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Group Enrollment and Open Gym Format Decreases Cardiac Rehabilitation Wait Times.

Justin M Bachmann1, Zachary W Klint, Allison M Jagoda

  • 1Departments of Medicine and Health Policy (Dr Bachmann), Department of Physical Medicine and Rehabilitation (Messrs Jagoda and McNatt, and Ms Abney), Department of Physical Medicine, Rehabilitation and Sports Medicine, University of Puerto Rico School of Medicine, San Juan, Puerto Rico (Dr Frontera), Department of Biostatistics (Dr Huang), and Department of Medicine (Drs Liddle and Freiberg), Vanderbilt University Medical Center, Nashville, Tennessee; and Healthways, Inc, Franklin, Tennessee (Mr Klint).

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|September 1, 2017
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Summary

Implementing a group enrollment and open gym format significantly reduced wait times for cardiac rehabilitation (CR) sessions. This new CR delivery model offers a potential solution for programs aiming to improve patient access.

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Area of Science:

  • Cardiology
  • Rehabilitation Medicine
  • Healthcare Management

Background:

  • Long wait times for initial cardiac rehabilitation (CR) sessions are a barrier to patient participation.
  • Optimizing CR delivery models is crucial for improving patient access and outcomes.

Purpose of the Study:

  • To evaluate the impact of transitioning from individually scheduled appointments to a group enrollment and open gym format on CR wait times.
  • To determine if this new CR delivery model affects patient exercise capacity and quality of life.

Main Methods:

  • A study of 603 patients enrolled in CR from July 2012 to December 2014 compared two delivery models: individual appointments versus group enrollment with open gym.
  • Statistical analysis adjusted for referral diagnosis, insurance status, and seasonality to assess the effect of the new model on wait times.

Main Results:

  • The group enrollment and open gym format resulted in significantly shorter average wait times (14.9 days) compared to individual appointments (19.5 days).
  • Multivariable analysis confirmed a 22% decrease in average wait times with the new model (95% CI, 1.9-5.6).
  • While improvements in exercise capacity and quality of life were similar between groups, participation rates and session attendance did not differ significantly.

Conclusions:

  • Adopting a group enrollment and open gym format effectively reduces wait times for the first cardiac rehabilitation session.
  • This innovative CR delivery model presents a viable strategy for healthcare programs aiming to decrease patient wait times and enhance accessibility.