building and Implementing a Successful Automatic Cardiac Rehab Referral System
Medical practices, providers and care teams use many referral patterns to ensure patients get outpatient CR. The TAKEheart Automatic Referral Implementation Guide, Module 5 (PDF) focuses on how to create an automatic referral system so patients can transition from the inpatient environment to outpatient CR.
Web link    Date Added: 04/29/2022    Date Last Modified: Apr 29 2022 1:31PM  
Million Hearts: Cardiac Rehabilitation Change Package
Patients who get outpatient CR after a cardiac-related event or procedure can reduce the risk of death and decrease hospital readmissions, while also improving their quality of life. Despite the benefits, participation in CR remains low. See this change package, completed by the Centers for Disease Control and Prevention (CDC), to find out how you and you colleagues can become CR change agents for your practice.
Web link    Date Added: 04/29/2022    Date Last Modified: Apr 29 2022 1:23PM  
Rehab Select – The Four Cardiac Rehab Phases (Patients and Families)
This blog post from Rehab Select describes the four stages of cardiac rehabilitation (CR) so patients and family members know what to expect during each phase. The post also includes the goals typically set for each CR phase.
Web link    Date Added: 05/06/2022    Date Last Modified: May 6 2022 9:16AM  
Cardiac Rehabilitation and Implications During the COVID-19 Era
The COVID-19 pandemic disrupted the traditional, facility-based cardiac rehabilitation model (CR). This expert analysis from the American College of Cardiology, however, finds that home-based cardiac rehabilitation is an effective alternative to traditional CR. The analysis further notes that, as the pandemic continues, using a home-based rehabilitation CR program can help protect patients while achieving cardiovascular outcomes.
Web link    Date Added: 05/06/2022    Date Last Modified: May 6 2022 8:59AM  
Million Hearts, Cardiac Rehabilitation Collaborative (CRC)
Learn more about the Million Hearts® Cardiac Rehabilitation Collaborative (CRC), which meets virtually each quarter. CRC members include cardiac rehabilitation (CR) professionals, clinicians and health care teams, and CR participants and their family members, among others. The goal: to increase CR referral, enrollment and adherence.
Web link    Date Added: 05/06/2022    Date Last Modified: May 6 2022 9:10AM  
Cardiac Rehabilitation, What is Cardiac Rehabilitation? (Infographic)
The American College of Cardiology's patient engagement program, CardioSmart, developed this infographic that providers can share with patients who may benefit from cardiac rehabilitation.
Adobe PDF    Date Added: 05/06/2022    Date Last Modified: May 6 2022 9:13AM  
Which CAD patient should be referred for cardiac rehabilitation?
Published in CardiologyAdvisor, this article describes the benefits of cardiac rehabilitation (CR) and identifies some of the barriers to ensuring patients participate in a CR program.
Web link    Date Added: 05/06/2022    Date Last Modified: May 6 2022 9:21AM  
Cardiac Rehabilitation Increasing Your Patient’s Life Expectancy
This presentation from HCA Midwest Health makes a case for cardiac rehabilitation (CR). Among the statistics shared: Patients who have completed a CR program can increase their life expectancy for up to five years.
Adobe PDF    Date Added: 05/06/2022    Date Last Modified: May 10 2022 2:50PM  
Referral to and discharge from cardiac rehabilitation: key informant views on continuity of care
This article, published in the National Library of Medicine, presents research results from a study conducted by the Canadian Institutes of Health Research. Enhancing communication emerged as the key factor in continuity of care and referral to cardiac rehabilitation programs.
Web link    Date Added: 05/06/2022    Date Last Modified: May 6 2022 9:19AM  
Heart of Health Policy: Cardiac Rehabilitation Obstacles and Opportunities
Only a fraction of eligible patients in the U.S. enroll in a cardiac rehabilitation (CR) program after a major cardiovascular event or diagnosis. This article, published in Cardiology Magazine, discusses how to overcome barriers to CR program enrollment.
Web link    Date Added: 05/06/2022    Date Last Modified: May 6 2022 9:24AM  
Medline Plus, Trusted Health Information for You: Cardiac Rehabilitation (Patient Resources)
Providers can refer patients eligible for cardiac rehabilitation to this website, maintained by the National Library of Medicine, for a comprehensive list of heart-health resources.
Web link    Date Added: 05/06/2022    Date Last Modified: May 10 2022 3:09PM  
Smoking and Tobacco Use: Clinical Cessation Tools
This website, maintained by the Centers for Disease Control and Prevention, lists evidence and clinical guidelines for treating tobacco use and dependence. Providers will also find usable tools to guide their practice and help them integrate tobacco treatment into routine clinical care.
Web link    Date Added: 05/09/2022    Date Last Modified: May 9 2022 8:26AM  
Smoking and Tobacco Use: Clinical Education and Training
It's important to talk to patients about quitting tobacco use. If providers aren't sure how to start the conversation, this website has resources to help them.
Web link    Date Added: 05/09/2022    Date Last Modified: May 9 2022 8:31AM  
Treating Tobacco Use and Dependence: 2008 Update
Tobacco dependence is recognized as a chronic disease, one that typically requires ongoing assessment and repeated intervention. In this update on previously published guidelines, the Tobacco Use and Dependence Guidance Panel notes that the most effective way to help tobacco users quit is to provide them with information about multiple effective treatment options.
Web link    Date Added: 05/09/2022    Date Last Modified: May 9 2022 8:34AM  
Quick Reference Guide for Clinicians: 2008 Update Treating Tobacco Use and Dependence
This guide summarizes the strategies for helping people end their dependence on tobacco, published in full in Treating Tobacco Use and Dependence: 2008 Update. The guide includes an easy-to-follow "5A's" model for treating tobacco use and dependence
Adobe PDF    Date Added: 05/09/2022    Date Last Modified: May 9 2022 8:40AM  
Unlock a Life Without Tobacco
This is a patient information resource from QuitAssist®. Refer patients to this website so they can review the "5 Keys for Quitting."
Web link    Date Added: 05/09/2022    Date Last Modified: May 9 2022 8:43AM  
Cessation Materials for State Tobacco Control Programs
This website features materials for state tobacco control programs from the Centers for Disease Control and Prevention's Office on Smoking and Health.
Web link    Date Added: 05/09/2022    Date Last Modified: May 9 2022 8:45AM  
Tools & Tips from smokefree.gov: Articles & Information
This is a patient information resource from smokefree.gov. Refer patients to this website so they can review the different tools that can help them quit their tobacco use.
Web link    Date Added: 05/09/2022    Date Last Modified: May 9 2022 8:48AM  
WHO global report on trends in prevalence of tobacco use 2000-2025, third edition
This report presents the World Health Organization's estimates of tobacco use prevalence, numbers of users, and changes between 2000 and 2018, projected to 2025. Estimates are at global, regional and country levels.
Web link    Date Added: 05/09/2022    Date Last Modified: May 9 2022 8:51AM  
Tobacco Cessation
The Lung Association is a leader in the area of tobacco cessation policy at the federal, state and local levels. This website includes resources to assist states in achieving smoking cessation goals, along with information about tobacco cessation coverage policy and health systems change.
Web link    Date Added: 05/09/2022    Date Last Modified: May 9 2022 8:49AM