	The California Society for Cardiac Rehabilitation is dedicated to promoting health and wellness and preventing cardiovascular diseases through the dissemination of education for the benefit of health care professionals, clinical practice and the public at large.

HOME- your starting point COMING EVENTS- The Annual Meeting, regional meetings and other relevant orginizations' offerings. EDUCATION-On line CEUs, book reviews, links to health literacy sites and more... ELIGIBILITY-Guideline for eligibility. FORMS-Membership and Resource Manual forms. INFORMATION-The CSCR Newsletters, links to helpful info, and more. JOBS-Want Ads. LEGISLATION-Keeping current with what impacts our practice LINKS-To other relevant websites OFFICERS-State, Nor-Cal and So-Cal OUTCOMES-It drives our practice. PROGRAM DIRECTORY-With a map. RISK MANAGEMENT - Links to resources SEARCH TIPS-How to. WOMEN'S HEALTH-Links to resources	CSCR Outcomes Page The Resources & Outcome Management Person is Barbara Angell, MA, RN, ANP angellb@sutterhealth.org Outcomes Report by Julie Rounds, MS, RCEP For the past 3 years, CSCR has been attempting to collect information on outcomes on a statewide level. So far, we have not been successful in this task due to low program participation. Last Spring, we e-mailed a survey to everyone to try to get an understanding of why participation was so poor. I believe that it is due to: • Centers are collecting outcomes, but are not using the same measurement tools as the CSCR study. • Centers are collecting outcomes, but have not done anything with the data. And, the main reason: • Many centers are not collecting outcomes. Therefore we are going to start back with the basics. Why do Outcome Assessment? AACVPR Guidelines state: "The primary reasons for including outcome assessment within a program are to assess the effectiveness in providing patient care and using the information to guide quality-improvement activities". For example, if your program provides nutritional education, how do you know that it is worth the time and the resources? You do outcome assessment! If you are just beginning, select just one domain to measure. When you are comfortable and have things proceeding smoothly, add another. You should have a quantifiable outcome goal. Following the nutritional education example a goal might be: "50% or more of the patients will have adopted a 20% fat diet". Make your Goals should be realistic and attainable. You should use a measurement tool that has been shown to be reliable and valid. To generalize, reliability means that the tool can be used on the same individual over and over, and it will get a statistically similar result. Validity means the tool will measure what it is supposed to measure. A measurement tool that is created by your center or hospital, if it has not been studied statistically for reliability and validity cannot be trusted. The outcome will not be meaningful. You use the outcome to assess the effectiveness of the intervention. Continuing with the Nutrition example, if YOU find that the patients are not successfully meeting the goal set by your program , then you need to evaluate the intervention. Is the education is flawed? Is your patient population not capable of making change? This is using the information to guide quality improvement. If they are meeting your outcome goal, then you have the quantifiable proof of the effectiveness of your program. We recommend everyone have a copy of The Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs (4"' Edition). The section on Outcomes Assessment is a must read if You are just beginning. This is a link to the Human Kinetics web page where The Guidelines can be purchased http://www.humankinetics.com/products/showproduct.cfm?isbn=0736048642

The California Society for Cardiac Rehabilitation is dedicated to
promoting health and wellness and preventing cardiovascular
diseases through the dissemination of education for the benefit of
health care professionals, clinical practice and the public at large.

HOME- your starting point

COMING EVENTS- The Annual Meeting, regional meetings and other relevant orginizations' offerings.

EDUCATION-On line CEUs, book reviews, links to health literacy sites and more...

ELIGIBILITY-Guideline for eligibility.

FORMS-Membership and Resource Manual forms.

INFORMATION-The CSCR Newsletters, links to helpful info, and more.

JOBS-Want Ads.

LEGISLATION-Keeping current with what impacts our practice

LINKS-To other relevant websites

OFFICERS-State, Nor-Cal and So-Cal

OUTCOMES-It drives our practice.

PROGRAM DIRECTORY-With a map.

RISK MANAGEMENT - Links to resources

SEARCH TIPS-How to.

WOMEN'S HEALTH-Links to resources

CSCR Outcomes Page

The Resources & Outcome Management Person is Barbara Angell, MA, RN, ANP angellb@sutterhealth.org

Outcomes Report by Julie Rounds, MS, RCEP

For the past 3 years, CSCR has been attempting to collect information on outcomes on a statewide level. So far, we have not been successful in this task due to low program participation. Last Spring, we e-mailed a survey to everyone to try to get an understanding of why participation was so poor. I believe that it is due to:
• Centers are collecting outcomes, but are not using the same measurement tools as the CSCR study.
• Centers are collecting outcomes, but have not done anything with the data.
And, the main reason:
• Many centers are not collecting outcomes.

Therefore we are going to start back with the basics.

Why do Outcome Assessment?

AACVPR Guidelines state: "The primary reasons for including outcome assessment within a program are to assess the effectiveness in providing patient care and using the information to guide quality-improvement activities".

For example, if your program provides nutritional education, how do you know that it is worth the time and the resources? You do outcome assessment!

If you are just beginning, select just one domain to measure. When you are comfortable and have things proceeding smoothly, add another.

You should have a quantifiable outcome goal. Following the nutritional education example a goal might be: "50% or more of the patients will have adopted a 20% fat diet". Make your Goals should be realistic and attainable.

You should use a measurement tool that has been shown to be reliable and valid. To generalize, reliability means that the tool can be used on the same individual over and over, and it will get a statistically similar result. Validity means the tool will measure what it is supposed to measure. A measurement tool that is created by your center or hospital, if it has not been studied statistically for reliability and validity cannot be trusted. The outcome will not be meaningful.

You use the outcome to assess the effectiveness of the intervention. Continuing with the Nutrition example, if YOU find that the patients are not successfully meeting the goal set by your program , then you need to evaluate the intervention. Is the education is flawed? Is your patient population not capable of making change? This is using the information to guide quality improvement. If they are meeting your outcome goal, then you have the quantifiable proof of the effectiveness of your program.

We recommend everyone have a copy of The Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs (4"' Edition). The section on Outcomes Assessment is a must read if You are just beginning.
This is a link to the Human Kinetics web page where The Guidelines can be purchased http://www.humankinetics.com/products/showproduct.cfm?isbn=0736048642