Patient Care Survey Question Title * 1. Do you measure functional capacity of our CARDIAC patients prior to entry or within one week of entry into your cardiac rehab program? Yes, we complete a 6 Minute Walk Test Yes, we complete a 6 Minute Cycle Test Yes, we complete a symptom-limited stress test (i.e. Modified Bruce Treadmill Test) Yes, we take the highest MET value from the 3rd exercise session No, we do not measure functional capacity Other (please specify) OK Question Title * 2. Do you measure functional capacity of your PULMONARY patients prior to entry or within one week of entry into your pulmonary rehab program? Yes, we complete a 6 Minute Walk Test Yes, we complete a 6 Minute Cycle Test Yes, we complete a symptom-limited stress test (i.e. Modified Bruce Treadmill Test) Yes, we take highest MET value from 3rd exercise session No, we do not measure functional capacity Other (please specify) OK Question Title * 3. If you complete a 6 Minute Walk Test, 6 Minute Cycle Test or a symptom-limited stress test, do you use the data collected to write an individualized exercise prescription? Yes, we use calculate METs using distance walked or cycled Yes, we use METs achieved during symptom-limited stress test Yes, we use heart rate, RPE, and RPD, when applicable No, we do not use data to write the exercise prescription We do not complete any of the tests listed above OK Question Title * 4. How do you progress your CARDIAC patient’s exercise prescription? We use time-in-target (TNT) heart rate range and RPE to determine when to increase workload/time for our cardiac patients We update every patients’ exercise prescription once a week We allow patients to decide when to increase their workload and/or time I don’t know OK Question Title * 5. How do you progress your PULMONARY patient's exercise prescription? We use time-in-target (TNT), heart rate range, RPD, and SpO2 to determine when to increase workload/time for our pulmonary patients We update every patients' exercise prescription once a week We allow patients to decide when to increase their workload and/or time I don't know N/A OK Question Title * 6. Do your patients do any resistance or strength training? Yes, we lift hand weights/resistance bands as a group Yes, patients use prescribed weights/machines/resistance bands on their own Yes, a staff member works one-on-one with patients who choose to lift weights Yes, we use resistance bands only Our patients do not do any resistance or strength training OK Question Title * 7. How do you educate your patients (Check all that apply)? Combination of handouts and videos Videos during exercise session Staff/Specialists teach education topics to group before/after exercise One-on-one education during exercise session Patients have option to attend education classes/lectures on non-exercise days We do not educate our patients OK Question Title * 8. How often do you educate your patients? Every session Once a week As needed; it varies per patient Never OK Question Title * 9. Do you bill separately for education? Yes, but only for the initial assessment/orientation Yes, we bill multiple sessions/day every visit Yes, we bill multiple sessions/day, but not every visit No, we do not bill for education OK Question Title * 10. Do you monitor your CARDIAC patients with ECG telemetry during exercise? Yes No N/A OK Question Title * 11. If you monitor your CARDIAC patients with ECG telemetry, how many sessions do you monitor? Every session We risk stratify to determine how long a patient will be on telemetry The first 3 sessions The first 12 sessions N/A Other (please specify) OK Question Title * 12. Do you monitor your PULMONARY patients with ECG telemetry during exercise? Yes No N/A OK Question Title * 13. If you monitor your PULMONARY patients with ECG telemetry, how many sessions do you monitor? Every session We risk stratify to determine how long a patient will be on telemetry The first 3 sessions The first 12 sessions N/A Other (please specify) OK Question Title * 14. Do you have a SET PAD program? Yes No, we do not plan to see PAD patients No, but we plan to start one within the next 6 months No, but we plan to start one within the next 12 months Other (please specify) OK Question Title * 15. Do you offer any programs to increase revenue in your department other than Phase III? If so, please explain. No, we only see Phase II patients in our cardiac and/or pulmonary program Yes (please explain): OK Question Title * 16. Does your department track hospital readmissions? Yes, we track readmissions only for patients currently enrolled in our program Yes, we track readmissions for patients currently enrolled in our program and up to one (1) year after graduation No, we do not track hospital readmissions I don’t know OK Question Title * 17. How many patients did you have enrolled in your program in 2017 (i.e. completed at least 1 session)? < 80 80-150 151-300 301-500 > 500 OK Question Title * 18. Is your program certified with AACVPR? Yes No OK Question Title * 19. Would you like to be entered to win our Day on the Hill scholarship? Yes No OK Question Title * 20. Would you like to learn more about LSI’s consulting services? Yes No OK Question Title * 21. Contact Information Name/Title: Hospital: City/State: Email: OK DONE