1. An Innovative Education Program Upper Plains Cardiopulmonary Rehabilitation Association (UPCRA)

2. UPCRA UPCRA

3. UPCRA

4. Over 200,000 square miles – very rural area Over 200,000 square miles – very rural area 73 cardiac/pulmonary rehab sites 73 cardiac/pulmonary rehab sites 20+ sites in surrounding states 20+ sites in surrounding states Affiliated with AACVPR since 1989 Affiliated with AACVPR since 1989 Currently 132 members Currently 132 members –41 of whom are AACVPR members UPCRA

5. Organizational Goals Per our Bylaws: Dedicated to the improvement of clinical practice Enhancement of communication between professionals Promotion of scientific inquiry Advancement of education for benefit of healthcare professionals and the public

6. A Need Identified When visiting Cardiac Rehabilitation programs across the region as a component of her new job, Kathleen Rausch, UPCRA member, noted that most of the smaller UPCRA programs: Are one-man operations Are one-man operations Have had staff turnover Have had staff turnover Personnel hold multiple hospital roles, ie, QA manager, DON, OB director, etc Personnel hold multiple hospital roles, ie, QA manager, DON, OB director, etc

7. A Need Identified New personnel at these facilities have had minimal training to their CR/PR position New personnel at these facilities have had minimal training to their CR/PR position Small hospitals unable or unwilling to finance education to attain this training Small hospitals unable or unwilling to finance education to attain this training

8. Proposal Kathleen Rausch wrote an application to AACVPR for a grant to meet this need. Kathleen Rausch wrote an application to AACVPR for a grant to meet this need. Goal: provide accessible, inexpensive opportunities for education for Cardiopulmonary Rehab personnel in UPCRA region Goal: provide accessible, inexpensive opportunities for education for Cardiopulmonary Rehab personnel in UPCRA region –Propose to offer 12 monthly teleconferences/videoconferences to all CR/PR professionals for a $25 fee –Fee is waived for any site with an UPCRA member

9. Proposal AACVPR approved the grant application!

10. Action Plan Together with the UPCRA Education Committee, organize a schedule of meetings to present topics and issues relevant to current cardiopulmonary rehabilitation practice Together with the UPCRA Education Committee, organize a schedule of meetings to present topics and issues relevant to current cardiopulmonary rehabilitation practice

11. Budget Printing of brochures -- $200 for typesetting. (Printing and paper supplied by UPCRA Education Committee) Printing of brochures -- $200 for typesetting. (Printing and paper supplied by UPCRA Education Committee) Mailing Costs -- $100 Mailing Costs -- $100 Quest: $.08/minute/line - $4.80 per hour per line. Quest: $.08/minute/line - $4.80 per hour per line. Speaker honorarium Speaker honorarium –Active UPCRA leaders: gratis –AACVPR leaders: $100/session

12. Marketing Power points and handouts are available via UPCRA website and emailed in advance to all members Power points and handouts are available via UPCRA website and emailed in advance to all members

14. Topics Basic Exercise Physiology Basic Exercise Physiology Exercise Prescription and Progression Exercise Prescription and Progression Guidelines for Exercising Coronary patients with Comorbidities Guidelines for Exercising Coronary patients with Comorbidities Phase III programming Phase III programming Administrative Policies and Procedures Administrative Policies and Procedures Patient Education 101 Patient Education 101 Impact of Stress on Patients Impact of Stress on Patients Outcomes Measurement and Interpretation Outcomes Measurement and Interpretation

15. Programming Audio presentations are offered monthly – 3 rd Thursday of the month 12-1pm CT. Participants dial access code to enter audio presentation. Arranged through phone company – Quest. Members can follow power point presentation on their PC’s or have a hard copy of presentation to follow.

16. Participation From our charges for teleconferences, estimate approximately 20 sites participate each month with anywhere from 1-5 attendees per site. From our charges for teleconferences, estimate approximately 20 sites participate each month with anywhere from 1-5 attendees per site.

17. Evaluation November 1, 2007 survey emailed to all UPCRA members inquiring to their participation and evaluation of the program. November 1, 2007 survey emailed to all UPCRA members inquiring to their participation and evaluation of the program.

18. What’s next Based on results of evaluation, may consider continue Based on results of evaluation, may consider continue –Frequency? –Cost? –Increase participation - ???? –Look at times/days presentations are offered. – Recording presentation for viewing at a more convenient time?