Cardiac Rehab Phase I Utilization
1.
What setting is your facility located?
Rural
City
2.
Number of beds in your hospital
3.
Do you offer Phase 1?
Yes
No
4.
Do you Charge for Phase I?
Yes
No
5.
If yes, what charge code do you use?
6.
Where do you generate most of your Phase II referrals?
Inpatient
Internal referral from MD office
Outside referral from MD office
Other (please specify)
7.
Who handles inpatient education pre/post intervention?
Cardiac Rehab Staff
PT Staff
Floor RNs
Other (please specify)
8.
Who provides inpatient mobility after intervention?
Cardiac Rehab Staff
PT staff
Floor RNs
Other (please specify)