1. Pulmonary Rehabilitation IN North Carolina
North Carolina Cardiopulmonary Rehabilitation Association
Pulmonary Rehabilitation IN North Carolina
Connie Paladenech, RRT, RCP, FAARC

2. Pulmonary Rehabilitation
Comprehensive intervention
patient assessment
patient tailored therapies including but not limited to:
exercise training
education
behavior change
psychosocial support
Promote long-term adherence to health-enhancing behaviors
Exercise
Nutrition
Psychosocial
Oxygen Assessment
Other Core Components
Outcomes

3. American Thoracic Society Documents
An Official American Thoracic Society/European Respiratory Society Statement: Key Concepts and Advances in Pulmonary Rehabilitation
Martijn A. Spruit, Sally J. Singh, Chris Garvey, Richard ZuWallack, Linda Nici, Carolyn Rochester, Kylie Hill, Anne E. Holland, Suzanne C. Lareau, William D.-C. Man, Fabio Pitta, Louise Sewell, Jonathan Raskin, Jean Bourbeau, Rebecca Crouch, Frits M. E. Franssen, Richard Casaburi, Jan H. Vercoulen, Ioannis Vogiatzis, Rik Gosselink, Enrico M. Clini, Tanja W. Effing, Franc¸ois Maltais, Job van der Palen, Thierry Troosters, Daisy J. A. Janssen, Eileen Collins, Judith Garcia-Aymerich, Dina Brooks, Bonnie F. Fahy, Milo A. Puhan, Martine Hoogendoorn, Rachel Garrod, Annemie M.W. J. Schols, Brian Carlin, Roberto Benzo, Paula Meek, MikeMorgan, Maureen P.M. H. Rutten-vanMo¨lken, Andrew L. Ries, Barry Make, Roger S. Goldstein, Claire A. Dowson, Jan L. Brozek, Claudio F. Donner,
and Emiel F. M. Wouters; on behalf of the ATS/ERS Task Force on Pulmonary Rehabilitation
THIS OFFICIAL STATEMENT OF THE AMERICAN THORACIC SOCIETY (ATS) AND THE EUROPEAN RESPIRATORY SOCIETY (ERS) WAS APPROVED BY THE ATS BOARD OF DIRECTORS, JUNE 2013, AND BY THE ERS SCIENTIFIC AND EXECUTIVE COMMITTEES IN JANUARY 2013 AND FEBRUARY 2013, RESPECTIVELY
Pulmonary rehabilitation has been clearly demonstrated to reduce dyspnea, increase exercise capacity, and improve quality of life in individuals with chronic obstructive pulmonary disease (COPD)

4. Pulmonary rehabilitation initiated shortly after a hospitalization for a COPD exacerbation is clinically effective, safe, and associated with a reduction in subsequent hospital admissions.
Health behavior change is vital to optimization and maintenance of benefits from any intervention in chronic care, and pulmonary rehabilitation has taken a lead in implementing strategies to achieve this goal.

5. NCCRA
North Carolina Cardiopulmonary
Rehabilitation Association
NCCRA is the oldest state affiliate of the American Association for Cardiovascular and Pulmonary Rehabilitation
Founded in 1984 as a nonprofit organization dedicated to the mission of reducing disability from cardiovascular and pulmonary disease through education, prevention, rehabilitation, research and disease management.
The multidisciplinary organization includes physicians, exercise physiologists, registered nurses, dietitians, respiratory therapists, physical therapists, mental health professionals, and vocational rehabilitation counselors.

6. NC Pulmonary Rehabilitation Programs … dedicated to improving the quality of life for our patients and their families

7. Coastal - 20 Sampson Regional Medical Center Pulmonary Rehab
607 Beaman Street
Clinton, NC 28328
Sampson County
(P) (F)
Vidant Health-Chowan Pulmonary Rehab
211 Virginia Road
Edenton, NC 27932
Chowan County
(P) (F)
Bladen County Hospital Pulmonary Rehab
Hwy 701 South
Elizabethtown, NC 28337
Bladen County
(P) (F)
Scotland Memorial Hospital, Inc. Pulmonary Rehab Program
500 Lauchwood Drive
Laurinburg, NC 28352
Scotland County
(P) (F)
Harnett Health System, Inc. Betsy Johnson Regional Hospital Pulmonary Rehab
800 Tilghman Drive
Dunn, NC 28335
Harnett County
(P) ext (F)
Sentara Albemarle Medical Center Pulmonary Rehab
1144 North Road Street
Elizabeth City, NC 27909
Pasquotank County
(P) (F)
Cape Fear Valley Health System Pulmonary Rehab
1638 Owen Drive
Fayetteville, NC 28314
Cumberland County
(P) (RT) (F)
Southeastern Regional Medical Center
4895 Fayetteville Road
Lumberton, NC 28359
Robertson County
(P) (F)
Vidant Medical Center Pulmonary Rehab
2470 Stantonsburg Road
Greenville, NC 27835
(P) (F)
Outer Banks Hospital Pulmonary Rehab
4800 S. Croatan Hwy
Nags Head, NC 27959
Dare County
(P) (F)
Wayne UNC Healthcare – Pulmonary Rehab
2700 Wayne Memorial Drive
Goldsboro, NC 27533
Wayne County
(P) (F)
Carteret Health Care Pulmonary Rehab
3500 Arendell Street
Morehead City, NC 28557
Carteret County
(P) (F)
Outpatient Carolina East Pulmonary Rehab
1001 Newman Road
New Bern, NC 28560
Craven County
(P) (F)
Vidant Health Beaufort Pulmonary Rehab
1375 Cowell Farm Road
Washington, NC 27889
Beaufort County
(P) (F)
Nash Healthcare System HealthFirst Wellness Center
1051 Noell Lane
Rocky Mount, NC 27804
Nash County
(P) (F)
Columbus Regional Healthcare System Pulmonary Rehab
500 Jefferson Street
Whiteville, NC 28472
Columbus County
(P) (F)
Johnston Health Pulmonary Rehab
514 N. Bright Leaf Blvd.
Smithfield, NC 27577
Johnston County
(P) (F)
New Hanover Health Network Heart Center Outpatient Services (Pulm Rehab)
1415 Physicians Drive
Wilmington, NC
New Hanover County
(P) (F)
Vidant Edgecombe Hospital CVPR
111 Hospital Drive
Tarboro, NC
(P)
Wilson Medical Center Pulmonary Rehabilitation
1705 Tarboro Street SW
Wilson, NC 27893
Wilson County
(P) (F)

8. Piedmont - 27 Carolinas Healthcare System (Atrium) Stanly
301 Yadkin Street
Albemarle, NC
Stanly County
Pulmonary Rehab Program held at local YMCA
(P) or
(F)
Carolinas Healthcare System (Atrium) Pulmonary Rehab
4525 Cameron Valley Parkway
Charlotte, NC 28211
Mecklenburg County
(P) (F)
Alamance Regional Medical Center Pulmonary Rehab Program
1240 Huffman Mill Road
Burlington, NC 27215
Alamance County
(P) (F)
Carolinas Healthcare System (Atrium) – North East
1090 NE Gateway Ct NE
Suite 102
Concord, NC 28025
Cabarrus County
(P) (F)
Randolph Health Cardiopulmonary Rehabilitation
364 White Oak Street
Asheboro, NC
Randolph County
(P) (F)
Carolinas Medical Center (Atrium) – Pineville Pulmonary Rehab
10650 Park Road Suite 480
Charlotte, NC 28210
(P) (F)
Presbyterian Medical Center Novant Health Heart and Vascular Institute
125 Baldwin Avenue Suite 200
Charlotte, NC 28204
(P) (F)
Duke Cardiopulmonary Rehabilitation at Crossdaile
1821 Hillandale Road
Durham, NC 27705
Orange County
(P) (F)
Rowan Regional Medical Center Pulmonary Rehab Program
612 Mocksville Avenue
Salisbury, NC 28144
Rowan County
(P) (F)
Thomasville Medical Center Pulmonary Rehab
207 Old Lexington Road
Thomasville, NC 27360
Davidson County
(P) (F)
Moses H. Cone Memorial Hospital Pulmonary Rehab
1200 North Elm Street
Greensboro, NC 27401
Guilford County
(P) (F)
Wake Forest Baptist Health Lexington Medical Center
250 Hospital Drive
Lexington, NC 27292
(P) (F)
Maria Parham Hospital, Inc. Breathwise Pulmonary Rehab Program
566 Ruin Creek Road
Henderson, NC 27536
Vance County
(P) (F)
Novant Health Matthews Wellness Center
1500 Matthews Township Parkway
Suite 150
Matthews, NC 28227
(P) (F)
Moses H. Cone Memorial Hospital Annie Penn Hospital Pulmonary Rehab
618 S. Main Street
Reidsville, NC 27320
Rockingham County
(P) (F)
Chatham Hospital Pulmonaary Rehab
163 Medical Park Drive
Suite 120
Siler City, NC 27344
Chatham County
(P) (F)
High Point Regional Health System Pulmonary Rehab Program
601 North Elm Street
High Point, NC 27261
(P) (F)
Rex Hospital Pulmonary Rehabilitation
4420 Lake Boone Trail
Raleigh, NC 27607
Wake County
(P) (F)
FirstHealth of the Carolinas Pulmonary Rehab
925 Long Drive
Rockingham, NC 28372
Richmond County
(P) (F)
FirstHealth of the Carolinas, Inc. – Moore Regional Pulmonary Rehab
205 Davis Road
Southern Pines, NC 28387
Moore County
(P) (F)
Novant Health Huntersville Wellness Center
10030 Gilead Road, Suite 380
Huntersville, NC 28078
(P) (F)
Duke Specialty Rehab Services Midtown
5920 Sandy Forks Road
Suite 200
Raleigh, NC 27609
(P) (F)
Central Carolina Hospital Pulmonary Rehab Program
235 Fields Drive
Sanford, NC 27330
Lee County
(P) (F)
FirstHealth of the Carolinas, Inc. – Troy
Montgomery Memorial Hospital
520 Allen Street
Troy, NC 28371
Montgomery County
(P) (F)
Wake Forest Baptist Health – Winston Campus Pulmonary Rehabilitation
1 Medical Center Blvd
Winston-Salem, NC 27157
Forsyth County
(P) (F)
Novant Forsyth Medical Center Pulmonary Rehab
3333 Silas Creek Parkway
Winston-Salem, NC 27103
(P) (F)
Northern Hospital of Surry County
830 Rockford Street
Mount Airy, NC
Surry County
(P) (F)

9. Mountain - 23 Mission Hospital Pulmonary Rehab 5 Vanderbilt Park Drive
Suite 301
Asheville, NC 28801
Buncombe County
(P) (F)
Hugh Chatham Memorial Hospital Pulmonary Rehab
180 Parkwood Drive
Elkin, NC 28621
Surry County
(P) (F)
Carolinas Healthcare Systems (Atrium) Cleveland Pulmonary Rehab
201 East Grover Street
Shelby, NC 28150
Cleveland County
(P) (F)
Harris Regional Hospital Pulmonary Rehab
68 Hospital Road
Sylvia, NC 28779
Jackson County
(P) (F)
Appalachian Regional Medical Center Pulmonary Rehab
232 Boone Heights Drive
Boone, NC 28607
Watauga County
(P) (F)
Angel Medical Center Cardiac and Pulmonary Rehab
120 Riverview St
Suite 100
Franklin, NC 28734
Macon County
(P) (F)
Blue Ridge Regional Hospital Pulmonary Rehab
125 Hospital Drive
Spruce Pine, NC 28777
Mitchell County
(P) (F)
Mangum Memorial Hospital Pulmonary Rehab
520 Allen Street
Troy, NC 28371
Montgomery County
(P) (F)
Transylvania Community Hospital Pulmonary Rehab
260 Hospital Drive
Brevard, NC 28712
Transylvania County
(P) (F)
Gaston Memorial Hospital Pulmonary Rehab
2525 Court Drive
Gastonia, NC 28054
Gaston County
(P) (F)
Iredell Memorial Hospital Pulmonary Rehab
557 Brookdale Drive
Statesville, NC 28677
Iredell County
(P) (F)
Valdese General Hospital Pulmonary Rehab
720 Malcolm Boulevard
Valdese, NC 28690
Burke County
(P) (F)
Park Ridge Health
50 Hospital Drive Suite 3A
Hendersonville, NC 28792
Henderson County
(P) or (F)
Cannon Memorial Hospital Pulmonary Rehab
434 Hospital Drive
Linville, NC 28646
Avery County
(P) (F)
Alleghany Health Pulmonary Rehab
233 Doctors Street
Sparta, NC 28675
Alleghany County
(P) (F)
Grace Anne Dorney Pulmonary Rehabilitation Program
1345 Hwy 268
Lenoir, NC 28645
Caldwell County
(P) ext.218 (F)
Catawba Valley Medical Center Pulmonary Rehab
810 Fairgrove Church Road SE
Hickory, NC 28630
Catawba County
(P) (F)
The McDowell Hospital Pulmonary Rehab
1633 Sugar Hill Road
Marion, NC 28752
McDowell County
(P) (F)
Ashe Memorial Hospital Pulmonary Rehab
200 Hospital Avenue
Jefferson, NC 28640
Ashe County
(P) ext. 3 (F)
Rutherford Regional Health System Pulmonary Rehab
288 South Ridgecrest Road
Rutherfordton, NC 28139
(P) (F)
Frye Regional Medical Center-Tenet Pulmonary Rehab
420 North Center Street
Hickory, NC 28601
(P) (F)
Murphy Medical Pulmonary Rehab
3990 East US HWY 64 Alternate
Murphy, NC 28906
Cherokee County
(P) or (F)
Wake Forest Baptist Health - Wilkes Medical Center
1370 West D Street
North Wilkesboro, NC 28659
Wilkes County
(P)
(F)

10. NCCRA Resources Annual meeting Regional Meetings
Pulmonary Discipline Committee
Consultation
Education
Sharing of best practices
Legislative and Reimbursement Advocacy

11. NCCRA Pulmonary Discipline Meeting
Best Practices
COPD Navigators
Fast Track
Historically Low Participation Rate (<20% of eligible patients)
Identification of Barriers
Transportation
Parking
Payment/Co-payments
Low self-efficacy
Fear of infection
Coverage for maintenance programs

12. AACVPR Program Certification
The AACVPR Cardiac and Pulmonary Rehabilitation Program Certification process is the only peer-review accreditation process designed to review individual facilities for adherence to standards and guidelines developed and published by AACVPR and other professional societies.

13. AACVPR Outpatient Pulmonary Rehabilitation Data Registry a Registry
 Patient outcomes and program performance tracking
Provides national outcomes data for benchmarking
Instant access to program and patient data reports
Benchmark individual results against national averages

14. PR Outcomes Resource Guide
Also known as the Pulmonary Outcome Toolkit
Updated February 2017
The PR resource guide was developed by Chris Garvey, FNP, MSN, MPA, MAACVPR, Gerene Bauldoff, RN, PhD, FAACVPR, Eileen Collins, PhD, RN, FAACVPR, DorAnne Donesky, RN, PhD, Kent Eichenauer, PsyD, FAACVPR, Connie Paladenech, RRT, RCP, Charlotte Teneback, MD, FAAN, Maria Buckley, PhD, FAACVPR and colleagues to provide AACVPR members with information regarding the available, evidence-based PR outcome measures and resources.
Expert opinion and input was sought from volunteers of AACVPR, ATS, ACCP, APTA and AARC. The intent of the tool kit is to offer resources for program quality improvement, AACVPR certification/recertification, AACVPR registry use and ultimately National Quality Forum Performance Measures for PR.

16. Non Traditional Models
Lift Pulmonary Rehab is a home-based, comprehensive pulmonary rehabilitation program
Cost is $9.99/month paid monthly
COPD Self-management program
Free
Alternative scheduling
Telemedicine
Home Care

17. Thank You