Pulmonary
Pulmonary Rehabilitation
Serving physicians practices, hospital outpatient program developments and physical medicine clinics. Rehabilitation Systems, has designed a program implementation package with clinical pathways for the skilled-, assisted-, and independent living facilities, or for inpatient and outpatient facilities. The pulmonary rehabilitation program implementation course is certified, as are all the programs, at sixteen (16) clinical contact hours or one point six (1.6) continuing eduction units (CEU’s) for physical medicine professionals.
- Pulmonary Rehabilitation (PR) is a multidisciplinary approach to improving the functional status and quality of life of people with chronic lung disease. Endurance and strength exercise training is cornerstone to pulmonary rehabilitation. Additionally, educational training increases patients understanding of the disease process, improves coping skills, and teaches the patient self-management.
- Patients may expect to realize specific outcomes such as fewer emergency room visits, lower re-hospitalization rates, decreased treatment interventions, decreased duration per hospitalization, increased functional ability, independence and self-care.
- Program graduates typically return to activities of daily living sooner and maintain a higher Quality of Life. The functional goals of (PR) are accomplished through up to 36 individuated exercise sessions held three times a week for 12 weeks, as defined by CMS. Read More >
For pulmonary patients who cannot attend a pulmonary rehabilitation program:
Rehabilitation Systems offers a unique online pulmonary rehabilitation training program, developed to serve patients seeking their own program. Scientifically-based restorative principals and practices fill your training program, organized to create a pathway to increased independence, skills for living, and quality of life. This is a 12 session training program with online-health-coaching to strengthen your learning and performance process.
This emerging approach to serving the restorative needs of a growing patient population at home, in skilled-, assisted-, and independent living facilities, community centers, and the like, is accomplished with a computer and an internet connection. Read More >
TREATMENT OF ACUTE EXACERBATIONS OF COPD
TREATMENT OF ACUTE EXACERBATIONS OF COPD
Demonstrated Outcomes of Pulmonary Rehabilitation
Demonstrated Outcomes of Pulmonary Rehabilitation
Reduced respiratory symptoms (dyspnea, fatigue)
Increased exercise performance
Increased knowledge about pulmonary disease and its management
Enhanced ability to perform activities of daily living
Improved health-related quality of life
Improved psychosocial symptoms (reversal of anxiety and depression, increased self-efficacy)
Reduced hospitalizations and use of medical resources
Return to work or leisure activities
Adventures of an Oxy-Phile2: By Thomas L. Petty, M.D., Master FCCA (a 'must read' book selection)
In Honor of Thomas L. Petty, M.D. December 24, 1932 - December 12, 2009
The Last Book by Thomas L. Petty, M.D.
http://www.chestnet.org/accp/article/tribute-thomas-l-petty-md-master-fccp
Adventures of an Oxy-Phile2: By Thomas L. Petty, M.D. (a 'must read' book selection)
Click here to order: http://www.drtompetty.org/paypal.asp
Dr. Petty was organizer and founding President of the Association of Pulmonary Program Directors and had served as President of the American College of Chest Physicians. He was the founding Chairman of the National Lung Health Education Program. He was also the founder of a quarterly newsletter, Lung Cancer Frontiers, and was the editor from its inception through 2007.
COPD; STAGING and DIAGNOSTIC.
Recently, chronic obstructive pulmonary disease (COPD) has gained interest as a major public health concern and is currently the focus of intense research because of its persistently increasing prevalence, mortality, and disease burden. COPD was responsible for more than 2.5 million deaths worldwide in the year 2000 alone and currently ranks as the fourth leading cause of death in the United States, surpassed only by heart disease, cancer, and cerebrovascular disease. Furthermore, COPD is projected to have the fifth leading burden of disease worldwide by the year 2020. COPD is one of the leading causes of disability worldwide and is the only disease for which the prevalence and mortality rates continue to rise.
G0424 is for CMS approved national pulmonary rehab program
The following response is from our CMS, Medical Review Staff regarding questions stated below. "Question #1: What is the ratio of Exercise Specialist to Pulmonary Rehab Patients when using CPT G0424? In other words, how many pulmonary rehab patients may an exercise specialist serve during a one hour rehab session? Answer: G0424 is for CMS approved national pulmonary rehab program, the description of this code does not limit or define the sessions to be individual or group. Therefore, there is no ratio standards at this time for this program however, please note that program is evolving with CMS change requests that are expected to final in the next couple of month. Additionally, the CFR requires that the treatment plans are individualized and "education or training closely and clearly related to the individual's care and treatment which is tailored to the individual's needs".
OVERVIEW OF COMMON PULMONARY CONDITIONS
Chronic Obstructive Pulmonary Disease (COPD)
Pulmonary diseases are becoming more important causes of morbidity and mortality in the modern world, with COPD being the most common and a major cause of lung-related death and disability.
In the United States, COPD accounted for 119,000 deaths in 2000, ranking it the fourth leading cause of death and the only major disease among the top 10 that continues to increase. Mortality data tend to underestimate the impact of COPD because it is more likely to be listed as contributory rather than the underlying cause of death, and is often not listed at all. Between 1980 and 2000, death rates for COPD increased 282% for women compared to 13% for men. Also in 2000, the number of women dying from COPD exceeded the number of men.
JAMA. 2005; 294 (10) : 1255-1259
Rehabilitation Program Development
Rehabilitation Program Development:
By far, the On-Site Workshop is the most effective method of delivering customized rehabilitation programs for any rehabilitation organization. The settings which experience the greatest outcomes from specialized rehabilitation programs are skilled nursing, assisted living, physical therapy and rehabilitation, and home health care organizations. Specific rehabilitation programs are optimized in the following organizations:
- Cancer Rehabilitation offered by hospitals, outpatient rehabilitation clinics, and community fitness organizations (LAF/YMCA).
- Pulmonary Rehabilitation offered by hospitals, physician owned practices, skilled nursing, assisted living, outpatient rehabilitation clinics, and home health care organizations
- Heart Failure Rehabilitation offered by home health care organizations, skilled nursing, assisted living, and outpatient rehabilitation clinics.
- Diabetes Rehabilitation offered by home health care organizations, skilled nursing, assisted living, outpatient rehabilitation clinics, and community fitness organizations (YMCA).
