CARDIAC REHABILITATION LOS ANGELES Paul Smith Justyn Robbins All Wales Cardiac Rehabilitation Conference Wednesday 12 th May, 2010. Caernarfon. BACR TRAVEL AWARD 2009 The initial idea!
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All Wales Cardiac Rehabilitation Conference
Wednesday 12th May, 2010. Caernarfon
The initial idea!
‘sum of money up to the value of £2000 to contribute towards the cost of travel to attend an innovative course/conference or to visit a centre of special
interest/expertise in order to develop knowledge in the field of C R’.
Submitted application end of May 2009
Awarded July 2009
July 2009 – April 2010 Visit Planning
State Capital - SacramentoKey Cities - Los Angeles, San Diego, San Francisco3rd biggest state in the USA (x2 UK / x20 Wales)
Most populous state in the USA (x0.5 UK / x10 Wales)Industries – agriculture, oil, mining, electronics,
film making/entertainment & tourism Main Rivers - Sacramento River, Colorado RiverHighest Point - Mt. Whitney, 14,495 ft above sea levelLowest Point - Death Valley, 282 ft below sea level Number of Counties - 58Bordering States - Oregon, Nevada, ArizonaBordering Country - MexicoBordering Body of Water - Pacific Ocean
University of California Los Angeles Ronald Regan Medical Center is recognised as 1 of the top 3 hospitals in the US and the top hospital and the West Coast
The hospital has been ranked in the top twenty in 15 of the 16 medical specialties ranked by the US News ranking. Ten of those specialties were ranked in the top ten.
C R Coordinator
CR exercise Phase III takes place on Monday, Wednesday and Friday in the am with Phase IV in afternoon at UCLA and a separate facility on site for Phase IV at Mission Viejo
Telemetry is used to monitor all Phase III patientsCardiac Rehabilitation Exercise
Separate sessions for resistance training
All classes are gym based with no circuit training facilities available
UCLA - 10 patients per session maximum with 14 stations
Mission Viejo – 15 patients per session maximum with 21 stationsCardiac Rehabilitation Exercise
Located next to the Cardiopulmonary Rehab Center at Mission Viejo the center for Rehabilitation/ Sports/Wellness caters for all areas for Rehabilitation and in particular CR.Center for Rehab/Sports/Wellness
Using a Nintendo Wii as an alternative to rehab Viejo the center for Rehabilitation/ Sports/Wellness caters for all areas for Rehabilitation and in particular CR.
Patients using Wii Fit Plus must under go a risk assessment for falls
Competitions between patients in 10-pin bowling, golf and basketballWii-hab
Without Insurance Viejo the center for Rehabilitation/ Sports/Wellness caters for all areas for Rehabilitation and in particular CR.
Orientation/Assessment = $165.00 (£110)
Monitored sessions = $104.50 per session (£70)
They must do at least 3 monitored sessions
Assessment plus 1 week of monitored exercise will cost (approx £320)
With Insurance – Billing to insurance companies
Orientation/Assessment including 1st monitored session = $897.00 (£600)
Monitored sessions after that = $230.00 (£155)
Typically CR would be 6 - 12 weeks x 3 sessions per week
Without insurance = $3,927.00 (approx £2,600) paid by patient
With insurance = $9177.00 (approx £6,120) with approximately 1/3 paid back by insuranceCosts for Cardiac Rehabilitation without and with insurance
Phase IV or non-monitored programme is $50.00 (£35) per month with
monitoring every 3 months.
Patients can use facilities as often as they choose on this option
Donations are gratefully received from their patients - $10,000 per tile on this wall as recognition of donations
CSCR State President
Director C V Services